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Sepsis pp 58-72 | Cite as

Useful and Useless Measures for Prevention of Infections and Sepsis in Intensive Care Patients

  • F. Daschner
  • I. Kappstein

Abstract

Of all hospitalized patients, those in intensive care units run a particularly high risk of developing nosocomial infections. Causes for this are, on the one hand, the severe underlying diseases that make treatment in an intensive care unit necessary and, on the other, the wide variety of technical measures (vein catheter, bladder catheter, intubation, intravascular monitoring, etc.) that make it possible for the pathogens to invade the body. In addition, modern medicine is capable of taking intensive measures in an increasing number of patients with restricted endogenic defense. Progress in medicine makes it possible to perform more and more difficult interventions in increasingly older and younger patients (premature infants, newborns) whose defensive powers are, however, reduced to the extent that even organisms of the endogenic flora can cause life-threatening infections. Nosocomial infection has now become one of the main complications of intensive care medicine. The cause of deaths of many intensive care patients is no longer the disease that led to their admission to the intensive care unit but the nosocomial infection acquired during treatment there. Certain hygienic measures are therefore just as important as the intensive care treatment itself. In this chapter, useful hygienic hospital procedures will be distinguished from those whose effectiveness has not been confirmed or those that have even proven useless.

Keywords

Intensive Care Unit Nosocomial Infection Intensive Care Patient Bladder Catheter Vein Catheter 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Berlin Heidelberg 1989

Authors and Affiliations

  • F. Daschner
  • I. Kappstein

There are no affiliations available

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