Zusammenfassung
Zu den intensivmedizinisch relevanten Infektionskrankheiten gehören häufige Erkrankungen wie die Pneumonie, Harnwegsinfektionen oder zentralvenöse Katheterinfektionen. Je nach Ausrichtung der Intensivstation treten auch Peritonitiden oder Meningitiden bzw. Hirnabszesse häufig auf. Zu den selteneren Infektionen gehört der Gasbrand. Die intensivmedizinisch relevanten Infektionskrankheiten werden erörtert, wobei ein besonderer Fokus auf der Therapie liegt.
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Literatur
Bodmann KF, Grabein B und die Expertenkommission der Paul-Ehrlich-Gesellschaft für Chemotherapie e.V. (2010) Empfehlungen zur kalkulierten parenteralen Initialtherapie bakterieller Erkrankungen bei Erwachsenen – Update 2010. ISBN 978-3-00-031623-4. www.p-e-g.org
Bundesgesundheitsblatt Prävention der nosokomialen Pneumonie (2013) Bundesgesundheitsbl-Gesundheitsforsch-Gesundheitsschutz 56:1578–1590
Bundesgesundheitsblatt Prävention von Infektionen, die von Gefäßkathetern ausgehen (2017) Bundesgesundheitsbl-Gesundheitsforsch-Gesundheitsschutz 60:171–206
CDC (2004) CDC-guidelines morbid mortal weekly report 53: RR 3
CDC (2011) Guidelines for the prevention of intravascular catheter-related infections, HICPAC guidelines, CDC. www.cdc.gov
Chastre J et al (2003) The PneumA Trial Group. Comparison of 8 vs 15 days of antibiotic therapy for ventilator-associated pneumonia in adults. A randomized trial. JAMA 290:2588–2598
Chien JW, Johnson JL (2000) Viral pneumonias. Infection in the immunocompromised host. Postgrad Med 107:67–80
Climo MW, Yokoe DS, Warren DK et al (2013) Effect of daily chlorhexidine bathing on hospital-acquired infection. N Engl J Med 368:533–542
Cunha BA (1999) Fever in the intensive care unit. Intensive Care Med 25:648–651
Dahlhoff K, Abele-Horn M, Andreas S et al (2012) Epidemiologie, Diagnostik und Therapie erwachsener Patienten mit nosokomialer Pneumonie. Pneumologie 66:707–765
Dettenkofer M, Wilson C, Gratwohl A et al (2009) Skin disinfection with octenidine dihydrochloride for central venous catheter site care: a double-blind, randomized, controlled trial. J Compil Europ Soc Clin Microbio Infect Disea 50:691–703
Ewig S, Höffken G, Kern WV et al (2016) Behandlung von erwachsenen Patienten mit ambulant erworbener Pneumonie – Update 2016. Pneumologie 70:151–200
Fabregas N, Ewig S, Torres A et al (1999) Clinical diagnosis of ventilator-associated pneumonia revised: comparative validation using immediate post-mortem lung biopsies. Thorax 54:867–873
de Gans J, von de Beek D (2001) The European dexamethasone in adulthood bacterial meningitis study investigators. N Engl J Med 347:1549–5649
Geiss HK (1999) Nosocomial sinusitis (editorial). Intensive Care Med 25:1037–1039
Holzapfel L, Chastang C, Demingeon G et al (1999) A randomized study assessing the systematic search for maxillary sinusitis in nasotracheally mechanically ventilated patients. Influence of nosocomial maxillary sinusitis on the occurrence of ventilator-associated pneumonia. Am J Respir Crit Care Med 159:695–701
Huang SS, Septimus E, Kleinman K et al (2013) Targeted versus universal decolonization to prevent ICU infection. N Engl J Med 368:2255–2265
Johanson WG, Pierce AK, Sanford JP, Thomas GD (1972) Nosocomial respiratory infections with Gram-negative bacilli. The significance of colonization of the respiratory tract. Ann Intern Med 77:701–706
Krueger WA, Unertl KE (2000) Die geschichtliche Entwicklung der Intensivmedizin in Deutschland. Zeitgenössische Betrachtungen. Anästhesist 49:743–751
Krueger WA, Unertl KE (2002) Selective decontamination of the digestive tract: current status. Curr Opin Crit Care 8:139–144
Krueger WA, Lenhart F-P, Neeser G et al (2002–2003) Influence of combined intravenous and topical antibiotic prophylaxis on the incidence of infections, organ dysfunctions, and mortality in critically ill surgical patients. A prospective, stratified, randomized, double-blind, placebo-controlled clinical trial. Am J Respir Crit Care Med 166:1029–1037
Le Moal G, Lemerre D, Grollier G et al (1999) Nosocomial sinusitis with isolation of anaerobic bacteria in ICU patients. Intensive Care Med 25:1066–1071
Lindsay E, Bradley NS, Colgan R et al (2005) Infectious diseases society of America guidelines for the diagnosis and treatment of asymptomatic bacteriuria in adults. Clin Infect Dis 40:643–654
Liu C, Bayer A, Cosgrove SE et al (2011) Clinical practice guidelines by the Infectious diseases society of America for the treatment of methicilin-resistant Staphylococcus aureus infection in adults and children. Clin Infect Dis 52:1–38
Maki DG, Weise CE, Sarafin HW (1977) A semiquantitative culture method for identifying intravenous-catheter-related infection. N Engl J Med 196:1305–1309
Marik PE (2001) Aspiration pneumonitis and aspiration pneumonia. N Engl J Med 344:665–671
Marra AR, Edmond MB, Forbes BA et al (2006) Time to blood culture positivity as a predictor of clinical outcome of Staphylococcus aureus bloodstream infection. J Clin Microbiol 44:1342–1346
Marschall J, Mermel LA, Fakih M et al (2014) Strategies to prevent central line-associated bloodstream infections in acute care hospitals: 2014 update. Infect Control Hosp Epidemiol 35:753–771
Meduri GU, Mauldin GL, Wunderink RG et al (1994) Causes of fever and pulmonary densities in patients with clinical manifestations of ventilator-associated pneumonia. Chest 106:221–235
Mermel LA, Farr BM, Sherertz RJ et al (2001) Guidelines for the management of intravascular catheter-related infections. Clin Infect Dis 32:1249–1272
Nobre V, Harbarth S, Graf JD, Rohner P, Pugin J (2008) Use of procalcitonin to shorten antibiotic treatment duration in septic patients: a randomized trial. Am J Respir Crit Care Med 177:498–505
Richards MJ, Edwards JR, Culver DH, Gaynes RP (1999) Nosocomial infections in medical intensive care units in the United States. National nosocomial infections surveillance system. Crit Care Med 27:887–892
Scheithauer S, Manemann AK, Krüger S et al (2010) Impact of herpes simplex virus detection in respiratory specimens of patients with suspected viral pneumonia. Infection 38:401–405
Scheithauer S, Lewalter L, Schröder J et al (2014) Reduction of central venous line-associated bloodstream infection rates by using a chlorhexidine-containing dressing. Infection 42:155–159
Stevens DL, Bisno AL, Chambers HF et al (2005) Practice guidelines for the diagnosis and management of skin and soft-tissue infections. Clin Infect Dis 41:1373–1406
Talmor M, Li P, Barie PS (1997) Acute paranasal sinusitis in critically ill patients: guidelines for prevention, diagnosis, and treatment. Clin Infect Dis 25:1441–1446
The Canadian Critical care Trials Group (2006) A randomized trial of diagnostic techniques for ventilator-associated pneumonia. N Engl J Med 355:2619–2630
Timsit JF, Mimoz O, Mourvillier B et al (2012) Randomized controlled trial of chlorhexidine dressing and highly adhesive dressing for preventing catheter-related infections in critically ill adults. Am J Respir Crit Care Med 186:1272–1278
Tunkel AR, Hartman BJ, Kaplan SL et al (2004) Practice guidelines for the management of bacterial meningitis. Clin Infect Dis 39:1267–1284
Wunderink RG, Niedermann MS, Kollef MH et al (2012) Linezolid in methicillin-resistant Staphylococcus aureus nosocomial pneumonia: a randomized, controlled study. Clin Infect Dis 54:621–629
Wunderink RG, Woldenberg LS, Zeiss J et al (1992) The radiologic diagnosis of autopsy-proven ventilator-associated pneumonia. Chest 101:458–463
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Lemmen, S., Lewalter, K., Krüger, W. (2019). Intensivmedizinisch relevante Infektionskrankheiten. In: Rossaint, R., Werner, C., Zwißler, B. (eds) Die Anästhesiologie. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-54507-2_140
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