Infection in the immobile host: A practical review for the intensive care physician

Jeremy D. Gradon, Carrie Adamson

    Research output: Contribution to journalReview article

    Abstract

    Immobility in the critically ill patient is a significant risk factor for infection, independent of the patient's underlying critical illness. Specific causes of infection related to immobility in the intensive care setting are explored. The pathogenesis, treatment, complications, and prevention of pressure ulcers, pneumonia, and urinary tract infections in the immobile patient are emphasized. Featured topics include the differentiation of colonization versus infection in pressure ulcers and the urinary tract, the significance and optimal treatment of positive fungal cultures, as well as a rational clinical approach to the immobile patient with a fever and no obvious source of infection. The clinical relevance of anaerobic infections in this population is emphasized because it influences empiric antibiotic therapy and differential diagnosis.

    Original languageEnglish (US)
    Pages (from-to)135-143
    Number of pages9
    JournalJournal of Intensive Care Medicine
    Volume13
    Issue number3
    DOIs
    StatePublished - Jan 1 1998

    ASJC Scopus subject areas

    • Critical Care and Intensive Care Medicine

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