There is an increasing number of immunocompromised patients across
a widening range of specialities in medicine. Patients with
underlying malignancy, as well as transplant patients, are now
living longer in a vulnerable immune state. Previously, patients
were only seen by small specialist transplant, haematology, or
oncology teams. Modern techniques mean that patients undergoing
care in many specialities such as dermatology, rheumatology,
gastroenterology, and acute general medicine, are being
immunosuppressed to modify their underlying disease, and treated
directly by their own specialists. The most pressing problems that
these patients suffer from are usually related to fever and
infection. The Oxford Specialist Handbook of Infection in the
Immunocompromised Host is a comprehensive guide for medical staff
caring for immunocompromised patients in a hospital setting.
Divided into three sections, it is the ideal source for clear,
up-to-date information needed on the ward. The book starts with a
background of the field, followed by a section that provides a
'host', or patient-centred, approach to presentations in different
immunocompromised states. It discusses the assessment,
investigation, and management of clinical syndromes in patients
with primary immunodeficiency, HIV infection, immunodeficiency as a
result of therapeutic immunosuppression, haematological and solid
organ malignancy, and immunodeficiency related to organ transplant.
In addition, it covers medical conditions resulting in defective
immunity, such as diabetes, mellitus, and chronic renal failure,
and provides information on travel in the immunocompromised host.
The third section provides a pathogen-centred approach to the
investigation and management of viral, bacterial, parasitic, and
fungal infections of particular relevance to the immunocompromised
host. Combining hospital and laboratory guidelines with recent
research, the Oxford Specialist Handbook of Infection in the
Immunocompromised Host highlights the importance of diagnoses and
empirical treatments. Ideal for medical staff working in infectious
diseases, ITU, haematology and oncology, transplants, HIV/GUM,
rheumatology, and general medicine, it also considers the
diagnostic dilemmas encountered in a clinical setting. This
handbook is also a valuable resource for when preparing for the UK
SCE examinations in these topics, and the MRCP.
General
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