Surgical Aspects of Infection in the Compromised Host

摘要: Steadily increasing numbers of patients with compromised immune responsiveness are being encountered in current surgical practice. The spectrum these (Table 1) ranges from those severely impaired host resistance, such as acquired immunodeficiency syndrome (AIDS) victims or immunosuppressed transplant recipients, to more subtle defects, occur diabetics and the elderly. These should be expected respond inflammation stress quite differently normal individuals. Thus, it is not unusual encounter great a 12-fold increase postoperative sepsis mortality1 whose acute condition complicated by factors that diminish defense. surgeon called upon evaluate problem requiring possible intervention must aware special considerations which have been found greatly influence their prognosis. Successful operative usually following solo approach typically employed for focal traumatic conditions. Close collaboration planning internist, infectious disease consultant, anesthetist essential. This chapter presents number other guidelines helpful diagnostic approach, preoperative preparation, intraoperative techniques, management infection host, illustrated review cases.