More than 20 years ago it was recognized by Stoutenbeek and
colleagues that patients in the intensive care unit suffered from
infections developed whilst being treated. Moreover, the majority
of these infections appeared to originate from bacteria that were
acquired in the intensive care leading to pathologic colonisation
and overgrowth in the gut, subsequently leading to organ site
infections. Selective decontamination of the digestive tract (SDD)
is an antibiotic strategy which aims to prevent secondary
infections in critically ill patients. This book provides both the
scientific rationale and the practical approach to nurses,
physicians, pharmacists and microbiologists to design a SDD
treatment strategy tailored to each individual patient and the
local hospital situation.
General
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