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Báo cáo y học: " Recently published papers: A review of novel strategies in the prevention of hospital-acquired infections, the ability of intensivists to perform echocardiography, and the benefit of polymyxin B haemoperfusion in abdominal sepsis"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Recently published papers: A review of novel strategies in the prevention of hospital-acquired infections, the ability of intensivists to perform echocardiography, and the benefit of polymyxin B haemoperfusion in abdominal sepsis. | Available online http ccforum.eom content 13 4 181 Commentary Recently published papers A review of novel strategies in the prevention of hospital-acquired infections the ability of intensivists to perform echocardiography and the benefit of polymyxin B haemoperfusion in abdominal sepsis James Hayward and Richard Venn Department of Anaesthetics Worthing Hospital Lyndhurst Road Worthing BN11 2DH UK Corresponding author James Hayward jnchayward@gmail.com Published 26 August 2009 This article is online at http ccforum.com content 13 4 181 2009 BioMed Central Ltd Critical Care 2009 13 181 doi 10.1186 cc7992 Abstract Chlorhexidine bed baths seem to reduce the incidence of methicillin-resistant Staphylococcus aureus and vancomycin-resistant enterococcus detected by surveillance cultures. There is also some evidence on the benefit of chlorhexidine mouthwashes in the prevention of ventilator-associated pneumonias. Acidsuppressing drugs increase the incidence of hospital-acquired pneumonias in non-intensive care unit patients although this association has not been shown in the intensive care setting. Intensivists can be trained to perform basic echocardiography in a short period of time but their errors could lead to incorrect changes in management. Polymyxin B haemoperfusion was shown in interim analysis to improve patients with abdominal sepsis to such an extent that the EUPHAS randomised controlled trial was halted on ethical grounds although other authors have criticised this decision. Hospital-acquired infections and ventilator-acquired pneumonias avoidance strategies Prevention of hospital-acquired infections and ventilator-associated pneumonias is a key concern in the reduction of mortality in both the critical care and general ward patient populations. A number of recent articles have evaluated differing approaches relating to this topic 1-4 . Climo and colleagues studied the effect of daily 4 chlor-hexidine baths on colonisation and subsequent bloodstream infection