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Erschienen in:
22.06.2018 | What's New in Intensive Care
Infectious diseases: the 10 common truths I never believed
Erschienen in: Intensive Care Medicine | Ausgabe 2/2019
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The field of infectious diseases has caught us with many surprises. Even in the time of modern medicine, evolutionary perspectives on disease biology and management have continued to challenge us from time to time (Fig. 1). Integration of knowledge from various fields of science has opened an exciting arena, ruffling our beliefs learned in medical schools or during practice of clinical medicine. Ten selected topics that developed under the influence of certain evolutionary factors in medicine are presented in Table 1.
Fig. 1
Potential factors* contributing to the surprises in infectious diseases presented in the article
Table 1
Ten surprises in infectious diseases
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Topics
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|
|---|---|
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1
|
Respiratory viruses are common causes of community-acquired pneumonia requiring hospitalization
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|
2
|
MALDI-TOF significantly reduces the time to organism identification in blood
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|
3
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Carbapenenem-resistant Klebisella pneumoniae can be treated with carbapenems
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4
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Identification of drug response phenotypes helps to understand different responses in patients with sepsis
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5
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Weak evidence to support aerosolization of antimicrobials in respiratory infections
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6
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Oral cleansing with chlorhexidine may be harmful in intubated patients
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7
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Colistin is not the solution to treating MDR Gram-negative organisms
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8
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Therapeutic drug monitoring is required to optimize dosage in bacterial and fungal infections in mechanically ventilated patients
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9
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Invasive aspergillosis is a life-threating complication after viral pneumonia
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10
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Pulmonary manifestations are more common complications than bleeding when managing Ebola virus disease (EVD) outside of low- and middle income countries
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