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Thursday 15 February 2018

Dilemmas in infection control in the intensive care unit

Dilemmas in infection control in the intensive care unit

Zahar J-R,  Blot S
Intensive and Critical Care Nursing, Article in press

Intensive care unit (ICU) patients are at a particular risk for infection with multidrug resistant micro-organisms because they experience high severity of acute illness, present with predisposing underlying conditions, are exposed to a plethora of invasive procedures and are at the extremes of age, either neonatal or very old (Depuydt et al., 2006; Blot, 2008; Blot et al., 2014b; Verstraete et al., 2015; Afonso and Blot, 2017). Healthcare-associated infection and multidrug resistance are a major concern in ICUs as it is associated with considerable morbidity and possibly mortality (Blot et al., 2002, 2003; Verstraete et al., 2016) As a consequence substantial efforts in infection prevention and control are required to reduce the burden of infectious complications (Rello et al., 2013; Blot et al., 2014a ;  Sousa et al., 2018). While infection prevention targets the avoidance of specific infections at an individual patient level, infection control is more focused on containing the problem and preventing further spread of epidemiologically important pathogens throughout the unit or the hospital.
Infection control is a key element in the management of multidrug resistant organism (MDRO) carriers/infected patients in ICU....
Editorial

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