Preventing Infections in the ICU: One Size Does Not Fit All

• Autores: Preeti N. Malani
• Localización: JAMA: the journal of the American Medical Association, ISSN 0098-7484, Vol. 310, Nº. 15, 2013, págs. 1567-1568
• Idioma: inglés
• Texto completo no disponible (Saber más ...)
• Resumen

  • Health care�associated infections remain an important and potentially modifiable source of morbidity and mortality in the intensive care unit (ICU). Notable successes in this arena have centered on �bundles� to prevent central line�associated bloodstream infection and ventilator-associated pneumonia.1,2 More recently, several studies have demonstrated the benefits of chlorhexidine bathing, both to prevent bloodstream infections and to decrease acquisition of drug-resistant organisms.3,4 The evidence for other measures is less clear, including active surveillance for antibiotic-resistant organisms and expanded contact precautions.5 Given the central role of the hands and clothing of health care workers in the spread of antibiotic-resistant organisms, the potential value of universal glove and gown use to prevent infection is intriguing, yet evidence to support this approach is lacking.