Download PDF by Jean-Louis Vincent: Annual Update in Intensive Care and Emergency Medicine 2015

By Jean-Louis Vincent

ISBN-10: 3319137603

ISBN-13: 9783319137605

ISBN-10: 3319137611

ISBN-13: 9783319137612

The Yearbook compiles the newest advancements in experimental and medical learn and perform in a single finished reference ebook. The chapters are written by way of good well-known specialists within the box of in depth care and emergency medication. it really is addressed to every person all in favour of inner drugs, anesthesia, surgical procedure, pediatrics, extensive care and emergency medicine.

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Wilcox et al. Surgery Surgery (usually total colectomy with ileostomy) is indicated when there is perforation of the colon or systemic inflammation and a deteriorating clinical condition not responding to antibiotic therapy (including toxic megacolon, an acute abdomen and severe ileus) [4]. v. metronidazole [4]. Infection Control and Prevention Infection control measures are mandatory following a diagnosis of CDI [4]. Recommended measures include hand hygiene (with soap and water instead of alcohol hand rubs), protective clothing, sporicidal decontamination of the hospital environment and the use of dedicated patient care equipment for infected patients, with appropriate disinfection [1, 45, 46] (Table 2).

In general, guidelines recommend against the use of probiotics or toxin binding agents for treatment of any severity of CDI [4]. Severe or Complicated CDI Vancomycin and fidaxomicin are recommended in Europe for severe infection [4]. The dose of vancomycin can be increased in life-threatening infection (500 mg QID). These guidelines caution that there is no evidence to support the use of fidaxomicin in life-threatening CDI [4]. In England, national guidelines recommend that fidaxomicin should be considered for patients with severe CDI who are considered at high risk of recurrence (elderly, multiple co-morbidities, or concomitant antibiotic therapy) and for those with recurrent CDI of any severity [42].

The PPC methods entail five steps for quality improvement: (i) Establish the true dimension of the current problem and establish zero as the goal; (ii) observe the actual work to find opportunities to standardize processes and stabilize systems; (iii) move quickly from retrospective data to actionable, real-time data analyzed and acted on immediately with every symptomatic patient; (iv) solve problems one by one as close to the time and place of occurrence as possible; and (v) provide continuous education in both process improvement and technique for new and rotating staff members.

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Annual Update in Intensive Care and Emergency Medicine 2015 by Jean-Louis Vincent


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