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J. Rello · M. Kollef · E. Dıaz · A. Rodrıguez (Eds.) Infectious Diseases in Critical Care
J. Rello · M. Kollef · E. Dıaz · A. Rodrıguez (Eds.)
Infectious Diseases
in Critical Care
With 57 Figures and 137 Tables
Jordi Rello, MD, PhD
Critical Care Department, Joan XXIII University Hospital
Carrer Mallafr´eGuasch,4
E-43007 Tarragona, Spain
Marin Kollef, MD
Professor of Medicine
Director, Medical Intensive Care Unit
Washington University School of Medicine
Barnes-Jewish Hospital
660 South Euclid Avenue
Campus Box 8052
St. Louis, MO 63110-1093, USA
Emili Dıaz, MD
Intensive Care Department, Joan XXIII University Hospital
Carrer Mallafr´eGuasch,4
E-43007 Tarragona, Spain
Alejandro Rodrıguez, MD, PhD
Critical Care Department, Joan XXIII University Hospital
Carrer Mallafr´eGuasch,4
E-43007 Tarragona, Spain
ISBN 978-3-540-34405-6
Springer-Verlag Berlin Heidelberg New York
Library of Congress Control Number: 2006933721
This work is subject to copyright. All rights are reserved, whether the whole or part of the
material is concerned, specifically the rights of translation, reprinting, reuse of illustrations,
recitation, broadcasting, reproduction on microfilm or in any other way, and storage in data
banks. Duplication of this publication or parts thereof is permitted only under the provisions
of the German Copyright Law of September 9, 1965, in its current version, and permission for
use must always be obtained from Springer-Verlag. Violations are liable for prosecution under
the German Copyright Law.
Springer is a part of Springer Science+Business Media
http://www.springer.com
ˇ
Springer-Verlag Berlin Heidelberg 2007
Printed in Germany
The use of general descriptive names, registered names, trademarks, etc. in this publication
does not imply, even in the absence of a specific statement, that such names are exempt from
therelevantprotectivelawsandregulationsandthereforefreeforgeneraluse.
Product liability: The publishers cannot guarantee the accuracy of any information about the
application of operative techniques and medications contained in this book. In every individual
case the user must check such information by consulting the relevant literature.
Editor: Dr. Ute Heilmann
Desk Editor: Dörthe Mennecke-Bühler
Production Editor: Joachim W. Schmidt
Cover design: eStudio Calamar, Spain
Typesetting: FotoSatz Pfeifer GmbH, D-82166 Gräfelfing
Printedonacid-freepaper–24/3150–543210
Preface
Infections and their complications are a very important clinical area in the intensive
care unit setting. Community-acquired infections and nosocomial infections both
contribute to the high level of disease acquisition common among critically ill pa-
tients. The accurate diagnosis of nosocomial infections and the provision of appro-
priate therapies, including antimicrobial therapy effective against the identified
agents of infection, have been shown to be important determinants of patient out-
come. Critical care practitioners are in a unique position in dealing with infectious
diseases. They are often the initial providers of care to seriously ill patients with
infections.
Additionally, they have a responsibility to ensure that nosocomial infections are
prevented and that antimicrobial resistance is minimized by prudently employing
antibiotic agents. It is the editors’ hope that this book will provide clinicians practic-
ing in the intensive care unit with a reference to help guide their care of infected
patients. To that end they have brought together a group of international authors to
addressimportanttopicsrelatedtoinfectiousdiseasesforthecriticalcarepracti-
tioner.
February 2007
Jordi Rello
Marin H. Kollef
Emili Dıaz
Alejandro Rodrıguez
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