Infection and control in critical care:
Gespeichert in:
Format: | Buch |
---|---|
Sprache: | English |
Veröffentlicht: |
Philadelphia [u.a.]
Saunders
1995
|
Schriftenreihe: | Critical care nursing clinics of North America
7,4 |
Schlagworte: | |
Online-Zugang: | Inhaltsverzeichnis |
Beschreibung: | XVI S., S. 601 - 774 Ill., graph. Darst. |
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245 | 1 | 0 | |a Infection and control in critical care |c Monica Weber, ... guest ed. |
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490 | 1 | |a Critical care nursing clinics of North America |v 7,4 | |
650 | 2 | |a Contrôle de l'infection | |
650 | 2 | |a Infection croisée - prévention et contrôle | |
650 | 2 | |a Soins intensifs | |
650 | 4 | |a Critical Care | |
650 | 4 | |a Critical care medicine | |
650 | 4 | |a Cross Infection |x prevention & control | |
650 | 4 | |a Infection Control | |
650 | 4 | |a Nosocomial infections |x Prevention | |
650 | 0 | 7 | |a Therapie |0 (DE-588)4059798-2 |2 gnd |9 rswk-swf |
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adam_text | INFECTION AND CONTROL IN CRITICAL CARE
CONTENTS
Preface xv
Monica Weber and Janet Serkey
Prevention and Treatment of Infection
Essential Concepts of Inflammation and Immunity 601
M. Linda Workman
Virtually all patients in acute or critical care settings experience some degree
of immune system alteration, which places them at risk for serious potential
complications, including sepsis and debilitation. Nurses need a good work¬
ing knowledge of specific areas of immune function to provide a safe envi¬
ronment, adequate patient support, and appropriate early interventions to
prevent complications. This article presents information about basic immune
function and current and potential uses for new immunodulating agents,
such as granulocyte macrophage colony stimulating factor.
Hand Washing: A Ritual Revisited 617
Jacalyn L. Bryan, Jackie Cohran, and Elaine L. Larson
This article summarizes a critical analysis of 18 studies that examined the
link between hand washing and infection. Although several factors made
it difficult to evaluate the effect of hand washing, the authors conclude that
(1) hand washing can add incremental value to infection control strategies
in acute care settings, (2) patient hand hygiene may influence infection rates,
and (3) the effect of ideal hand washing on nosocomial infection rates is
unlikely to be quantifiable.
Wound Infection Following Trauma and Burn Injuries 627
Deborah G. Klein, Diane E. Fritsch, and Sandra G. Amin
Wounds that result from trauma and burn injuries may lead to the develop¬
ment of infection from the mechanism of injury, bacterial contamination,
exogenous and endogenous sources, and impaired host defenses. Know¬
ledge of these factors, combined with thorough wound assessment, differen¬
tiation between contaminated and infected wounds, the appropriate use of
CRITICAL CARE NURSING CLINICS OF NORTH AMERICA
VOLUME 7 • NUMBER 4 • DECEMBER 1995 ix
wound cultures and antibiotics, and the appropriate selection of wound
management techniques, is important in the optimization of wound healing.
Patterns of Infection in the Solid Organ Transplant Recipient 643
Connie White Williams
Infection continues to be a major complication after transplantation. This
article addresses common postoperative infections and how a complete
preoperative and postoperative assessment of infections can affect the pa¬
tient s morbidity and mortality. Prevention and treatment regimens for
common infections that affect the immunosuppressed patient population
also are discussed.
HIV Infection/AIDS and Critical Care 651
Ronnie E. Leibowitz, John Tatarakis, and Julio Delgado
The complications of HIV infection may involve almost any organ system,
often resulting in severe dysfunction that may be life threatening. Other
disorders not associated with HIV infection may occur in HIV infected
patients and may be severe enough to require critical care.The risk for HIV
infection may be unrecognized or undiagnosed at the time of admission to
the intensive care unit, placing nurses and other health care providers at
risk for the transmission of disease. In the critical care setting, compliance
with infection control requires the integration of specific policies and proce¬
dures into crises based practices.
Critical Care and Tuberculosis 661
Ronnie E. Leibowitz
The scientific literature documents the resurgence of airborne nosocomial
transmission of Mycobacterium tubermlosis to patients and health care provid¬
ers that has occurred in the last decade. Tuberculosis may not be recognized
or diagnosed at the time of admission to the intensive care unit, adding to
the risk of disease transmission to nurses, other health care providers, and
patients. In the critical care setting, compliance with infection control re¬
quires the integration of specific policies and procedures into crises based
practices.
Antibiotic Prophylaxis in the Critical Care Setting 667
Morton P. Goldman
The prevention of infection in critically ill patients is a difficult and often
frustrating task. Selective digestive decontamination may be a useful means
of preventing infections in specific patient populations; however, not all
critical care patients will benefit. In this article, mechanisms of antimicrobial
resistance are discussed along with the consideration of specific measures
to deal with this growing dilemma. Concerns about specific microorganisms,
such as vancomycin resistant enterococcus and multidrug resistant Entero
bacter species, are addressed. It is clear that the use of antimicrobial agents
is not the only solution to the problem of infection in critically ill patients.
Preventing Device related Infections in Critical Care
Intravascular Medication Delivery Devices and Monitoring Systems 675
Carolyn McLane
This article presents a review of the current standards and the research of
infection control practice for medication delivery devices and monitoring
equipment. The standards of the Centers for Disease Control and Prevention,
x CONTENTS
Intravenous Nursing Society, and the Association for Professionals in Infec¬
tion Control and Epidemiology, Incorporated, are reviewed and compared
to the current research.
Device related, Nonintravascular Infections 685
Maureen Spencer and Gregory Bird
The intensive care environment is conducive to the transmission of microor¬
ganisms because of the array of medical equipment and the frequent contam¬
ination of the hands of health care workers. This article reviews recom¬
mended nursing interventions for the following nonintravascular devices:
automatic implantable cardioverter defibrillators, chest tubes, peritoneal
dialysis, enteral nutrition, electronic thermometers, oximeter sensors, and
urinary drainage devices.
Critical Care Acquired Pneumonia 695
Carol Lynn Thompson
Nosocomial infections are the second most common hospital acquired infec¬
tions. The Centers for Disease Control and Prevention recently published
an updated Guidelines for the Prevention of Nosocomial Pneumonia. A summary
of these recommendations and general preventive strategies are presented
in this article.
Global Perspectives in Infection Control
Management Constraints in Infection Control 703
Susan G. Osguthorpe and Lucy Ormond
Critical care patients are at risk for developing endogenous and exogenous
nosocomial infections. Essential components of an infection control program
in the critical care environment are the structural design of the critical care
unit and the surveillance, prevention, and control of infection functions.
Management strategies include employee infection control and education.
Knowledge and education are the most important management tools in the
control of infection in the critical care environment.
Understanding Parameters of Risk and Risk Measurement in
Critical Care 713
Ona G. Baker
Scientifically valid data about the risks and rates of nosocomial infection
are important to assist critical care nurses in developing clinical care im¬
provement strategies. Contemporary epidemiologic methods should be
used to facilitate the accurate assessment of data, whether for intrahospital
or interhospital comparisons. Results of infection monitoring should be
integrated into unit based quality improvement efforts, practice decisions,
and nursing education systems.
Practical Application of Sharing Surveillance Data 719
Barbara Moody
This article provides several practical and effective mechanisms for reporting
meaningful information on nosocomial infections to critical care and other
specific units. Roadblocks and a small sample of hospital practices for report¬
ing unit specific infections are described. Graphic presentations, especially
line stay histograms, are recommended.
CONTENTS xi
Health Policy for Infection Control and Epidemiology in
Critical Care 727
Linda L. McDonald
Intensive care medicine is a relatively new medical specialty that was insti¬
tuted in the wake of massive polio epidemics in the early 1950s. This article
presents various government and accrediting agencies and professional
organizations that contribute to infection control efforts in critical care medi¬
cine. Collaboration among clinicians and their respective professional orga¬
nizations is required to ensure effective hospital infection control.
Reducing Risks Through Quality Improvement, Infection Control,
and Risk Management 733
P. Mardeen Atkins
Health care organizations in America are undergoing major changes. As
these changes are occurring, organizations are being asked to demonstrate
how they monitor and improve their services to provide cost effective,
quality care. The integration of quality improvement methodologies, risk
management programs, and infection control systems provides the structure
necessary for identifying organization risks and attempting to eliminate
them. This integration is demonstrated by a case study for reducing needle
stick injuries in the intensive care unit.
Media Mania: Hot Infections 743
Sandy Pirwitz
Television, radio, and the print media increasingly are reporting information
of a medical nature, sharing the latest research findings. Disease related
articles are a staple of the weekly news magazines and tabloids. To keep
current, nurses must evaluate everything they are exposed to and should
read and listen with educated eyes and ears.
Cumulative Index 1995 753
Subscription Information Inside back cover
XJJ CONTENTS
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spelling | Infection and control in critical care Monica Weber, ... guest ed. Philadelphia [u.a.] Saunders 1995 XVI S., S. 601 - 774 Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Critical care nursing clinics of North America 7,4 Contrôle de l'infection Infection croisée - prévention et contrôle Soins intensifs Critical Care Critical care medicine Cross Infection prevention & control Infection Control Nosocomial infections Prevention Therapie (DE-588)4059798-2 gnd rswk-swf Infektionskrankheit (DE-588)4026879-2 gnd rswk-swf Diagnose (DE-588)4012040-5 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Infektionskrankheit (DE-588)4026879-2 s Therapie (DE-588)4059798-2 s DE-604 Diagnose (DE-588)4012040-5 s Weber, Monica Sonstige oth Critical care nursing clinics of North America 7,4 (DE-604)BV011338306 7,4 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=007919964&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
spellingShingle | Infection and control in critical care Critical care nursing clinics of North America Contrôle de l'infection Infection croisée - prévention et contrôle Soins intensifs Critical Care Critical care medicine Cross Infection prevention & control Infection Control Nosocomial infections Prevention Therapie (DE-588)4059798-2 gnd Infektionskrankheit (DE-588)4026879-2 gnd Diagnose (DE-588)4012040-5 gnd |
subject_GND | (DE-588)4059798-2 (DE-588)4026879-2 (DE-588)4012040-5 (DE-588)4143413-4 |
title | Infection and control in critical care |
title_auth | Infection and control in critical care |
title_exact_search | Infection and control in critical care |
title_full | Infection and control in critical care Monica Weber, ... guest ed. |
title_fullStr | Infection and control in critical care Monica Weber, ... guest ed. |
title_full_unstemmed | Infection and control in critical care Monica Weber, ... guest ed. |
title_short | Infection and control in critical care |
title_sort | infection and control in critical care |
topic | Contrôle de l'infection Infection croisée - prévention et contrôle Soins intensifs Critical Care Critical care medicine Cross Infection prevention & control Infection Control Nosocomial infections Prevention Therapie (DE-588)4059798-2 gnd Infektionskrankheit (DE-588)4026879-2 gnd Diagnose (DE-588)4012040-5 gnd |
topic_facet | Contrôle de l'infection Infection croisée - prévention et contrôle Soins intensifs Critical Care Critical care medicine Cross Infection prevention & control Infection Control Nosocomial infections Prevention Therapie Infektionskrankheit Diagnose Aufsatzsammlung |
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