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Prospective Study of Colonization, Infection and Mortality Rates during Conventional Therapy: Glasgow Data [1]

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Infection Control in Intensive Care Units by Selective Decontamination

Part of the book series: Update in Intensive Care and Emergency Medicine ((UICM,volume 7))

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Abstract

Between July 1985 and March 1986 all of the 161 consecutive admissions to the unspecified medico-surgical ICU were studied. The principal patient categories on admission were: post-surgery, 43%; medical, 25.5%; trauma, 14%; sepsis, 9%; drug overdose, 6%; shock, 2%. The mean APACHE II [2] and sepsis scores [3] on admission were 13 (SD 7.4) and 11 (SD 6.3) respectively. Antibiotic treatment was determined by clinical evidence of infection plus microbiological findings. Combinations of systemic aminoglycosides and β-lactams, often with metronidazole, were extensively used.

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References

  1. Ledingham IMcA et al (1988) Triple regimen of selective decontamination of the digestive tract, systemic cefotaxime, and microbiological surveillance for prevention of acquired infection in intensive care. Lancet i: 785–790

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  2. Knaus WA et al (1985) APACHE II: a severity of disease classification system. Crit Care Med 13: 818–829

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  3. Elebute EA, Stoner HB (1983) The grading of sepsis. Br J Surg 70: 29–31

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© 1989 Springer-Verlag Berlin Heidelberg

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Ramsay, G. (1989). Prospective Study of Colonization, Infection and Mortality Rates during Conventional Therapy: Glasgow Data [1]. In: van Saene, H.K.F., Stoutenbeek, C.P., Lawin, P., Ledingham, I.M. (eds) Infection Control in Intensive Care Units by Selective Decontamination. Update in Intensive Care and Emergency Medicine, vol 7. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-83752-4_11

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  • DOI: https://doi.org/10.1007/978-3-642-83752-4_11

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-51041-3

  • Online ISBN: 978-3-642-83752-4

  • eBook Packages: Springer Book Archive

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