TY - JOUR
T1 - Infection in the immobile host
T2 - A practical review for the intensive care physician
AU - Gradon, Jeremy D.
AU - Adamson, Carrie
PY - 1998/1/1
Y1 - 1998/1/1
N2 - Immobility in the critically ill patient is a significant risk factor for infection, independent of the patient's underlying critical illness. Specific causes of infection related to immobility in the intensive care setting are explored. The pathogenesis, treatment, complications, and prevention of pressure ulcers, pneumonia, and urinary tract infections in the immobile patient are emphasized. Featured topics include the differentiation of colonization versus infection in pressure ulcers and the urinary tract, the significance and optimal treatment of positive fungal cultures, as well as a rational clinical approach to the immobile patient with a fever and no obvious source of infection. The clinical relevance of anaerobic infections in this population is emphasized because it influences empiric antibiotic therapy and differential diagnosis.
AB - Immobility in the critically ill patient is a significant risk factor for infection, independent of the patient's underlying critical illness. Specific causes of infection related to immobility in the intensive care setting are explored. The pathogenesis, treatment, complications, and prevention of pressure ulcers, pneumonia, and urinary tract infections in the immobile patient are emphasized. Featured topics include the differentiation of colonization versus infection in pressure ulcers and the urinary tract, the significance and optimal treatment of positive fungal cultures, as well as a rational clinical approach to the immobile patient with a fever and no obvious source of infection. The clinical relevance of anaerobic infections in this population is emphasized because it influences empiric antibiotic therapy and differential diagnosis.
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U2 - 10.1046/j.1525-1489.1998.0m135.x
DO - 10.1046/j.1525-1489.1998.0m135.x
M3 - Review article
AN - SCOPUS:0031744916
SN - 0885-0666
VL - 13
SP - 135
EP - 143
JO - Journal of Intensive Care Medicine
JF - Journal of Intensive Care Medicine
IS - 3
ER -