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Antiseptik bei Intensiv- und Malignompatienten

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Book cover Klinische Antiseptik

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Zusammenfassung

Die Verminderung der natürlichen Infektionsabwehr führt bei Patienten in intensivmedizinischen Bereichen und auf onkologischen Stationen zu besonderer Gefährdung durch nosokomiale Infektionen sowie zu erhöhter Mortalität. Fortschritte in den Behandlungsmethoden haben das Infektionsrisiko noch erhöht, sei es durch die Umgehung normaler Abwehrmechanismen wie beim Durchstechen der Haut mit Kanülen und Kathetern, der Einführung von Trachealkanülen oder eines Blasendauerkatheters. Die antineoplastische Chemotherapie vermindert die zelluläre Abwehr sowie die lokalen Abwehrmechanismen z. B. durch ihre Mucosatoxizität. Antimikrobielle Medikamente können die normale Flora verändern und damit die Kolonisationsresistenz beeinträchtigen (s. Kap. 16).

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Authors
  1. D. Gröschel
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Editors and Affiliations

  1. Institut für Hygiene und Umweltmedizin, Ernst-Moritz-Arndt Universität Greifswald, Hainstr. 26, O-2200, Greifswald-Eldena, Deutschland

    Axel Kramer

  2. Department of Pathology Microbiology Division, University of Virginia Health Sciences Center, Box 214, 22908, Charlottesville, Virginia, USA

    D. Gröschel

  3. Eberhard-Karls-Universität Tübingen, Calwer Str. 7, W-7400, Tübingen 1, Deutschland

    P. Heeg (Krankenhaushygieniker) (Krankenhaushygieniker)

  4. Landesgesundheitsamtes Baden-Württemberg, Wiederholdstr. 15/13, PF 102942, W-7000, Stuttgart 10, Deutschland

    V. Hingst (Präsident) (Präsident)

  5. Chirurgische Klinik, Charité der Humboldt-Universität zu Berlin, Scharnhorststr. 3, O-1040, Berlin, Deutschland

    H. Lippert

  6. Hygieneinstitut, Universität Wien, Kinderspitalgasse 15, A-1095, Wien, Deutschland

    M. Rotter

  7. Außenstelle Greifswald, Landeshygieneinstitut Mecklenburg-Vorpommern, Lange Reihe 2, O-2200, Greifswald, Deutschland

    W. Weuffen

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© 1993 Springer-Verlag Berlin Heidelberg

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Gröschel, D. (1993). Antiseptik bei Intensiv- und Malignompatienten. In: Kramer, A., et al. Klinische Antiseptik. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-77715-8_17

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  • DOI: https://doi.org/10.1007/978-3-642-77715-8_17

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-77716-5

  • Online ISBN: 978-3-642-77715-8

  • eBook Packages: Springer Book Archive

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