Journal
INFECTION AND DRUG RESISTANCE
Volume 16, Issue -, Pages 2709-2726Publisher
DOVE MEDICAL PRESS LTD
DOI: 10.2147/IDR.S390946
Keywords
bacterial infection; fungal infection; critical care; diagnostics; therapeutics
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Bacterial and fungal infections are common in ICU patients, and are associated with worse clinical outcomes. This article reviews the epidemiology of bacterial and fungal infection in the ICU, discussing risk factors, diagnosis and management approaches, as well as common strategies for infection prevention.
Bacterial and fungal infections are common issues for patients in the intensive care unit (ICU). Large, multinational point prevalence surveys have identified that up to 50% of ICU patients have a diagnosis of bacterial or fungal infection at any one time. Infection in the ICU is associated with its own challenges. Causative organisms often harbour intrinsic and acquired mechanisms of drug-resistance, making empiric and targeted antimicrobial selection challenging. Infection in the ICU is associated with worse clinical outcomes for patients. We review the epidemiology of bacterial and fungal infection in the ICU. We discuss risk factors for acquisition, approaches to diagnosis and management, and common strategies for the prevention of infection.
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