Infections in Surgery: Prevention and Management (Hot Topics in Acute Care Surgery and Trauma)

Description:

Although most clinicians are aware of the problem of antimicrobial resistance, most also underestimate its significance in their own hospital. The incorrect and inappropriate use of antibiotics and other antimicrobials, as well as poor prevention and poor control of infections, are contributing to the development of such resistance. Appropriate use of antibiotics and compliance with infection prevention and control measures should be integral aspects of good clinical practice and standards of care. However, these activities are often inadequate among clinicians, and there is a considerable gap between the best evidence and actual clinical practice. In hospitals, cultural determinants influence clinical practice, and improving behaviour in terms of infection prevention and antibiotics-prescribing practice remains a challenge. Despite evidence supporting the effectiveness of best practices, many clinicians fail to implement them, and evidence-based processes and practices that are known to optimize both the prevention and the treatment of infections tend to be underused. Addressing precisely this problem, this volume offers an essential toolkit for all surgeons and intensivists interested in improving their clinical practices.

Table of Contents:

1. The Burden of Surgical Site Infections: Pathophysiology and Risk Factors—Preoperative Measures to Prevent Surgical Site Infections

2. Antibiotic Prophylaxis: When, How, and How Long?

3. Intraoperative Measures to Prevent Surgical Site Infections

4. Infection in Surgery: How to Manage the Surgical Wound

5. Guidelines for the Prevention of Surgical Site Infections. How to Implement Them

6. The Infected Mesh: How to Treat it

7. Hospital-Acquired Pneumonia and Ventilator-Associated Pneumonia

8. How to Prevent and Treat Catheter-Associated Urinary Tract Infections

9. How to Prevent and Treat Catheter-Related Bloodstream Infections

10. Clostridium difficile Infection in Surgical Patients

11. Source Control in Intra-Abdominal Infections

12. Ongoing Peritonitis (Tertiary Peritonotis)

13. The Challenge of Postoperative Peritonitis Due to Anastomotic Leakage

14. Management of Necrotizing Fasciitis

15. Infections in Elderly Patients

16. How to Use Antibiotics in Critically Ill Patients with Sepsis and Septic Shock

17. Acute Gastrointestinal Injury

18. Infections in Trauma Patients

19. The Value of Microbiological Cultures: When to Perform Them and How to Read Them

20. Invasive Candidiasis in Surgical Patients

21. The Role of Antimicrobial Stewardship Programs to Optimize Antibiotics Use in the Surgical Departments

22. What Healthcare Workers Should Know About the “One Health Approach” and the Global Impact of Antimicrobial Resistance