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Device Associated Infections, An Issue of Infectious Disease Clinics - E-Book

Device Associated Infections, An Issue of Infectious Disease Clinics - E-Book

Preeti N. Malani

(2012)

Additional Information

Book Details

Abstract

Optimal management of device associated infections requires a collaborative approach among surgical and medical specialists—a need that is central to this issue of Infectious Diseases Clinics of North America.  In addition to the epidemiology, management, and prevention of commonly encountered device associated infections, each review offers technical background on specific devices and related operative procedures.   Areas of ongoing investigation are highlighted including innovative concepts for the prevention of biofilm formation and biofilm directed therapeutics.  Emerging issues related to reuse of medical devices in resource limited settings are also considered.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Infectious Disease Clinics Of North America i
Copyright Page ii
Table of Contents vii
Forthcoming Issues xi
Contributors iii
Preface xiii
Chapter 1. New Developments in the Prevention of Intravascular Catheter Associated Infections 1
EPIDEMIOLOGY 1
PATHOGENESIS 2
NEW DEVELOPMENTS 2
PREVENTION: PERFORMANCE INITIATIVES 3
PREVENTION: TECHNOLOGIC INNOVATIONS 5
SUMMARY 7
REFERENCES 8
Chapter 2. Urinary Catheter-Associated Infections 13
DEFINITIONS 13
PATHOGENESIS 14
EPIDEMIOLOGY 15
DIAGNOSIS 17
TREATMENT 19
PREVENTION 20
SUMMARY 24
REFERENCES 25
Chapter 3. Management and Prevention of Prosthetic Joint Infection 29
PATHOGENESIS AND RISK FACTORS 29
MICROBIOLOGY 30
CLINICAL PRESENTATION AND DIAGNOSIS 30
TREATMENT 32
PREVENTION 34
SUMMARY 35
REFERENCES 35
Chapter 4. Vascular Graft Infections 41
PATHOGENESIS 41
RISK FACTORS AND MICROBIOLOGY 42
CLINICAL MANIFESTATIONS 43
DIAGNOSIS 44
CLINICAL MANAGEMENT 45
PREVENTION 52
SUMMARY 53
REFERENCES 53
Chapter 5. Cardiovascular Implantable Electronic Device Associated Infections 57
EPIDEMIOLOGY AND RISK FACTORS 58
MICROBIOLOGY 59
DIAGNOSIS 60
MANAGEMENT OF CARDIAC DEVICE INFECTIONS 63
PREVENTION 69
SUMMARY 70
REFERENCES 70
Chapter 6. Left Ventricular Assist Device–Associated Infections 77
OVERVIEW OF LVADs 78
OUTCOMES OF MECHANICAL SUPPORT 79
LVAD INFECTIONS 80
SUMMARY 84
REFERENCES 84
Chapter 7. Central Nervous System Device Infections 89
CSF DIVERSION WITH SHUNTS: SHUNT INFECTIONS 99
DEEP BRAIN STIMULATOR INFECTIONS 100
SUMMARY 104
REFERENCES 104
Chapter 8. Breast Implant Infections 111
EPIDEMIOLOGY AND COSTS 112
RISK FACTORS 112
PATHOGENESIS AND MICROBIOLOGY 114
DIAGNOSIS 117
MANAGEMENT 118
PREVENTION 119
SUMMARY 121
REFERENCES 121
Chapter 9. Infectious Complications of Dialysis Access Devices 127
HEMODIALYSIS ACCESS 128
PERITONEAL DIALYSIS ACCESS 134
SUMMARY 136
ACKNOWLEDGMENTS 136
REFERENCES 136
Chapter 10. Medical Device – Associated Infectionsin the Long -Term Care Setting 143
USE OF INVASIVE MEDICAL DEVICES IN LTCFS 144
INFECTION OF INDWELLING URINARY CATHETERS 144
INFECTION OF PERCUTANEOUS ENDOSCOPIC GASTROSTOMY TUBES 148
INFECTION OF INTRAVASCULAR DEVICES 152
INFECTION OF TRACHEOSTOMY DEVICES 155
SUMMARY 158
REFERENCES 158
Chapter 11. Reuse of Medical Devices: Implications for Infection Control 165
REPROCESSING AND STERILIZATION OF MEDICAL DEVICES 166
GUIDANCE FOR REUSE OF SINGLE-USE DEVICES 166
INFECTION CONTROL ISSUES RELATED TO THE REUSE OF MEDICAL DEVICES 167
ECONOMIC AND ETHICAL CONSIDERATIONS FOR REUSE OF SINGLE-USE DEVICES 169
REUSE OF COMPLEX SINGLE-USE MEDICAL DEVICES IN RESOURCE-LIMITED SETTINGS 170
SUMMARY 170
REFERENCES 170
Chapter 12. Novel Approaches to the Diagnosis, Prevention, and Treatment of Medical Device-Associated Infections 173
PREVENTION OF BIOFILM FORMATION 174
ENHANCEMENT OF ANTIMICROBIAL ACTIVITY AGAINST BIOFILM BACTERIA 175
CATHETER-ASSOCIATED URINARY TRACT INFECTION 175
CATHETER-ASSOCIATED BLOODSTREAM INFECTION 177
INFECTION ASSOCIATED WITH ORTHOPEDIC IMPLANTS 179
INFECTION OF CARDIOVASCULAR IMPLANTABLE ELECTRONIC DEVICES 181
SUMMARY 181
REFERENCES 182
Index 187