Management of infections associated with neurocritical care

Research output: Contribution to journalReview articlepeer-review

Abstract

The reported incidence of hospital-acquired infections (HAIs) in the neurointensive care unit (NICU) ranges from 20% to 30%. HAIs in US hospitals cost between $28 and $45 billion per year in direct medical costs. These infections are associated with increased length of hospital stay and increased morbidity and mortality. Infection risk is increased in NICU patients due to medication side-effects, catheter and line placement, neurosurgical procedures, and acquired immune suppression secondary to steroid/barbiturate use and brain injury itself. Some of these infections may be preventable but many are not. Their appearance do not always constitute a failure of prevention or physician error. Neurointensivists require indepth knowledge of common nosocomial infections, their diagnosis and treatment, and an approach to evidence-based practices that improve processes of care and reduce HAIs.

Original languageEnglish (US)
Pages (from-to)365-378
Number of pages14
JournalHandbook of Clinical Neurology
Volume140
DOIs
StatePublished - 2017

Keywords

  • critical care management
  • ICU infections
  • neurosurgical care
  • nosocomial infections
  • postoperative infection

ASJC Scopus subject areas

  • Medicine(all)
  • Neurology
  • Clinical Neurology

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