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This second edition of 'Infection control in the intensive care unit' has been completely rewritten. All statements are justified, where possible, by randomised controlled trials or meta-analyses, avoiding unsubstantiated expert opinion. The book contains a new section dedicated to the microbiology for the critically ill, in particular, how to process and interpret surveillance cultures to distinguish the 'normal' from the 'abnormal' carrier state. The usefulness of molecular techniques for outbreak analysis is discussed in a new chapter. An extensive chapter dedicated to clinical virology in neonatal, paediatric and adult intensive care units is also new, as well as the explanation of the six basic principles of the therapy of an infection. Attention is given to special topics such as nutrition, gut mucosal protection and the control of antimicrobial resistance. The addition of enteral to parenteral antimicrobials contributes to the control of multi-resistant micro-organisms
Selective decontamination is a technique which combines short-term and long-term antimicrobials to prevent or treat the acquisition and subsequent carriage of microorganisms causing late colonization and infections. The antimicrobials are selective in that they leave the indigenous, mostly anaerobic flora more or less intact, whilst the effective decontamination provides a genuine breakthrough in the endogenous route of pathogenesis. The improvements in decontamination techniques presented here offer significant reduction in infection related morbidity and mortality among trauma patients.
First multi-year cumulation covers six years: 1965-70.
This book provides a detailed guide to neonatal surgery and its related disciplines including: fetal medicine, fetal surgery, radiology, newborn anaesthesia, intensive care, neonatal medicine, medical genetics, pathology, cardiac surgery, and urology. The book aims to cover all the latest advances in newborn surgery, with contributions from the basic sciences and laboratory research to reflect the steady progress in our current working knowledge and understanding of many neonatal surgical disorders. As huge advances have been made in neonatal surgery in the past decades, ethical issues, long term outcomes, and quality of life are also emphasised. This book is an authoritative reference for surgical residents in training, consultant surgeons, general surgeons with an interest in paediatric surgery, neonatologists, paediatricians, intensive care specialists, and nursing staff.
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