Colonization and Infection

作者: L. Silvestri , G. Mino , H.K.F van Saene

DOI: 10.1007/88-470-0361-X_3

关键词:

摘要: Physiologically, internal organs such as lower airways and bladder are sterile. However, colonization of by potentially pathogenic micro-organisms (PPMs) is common in critically ill patients on the intensive care unit (ICU) [1]. Colonization generally follows impaired carriage defense digestive tract, which promotes overgrowth PPMs (see Chapter 2), defenses host against colonization, due to illness severity. Failure clear colonizing microorganisms from invariably leads high concentrations PPMs, predisposing invasion. The mobilizes both humoral cellular systems hinder invading micro-organisms. infection will require not only invasion, but also severity underlying disease, jeopardizes immunocompetence. aims this chapter define concepts colonization/infection describe mechanisms interventions for control colonization/infection.

参考文章(41)
N. V. Christou, J. C. Marshall, J. L. Meakins, Small-bowel bacterial overgrowth and systemic immunosuppression in experimental peritonitis. Surgery. ,vol. 104, pp. 404- 411 ,(1988)
Loreto M, Gravino E, Savoia G, Pathophysiology and treatment of airway mucociliary clearance. A moving tale. Minerva Anestesiologica. ,vol. 67, pp. 206- 209 ,(2001)
SANTIAGO EWIG, ANTONI TORRES, MUSTAFA EL-EBIARY, NEUS FÀBREGAS, CARMEN HERNÁNDEZ, JULIÀ GONZÁLEZ, JOSE MARIA NICOLÁS, LUIS SOTO, Bacterial colonization patterns in mechanically ventilated patients with traumatic and medical head injury. Incidence, risk factors, and association with ventilator-associated pneumonia. American Journal of Respiratory and Critical Care Medicine. ,vol. 159, pp. 188- 198 ,(1999) , 10.1164/AJRCCM.159.1.9803097
Tom M. A. Wilkinson, Irem S. Patel, Mark Wilks, Gavin C. Donaldson, Jadwiga A. Wedzicha, Airway bacterial load and FEV1 decline in patients with chronic obstructive pulmonary disease American Journal of Respiratory and Critical Care Medicine. ,vol. 167, pp. 1090- 1095 ,(2003) , 10.1164/RCCM.200210-1179OC
Emmanuel Mongodin, Odile Bajolet, Jérôme Cutrona, Noël Bonnet, Florence Dupuit, Edith Puchelle, Sophie de Bentzmann, Fibronectin-binding proteins of Staphylococcus aureus are involved in adherence to human airway epithelium. Infection and Immunity. ,vol. 70, pp. 620- 630 ,(2002) , 10.1128/IAI.70.2.620-630.2002
R.E. Sarginson, N. Taylor, H.K.F. van Saene, Glossary of Terms and Definitions Current Anaesthesia & Critical Care. ,vol. 12, pp. 2- 5 ,(2001) , 10.1054/CACC.2001.0316
Edward H. Kass, Lawrence J. Schneiderman, Entry of Bacteria into the Urinary Tracts of Patients with Inlying Catheters New England Journal of Medicine. ,vol. 256, pp. 556- 557 ,(1957) , 10.1056/NEJM195703212561206
J.M. Sirvent, A. Torres, L. Vidaur, J. Armengol, J. de Batlle, A. Bonet, Tracheal colonisation within 24 h of intubation in patients with head trauma: risk factor for developing early-onset ventilator-associated pneumonia Intensive Care Medicine. ,vol. 26, pp. 1369- 1372 ,(2000) , 10.1007/S001340000611
H.K.F. van Saene, V. Damjanovic, S.R. Alcock, Basics in microbiology for the patient requiring intensive care Current Anaesthesia & Critical Care. ,vol. 12, pp. 6- 17 ,(2001) , 10.1054/CACC.2001.0317