Infections in Critically Ill Patients: Should We Change to a Decontamination Strategy?

  • Peter H.J. van der Voort
  • Hendrick K.F. van Saene


Infection in intensive care patients may be the reason for their admission or it may be acquired in the intensive care unit (ICU). Infection in the ICU is common and causes morbidity and hospital mortality [1]. The aim of SDD is to prevent newly acquired infection and associated mortality in the ICU. This chapter describes the magnitude of the infectious problem according to the current literature. If we accept the hypothesis that SDD can prevent ICU acquired infection, it follows that the incidence of infection will show the possible impact of SDD in preventing these infections. However, SDD is designed to prevent infections caused by potentially pathogenic microorganisms (Chapter 2) and will therefore not prevent infections caused by low level pathogens, including coagulase-negative staphylococci and enterococci.


Intensive Care Unit Admission Nosocomial Infection Selective Decontamination Medical Intensive Care Unit Patient National Nosocomial Infection Surveillance System 
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Copyright information

© Springer 2008

Authors and Affiliations

  • Peter H.J. van der Voort
    • 1
  • Hendrick K.F. van Saene
    • 2
  1. 1.Department of Intensive CareOnze Lieve Vrouwe GasthuisAmsterdamThe Netherlands
  2. 2.Department of Clinical Microbiology and Infection ControlRoyal Liverpool Children’s NHS Trust of Alder HeyLiverpoolUK

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