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Infectious Diseases and Antimicrobial Stewardship in Critical Care
Medicine 4E has been fully updated and revised. The clinical
diagnostic approach to common infectious disease problems in the
CCU is the underlying theme in the book. Emphasized throughout is
the importance of formulating an accurate early presumptive
clinical syndromic diagnosis which is the basis for selecting
optimal initial antimicrobial therapy in the CCU. Without an
accurate presumptive clinical diagnosis, effective therapy is
unlikely at best. Based on the most probable clinical diagnosis,
optimal antibiotic empiric therapy, based on antimicrobial
stewardship principles, minimizes resistance and antibiotic
complications in the CCU. This new edition features chapters that
explain the tenets of differential diagnostic reasoning,
differential diagnostic characteristics of fever patterns in the
CCU. The proper interpretation of rapid diagnostic tests, in the
appropriate clinical context, is included. The diagnostic
importance of cardinal clinical findings, particularly when
combined, in the appropriate clinical context is emphasized and
remains the basis for clinical problem solving in the CCU.
Uniquely, critical diagnostic physical findings in the CCU,
including color atlas of diagnostic eye findings, are included as
important diagnostic determinants in the CCU. Written by infectious
disease clinicians for CCU consultants, Infectious Diseases and
Antimicrobial Stewardship in Critical Care Medicine 4E remains a
useful evidence based and experience tempered key clinical resource
for infectious disease problems in the CCU. Key Features Essentials
of the tenets of clinical diagnostic reasoning is explained as it
relates to formulating a rapid and accurate clinical syndromic
diagnosis in the CCU The diagnostic significance of fever patterns
and their relationship to the pulse rate in the proper clinical
context is explained in depth as related to the CCU setting
Formulating an accurate early clinical syndromic diagnosis is
presented as essential since it is the basis of effective empiric
antibiotic therapy in the CCU How to combine key non-specific
laboratory and imaging findings to increase diagnostic specificity
and diagnostic probability in the CCU is presented Clinical
perspective on the proper interpretation of the clinical
significance of rapid diagnostic test results in the CCU is
included A clinical approach to apparent "antibiotic failure" in
the CCU is presented either due to actual antibiotic failure or
seeming but unrelated non-antibiotic failure Section focuses on the
practical aspects of antimicrobial stewardship particularly as
related to optimizing dosing effectiveness while minimizing
resistance and adverse effects in the CCU
about the book... Assisting clinicians in the differential
diagnosis of the wide range of disorders responsible for fever of
unknown origin (FUO), this source stands as the only recent and
comprehensive differential diagnosis of these conditions. This
guide provides a clear overview of diagnostic approaches and offers
expert recommendations that are invaluable to anyone caring for
patients with prolonged undiagnosed fever. Written by clinicians
for clinicians, this single authoritative source emphasizes the
syndromic approach in the diagnosis of FUOs...discusses the
etiology and distribution of disorders causing FUOs...and stresses
the importance of a focused history, physical examination, and
laboratory tests in the differential diagnosis of the FUO patient.
about the editor... BURKE A. CUNHA is Chief, Infectious Disease
Division, Winthrop-University Hospital, Mineola, New York, and
Professor of Medicine, State University of New York School of
Medicine, Stony Brook. Dr. Cunha is the author or coauthor of more
than 150 abstracts, 100 electronic publications, 1000 articles, and
150 book chapters. He has edited 20 books on various infectious
disease topics and is Editor-in-Chief of the journals Infectious
Disease Practice and Antibiotics for Clinicians. Dr. Cunha is a
Fellow of the Infectious Diseases Society of America. Dr. Cunha is
internationally recognized as a teacher-clinician and is the
recipient of many teaching awards including the prestigious
Aesculapius Award. Dr. Cunha is a Master the American College of
Physicians awarded for lifetime achievement as a master clinician
and teacher of infectious diseases. Dr. Cunha received the M.D.
degree from Pennsylvania State UniversityCollege of Medicine,
Hershey.
Infectious Diseases and Antimicrobial Stewardship in Critical Care
Medicine 4E has been fully updated and revised. The clinical
diagnostic approach to common infectious disease problems in the
CCU is the underlying theme in the book. Emphasized throughout is
the importance of formulating an accurate early presumptive
clinical syndromic diagnosis which is the basis for selecting
optimal initial antimicrobial therapy in the CCU. Without an
accurate presumptive clinical diagnosis, effective therapy is
unlikely at best. Based on the most probable clinical diagnosis,
optimal antibiotic empiric therapy, based on antimicrobial
stewardship principles, minimizes resistance and antibiotic
complications in the CCU. This new edition features chapters that
explain the tenets of differential diagnostic reasoning,
differential diagnostic characteristics of fever patterns in the
CCU. The proper interpretation of rapid diagnostic tests, in the
appropriate clinical context, is included. The diagnostic
importance of cardinal clinical findings, particularly when
combined, in the appropriate clinical context is emphasized and
remains the basis for clinical problem solving in the CCU.
Uniquely, critical diagnostic physical findings in the CCU,
including color atlas of diagnostic eye findings, are included as
important diagnostic determinants in the CCU. Written by infectious
disease clinicians for CCU consultants, Infectious Diseases and
Antimicrobial Stewardship in Critical Care Medicine 4E remains a
useful evidence based and experience tempered key clinical resource
for infectious disease problems in the CCU. Key Features Essentials
of the tenets of clinical diagnostic reasoning is explained as it
relates to formulating a rapid and accurate clinical syndromic
diagnosis in the CCU The diagnostic significance of fever patterns
and their relationship to the pulse rate in the proper clinical
context is explained in depth as related to the CCU setting
Formulating an accurate early clinical syndromic diagnosis is
presented as essential since it is the basis of effective empiric
antibiotic therapy in the CCU How to combine key non-specific
laboratory and imaging findings to increase diagnostic specificity
and diagnostic probability in the CCU is presented Clinical
perspective on the proper interpretation of the clinical
significance of rapid diagnostic test results in the CCU is
included A clinical approach to apparent "antibiotic failure" in
the CCU is presented either due to actual antibiotic failure or
seeming but unrelated non-antibiotic failure Section focuses on the
practical aspects of antimicrobial stewardship particularly as
related to optimizing dosing effectiveness while minimizing
resistance and adverse effects in the CCU
It is a pleasure to contribute a brief foreword to this new,
comprehensive 1980s saw an explosion of knowledge in pul text on
the pneumonias. The is every reason to expect it to continue
through monary science, and there the end of the century. As a
result, it is becoming increasingly difficult to keep up with all
the important advances, even in a restricted area of interest. For
this reason, books such as the present one that collate the latest
findings on an important clinical topic in a convenient, readable
form provide a valuable service. This book is a salutary reminder
that there is life beyond molecular and cell biology. Important
though these disciplines are, some of us regret the lemming-like
rush into these fashionable fields at the expense of more
traditional pulmonary science. One result of this rush has been an
increas ingly large number of residents and fellows who are unable
to interpret the results of blood gas assays or who are completely
at sea when presented with a patient who requires mechanical
ventilation. The present perception that research funding is
available only in molecular and cell biology has produced some
unfortunate distortion of training programs. I pity the poor
medical student in some of our most prestigious medical schools who
is taught by a molecular biologist or neurophysiologist how the
lung works. I wish the book well."
This comprehensive issue will present the state-of-the-art
knowledge on Legionnaire's disease, coming from the country's top
experts. Articles are devoted to: History of Legionnaire's Disease;
Microbiology of Legionnaire's Disease; Epidemiology of
Legionnaire's Disease; Clinical Features of Legionnaire's Disease;
Radiologic Features of Legionnaire's Disease; Legionella
Endocarditis; Legionnaire's Disease Mimics; Legionnaire's disease
in Compromised Hosts; Legionnaire's Disease in HIV; Travel-Related
Legionnaire's Disease; Legionnaire's Outbreaks; Laboratory
Diagnosis of Legionnaire's Disease; and Antimicrobial therapy of
Legionnaire's Disease.
Atypical pneumonia is pneumonia that is not caused by one of the
traditional microorganisms, such as Streptococcus pneumoniae.? Once
atypical pneumonia is diagnosed, it is important to identify the
causative organism so treatment can be tailored to the pathogen.?
This issue covers specific tests for atypical pathogens as well as
taking an in depth look at specific microorganisms and diseases,
including? mycoplasma, legionella, and SARS.
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