Descargar Libro Fisiopatologia Clinica Bevilacqua

Descargar Libro Fisiopatologia Clinica Bevilacqua

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Descargar Libro Fisiopatologia Clinica Bevilacqua

some general considerations on the management of fever in critically ill patients have emerged from the last century of studies: (1) fever is a necessary but not sufficient condition for the development of sepsis. thus, fever should be a key diagnostic and therapeutic target for sepsis.

critical care remains the frontier of infection prevention and control. as that frontier moves to the icu, the infections in those rooms present clinical and economic challenges different from any that have preceded it. infection control practitioners (icps) have the task of monitoring the evolution of the burden of disease in this new territory.

frontline infection prevention and control (ipc) professionals are currently engaged in the ongoing evaluation of novel, rapid, and accurate diagnostics. the following are examples of new tools demonstrating promise.

– invasive fungal infections are a leading cause of morbidity and mortality in immunocompromised hosts, especially those with hematologic malignancies. recalcitrant candida tracheobronchitis is a frequent complication in these patients, and it can be difficult to determine whether a patient should receive antifungal therapy. fluorescence bronchoscopy has been shown to be a superior diagnostic test for this condition than conventional microbiologic culture [ 35 ].

– respiratory viruses have been recently implicated as the cause of a substantial number of cases of acute respiratory distress in children, and influenza virus is currently responsible for more than 200,000 cases of severe illness, which have an associated mortality of approximately 300,000 cases in the us annually.