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Antibiotics and artificial nutrition in the cardiac intensive care unit

De Gaudio, Raffaele ; Selmi, Valentina ; Chelazzi, Cosimo

Giornale italiano di cardiologia (2006), 2010-04, Vol.11 (4), p.274-284 [Periódico revisado por pares]

Italy

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Título:
Antibiotics and artificial nutrition in the cardiac intensive care unit
Autor: De Gaudio, Raffaele ; Selmi, Valentina ; Chelazzi, Cosimo
Assuntos: Anti-Bacterial Agents - pharmacokinetics ; Anti-Bacterial Agents - therapeutic use ; Cardiac Surgical Procedures ; Coronary Care Units ; Critical Care - methods ; Cross Infection - prevention & control ; Decontamination ; Drug Resistance, Microbial ; Gastrointestinal Tract - microbiology ; Heart Diseases - therapy ; Humans ; Immunocompromised Host ; Infection Control ; Kidney - physiopathology ; Malnutrition - immunology ; Malnutrition - prevention & control ; Nutritional Support ; Postoperative Complications - prevention & control ; Surgical Wound Infection - prevention & control
É parte de: Giornale italiano di cardiologia (2006), 2010-04, Vol.11 (4), p.274-284
Notas: ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-1
ObjectType-Review-3
content type line 23
Descrição: Patients admitted to cardiac intensive care units are at high risk for infections, particularly nosocomial pneumonia, pacemaker's pocket and sternotomic wound infections. These complications delay recovery, prolong hospitalization, time on mechanical ventilation, and increase mortality. Both behavioral and pharmacological measures are needed to prevent and control infections in these patients, as well as specific antibiotic treatment and nutritional support. In infected critically ill patients, pathophysiological alterations modify distribution and clearance of antibiotics, and hypercatabolic state leads to malnutrition and immune paralysis, which both contribute to increased infectious risk and worsened outcome. A deep understanding of antibacterial agents pharmacology in the critically ill is essential in order to treat severe infections; moreover, it is necessary to know routes of administration and composition of artificial nutrition solutions. The aim of this review is to define main and specific aspects of antibiotic therapy and nutritional support in cardiac critical care patients in light of recent literature data.
Editor: Italy
Idioma: Italiano

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Antibiotics and artificial nutrition in the cardiac intensive care unit

De Gaudio, Raffaele ; Selmi, Valentina ; Chelazzi, Cosimo

Italy

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