Guidelines for the Management of Intravascular Catheter-Related Infections

2001 ◽  
Vol 22 (4) ◽  
pp. 222-242 ◽  
Author(s):  
Leonard A. Mermel ◽  
Barry M. Farr ◽  
Robert J. Sherertz ◽  
Issam I. Raad ◽  
Naomi O'Grady ◽  
...  
Keyword(s):  
Critical Care ◽  
The United States ◽  
Underlying Disease ◽  
Critical Care Medicine ◽  
Intravascular Catheter ◽  
Coagulase Negative Staphylococci ◽  
Pulmonary Artery Catheters ◽  
Potential Pathogen ◽  
Adults And Children ◽  
Healthcare Epidemiology

These guidelines from the Infectious Diseases Society of America (IDSA), the American College of Critical Care Medicine (for the Society of Critical Care Medicine), and the Society for Healthcare Epidemiology of America contain recommendations for the management of adults and children with, and diagnosis of infections related to, peripheral and nontunneled central venous catheters (CVCs), pulmonary artery catheters, tunneled central catheters, and implantable devices. The guidelines, written for clinicians, contain IDSA evidence-based recommendations for assessment of the quality and strength of the data. Recommendations are presented according to the type of catheter, the infecting organism, and the associated complications.Intravascular catheter-related infections are a major cause of morbidity and mortality in the United States. Coagulase-negative staphylococci,Staphylococcus aureus, aerobic gram-negative bacilli, andCandida albicansmost commonly cause catheter-related bloodstream infection. Management of catheter-related infection varies according to the type of catheter involved. After appropriate cultures of blood and catheter samples are done, empirical iv antimicrobial therapy should be initiated on the basis of clinical clues, the severity of the patient's acute illness, underlying disease, and the potential pathogen (s) involved. In most cases of nontunneled CVC-related bacteremia and fungemia, the CVC should be removed.

Critical care medicine in the United States 1985–2000: An analysis of bed numbers, use, and costs*

2004 ◽  
Vol 32 (6) ◽  
pp. 1254-1259 ◽  
Author(s):  
Neil A. Halpern ◽  
Stephen M. Pastores ◽  
Robert J. Greenstein
Keyword(s):  
United States ◽  
Critical Care ◽  
The United States ◽  
Critical Care Medicine ◽  
Bed Numbers

Training and Certification of Critical Care Medicine in the United States

CHEST Journal ◽  
1988 ◽  
Vol 93 (6) ◽  
pp. 1122-1123 ◽  
Author(s):  
Max Harry Weil ◽  
William C. Shoemaker ◽  
Eric C. Rackow
Keyword(s):  
United States ◽  
Critical Care ◽  
The United States ◽  
Critical Care Medicine

scholarly journals Clinical Practice Guidelines for Clostridium difficile Infection in Adults and Children: 2017 Update by the Infectious Diseases Society of America (IDSA) and Society for Healthcare Epidemiology of America (SHEA)

2018 ◽  
Vol 66 (7) ◽  
pp. 987-994 ◽  
Author(s):  
L Clifford McDonald ◽  
Dale N Gerding ◽  
Stuart Johnson ◽  
Johan S Bakken ◽  
Karen C Carroll ◽  
...  
Keyword(s):  
United States ◽  
Clinical Practice ◽  
Clostridium Difficile ◽  
Infectious Diseases ◽  
Clostridium Difficile Infection ◽  
The United States ◽  
Healthcare Associated Infection ◽  
Adults And Children ◽  
Healthcare Associated ◽  
Healthcare Epidemiology

Abstract A panel of experts was convened by the Infectious Diseases Society of America (IDSA) and Society for Healthcare Epidemiology of America (SHEA) to update the 2010 clinical practice guideline on Clostridium difficile infection (CDI) in adults. The update, which has incorporated recommendations for children (following the adult recommendations for epidemiology, diagnosis, and treatment), includes significant changes in the management of this infection and reflects the evolving controversy over best methods for diagnosis. Clostridium difficile remains the most important cause of healthcare-associated diarrhea and has become the most commonly identified cause of healthcare-associated infection in adults in the United States. Moreover, C. difficile has established itself as an important community pathogen. Although the prevalence of the epidemic and virulent ribotype 027 strain has declined markedly along with overall CDI rates in parts of Europe, it remains one of the most commonly identified strains in the United States where it causes a sizable minority of CDIs, especially healthcare-associated CDIs. This guideline updates recommendations regarding epidemiology, diagnosis, treatment, infection prevention, and environmental management.

FELLOWSHIP TRAINING IN ADULT CRITICAL CARE MEDICINE IN THE UNITED STATES AND CANADA

1979 ◽  
Vol 7 (3) ◽  
pp. 140
Author(s):  
Dennis M. Greenbaum ◽  
Robert S. Dobrin ◽  
Eric Rackow ◽  
Henning Pontoppidan ◽  
Robert F. Wilson
Keyword(s):  
United States ◽  
Critical Care ◽  
The United States ◽  
Fellowship Training ◽  
Critical Care Medicine

Nurse/physician collaboration: solving the nursing shortage crisis

1992 ◽  
Vol 1 (1) ◽  
pp. 25-32 ◽  
Author(s):  
SA Evans ◽  
R Carlson
Keyword(s):  
United States ◽  
Critical Care ◽  
Nursing Shortage ◽  
American Association ◽  
The United States ◽  
Critical Care Nurses ◽  
Critical Care Medicine ◽  
The Status

This summary article discusses the status of the nursing shortage in the United States, with emphasis on successful strategies to address it. Liaisons between the American Association of Critical-Care Nurses (AACN) and the Society for Critical Care Medicine, as well as with the American College of Cardiology, are highlighted, with primary emphasis on the strategy of nurse-physician collaboration.

scholarly journals Intensive Care Unit Rotations and Predictors of Career Choice in Pulmonary/Critical Care Medicine: A Survey of Internal Medicine Residency Directors

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Daniel J. Minter ◽  
Sean D. Levy ◽  
Sowmya R. Rao ◽  
Paul F. Currier
Keyword(s):  
Internal Medicine ◽  
Critical Care ◽  
Career Choice ◽  
The United States ◽  
Fellowship Training ◽  
Critical Care Medicine ◽  
Residency Programs ◽  
Medical Icus ◽  
Sponsored Programs ◽  
Residency Program Directors

Background. The United States (US) is experiencing a growing shortage of critical care medicine (CCM) trained physicians. Little is known about the exposures to CCM experienced by internal medicine (IM) residents or factors that may influence their decision to pursue a career in pulmonary/critical care medicine (PCCM). Methods. We conducted a survey of US IM residency program directors (PDs) and then used multivariable logistic regression to identify factors that were predictive of residency programs with a higher percentage of graduates pursuing careers in PCCM. Results. Of the 249 PDs contacted, 107 (43%) completed our survey. University-sponsored programs more commonly had large ICUs (62.3% versus 42.2%, p=0.05), primary medical ICUs (63.9% versus 41.3%, p=0.03), and closed staffing models (88.5% versus 41.3%, p<0.001). Residents from university-sponsored programs were more likely to pursue specialty fellowship training (p<0.001) overall but equally likely to pursue careers in PCCM as those from community-sponsored programs. Factors predictive of residencies with a higher percentage of graduates pursuing training in PCCM included larger ICUs (>20 beds), residents serving as code leaders, and greater proportion of graduates pursuing specialization. Conclusions. While numerous differences exist between the ICU rotations at community- and university-sponsored IM residencies, the percentage of graduates specializing in PCCM was similar. Exposure to larger ICUs, serving as code leaders, and higher rates of specialization were predictive of a career choice in PCCM.

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