Nosocomial pneumonia is the second most frequent hospital-acquired infection and the most common acquired infection in the intensive care unit. It can be caused by several different pathogens, and determining the most appropriate therapy is further complicated by a number of differential diagnoses - other disorders that mimic this disease, which can only be confirmed or excluded following laboratory tests. It therefore presents the clinician with a variety of challenges, in both diagnosis and management, all of which represent a significant concern for the welfare of a group of patients whose…mehr
Nosocomial pneumonia is the second most frequent hospital-acquired infection and the most common acquired infection in the intensive care unit. It can be caused by several different pathogens, and determining the most appropriate therapy is further complicated by a number of differential diagnoses - other disorders that mimic this disease, which can only be confirmed or excluded following laboratory tests. It therefore presents the clinician with a variety of challenges, in both diagnosis and management, all of which represent a significant concern for the welfare of a group of patients whose ability to combat infection is frequently already compromised.
In this new work, leading international authorities present an update on current best practice for the diagnosis, treatment, and prevention of nosocomial pneumonia. The first section of the book describes the environmental factors that lead to infection, and the clinical approaches appropriate to patients at risk. There then follows a series of chapters dedicated to each of the principal pathogens such as Pseudomonas aeruginosa, Staphylococcus aureus, Acinetobacter baumannii and the specific strategies by which infections with these organisms may be combated. Finally, the authors address the problems associated with particular risk groups, including the immuno-compromised, trauma patients, and the presence of concomitant morbidities such as Acute Respiratory Distress Syndrome.
This volume will be welcomed by pulmonologists, intensivists, and by all clinicians involved in managing pulmonary infections acquired in the hospital sett
Dr. Jordi Rello, MD. Chief, Critical Care Department, Joan XXIII University Hospital, University Rovira i Virgili, Institut Pere Virgili, Tarragona, SPAIN.
Inhaltsangabe
1. Health Care Associated-Pneumonia: Epidemiology Microbiology and Clinical Outcomes (Dr. Marcos I. Restrepo and Dr. Antonio Anzuelo San Antonio Texas. US). 2. Prevention of Hospital-Acquired Pneumonia (Dr. Rafael Sierra and Antonio Gordillo Cádiz Spain). 3. Role of the microbiology laboratory in the diagnosis of ventilator-associated pneumonia (Dr. Emilio Bouza Dra. Almudena Burillo Dra. Patricia Muñoz Madrid Spain). 4. Pathophysiology of Pneumonia (Dra Amalia Alcón Dr. Mauricio Valencia Dr. Antoni Torres Barcelona Spain). 5. Clinical approach to the patient with HAP (Dr. Jordi Rello Tarragona Spain & Dr. Miguel Gallego Sabadell Spain). 6. Pneumonia due to Pseudomonas aeruginosa (Dr. Jordi Vallés and Dra. Dolors Marisca Sabadell. Spain). 7. Hospital acquired-pneumonia caused by Staphylococcus aureus (Dra. Despoina Koulenti Athens Greece; Dr. Kemal Agbaht Ankara Turkey). 8. Nosocomial pneumonia by Acinetobacter baumannii (Dr. José Garnacho-Montero and Da. Eugenia Pachón Dr. J.M. Cisneros Sevilla Spain). 9. Fungal pneumonia (Dr. George Dimopoulos Dr. E. Papadomichelakis Dr. P. Kopteridis Athens Greece). 10. General pharmacologic considerations and dose adjustment in antibiotic therapy for HAP (Dr. Pierluigi Viale and Dr. Federico Pea Udine Italy). 11. Minimally Invasive Diagnostic Strategy in Immunocompromized Patients with Pulmonary Infiltrates (Dra. Sandra. De Miranda and Dra. Élie Azoulay Paris France). 12. Pneumonia in trauma patients (Dra. Helene A. Haeberle and Dr. Wolfgang A. Krueger Tubingen. Germany). 13. Acute Respiratory Distress Syndrome and pneumonia (Dr. Jean Chastre Dr. Charles-Edouard Luyt Dr. Jean Louis Trouillet Dr. Alain Combes Paris France). 14. Assessment of patients with poor resolution of Hospital Acquired Pneumonia (Dr. Richard G. Wunderink Dr. Keenan A. Hawkins Chicago USA). 15. Approach to Patients with recurrent VAP (Dr. Grant W. Waterer Perth Australia; Dr. Diego López. Madrid. Spain). 16. Costs for Hospital-Acquired Pneumonia & Ventilator-Associated Pneumonia (Dr. Andrew F. Shorr and Dr. William L. Jackson Washington USA). Index.
1. Health Care Associated-Pneumonia: Epidemiology Microbiology and Clinical Outcomes (Dr. Marcos I. Restrepo and Dr. Antonio Anzuelo San Antonio Texas. US). 2. Prevention of Hospital-Acquired Pneumonia (Dr. Rafael Sierra and Antonio Gordillo Cádiz Spain). 3. Role of the microbiology laboratory in the diagnosis of ventilator-associated pneumonia (Dr. Emilio Bouza Dra. Almudena Burillo Dra. Patricia Muñoz Madrid Spain). 4. Pathophysiology of Pneumonia (Dra Amalia Alcón Dr. Mauricio Valencia Dr. Antoni Torres Barcelona Spain). 5. Clinical approach to the patient with HAP (Dr. Jordi Rello Tarragona Spain & Dr. Miguel Gallego Sabadell Spain). 6. Pneumonia due to Pseudomonas aeruginosa (Dr. Jordi Vallés and Dra. Dolors Marisca Sabadell. Spain). 7. Hospital acquired-pneumonia caused by Staphylococcus aureus (Dra. Despoina Koulenti Athens Greece; Dr. Kemal Agbaht Ankara Turkey). 8. Nosocomial pneumonia by Acinetobacter baumannii (Dr. José Garnacho-Montero and Da. Eugenia Pachón Dr. J.M. Cisneros Sevilla Spain). 9. Fungal pneumonia (Dr. George Dimopoulos Dr. E. Papadomichelakis Dr. P. Kopteridis Athens Greece). 10. General pharmacologic considerations and dose adjustment in antibiotic therapy for HAP (Dr. Pierluigi Viale and Dr. Federico Pea Udine Italy). 11. Minimally Invasive Diagnostic Strategy in Immunocompromized Patients with Pulmonary Infiltrates (Dra. Sandra. De Miranda and Dra. Élie Azoulay Paris France). 12. Pneumonia in trauma patients (Dra. Helene A. Haeberle and Dr. Wolfgang A. Krueger Tubingen. Germany). 13. Acute Respiratory Distress Syndrome and pneumonia (Dr. Jean Chastre Dr. Charles-Edouard Luyt Dr. Jean Louis Trouillet Dr. Alain Combes Paris France). 14. Assessment of patients with poor resolution of Hospital Acquired Pneumonia (Dr. Richard G. Wunderink Dr. Keenan A. Hawkins Chicago USA). 15. Approach to Patients with recurrent VAP (Dr. Grant W. Waterer Perth Australia; Dr. Diego López. Madrid. Spain). 16. Costs for Hospital-Acquired Pneumonia & Ventilator-Associated Pneumonia (Dr. Andrew F. Shorr and Dr. William L. Jackson Washington USA). Index.
Rezensionen
" Nosocomial Pneumonia achieves its stated goal of seeking to present current knowledge on the pathophysiology, clinical presentation, diagnosis, and treatment of nosocomial pneumonia. Clinicians interested in this topic will find the text a useful and worthwhile compilation." (Journal of the American Medical Association , December 3, 2008) The main purpose of this book is to give physicians who care for patients at risk for nosocomial pneumonia a concise and up to date reference and management guide, and I would say the book succeeds in that task. It is a concise, well referenced overview . This is a useful text that compiles a substantial body of information in a convenient source. The major strengths of the book are the authoritative international list of contributors and the clear focus. ( Respiratory Care , November 2008) "The book is well organized, well written, easy to read and understand and timely in its subject matter." ( ADVANCE for Respiratory Care Practitioners ) "This is a good overview of an important subject." ( Doody s Book Reviews )
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