Enterococci, Clostridium difficile and ESBL-producing bacteria: epidemiology, clinical impact and prevention in ICU patients

Most hospital-acquired infections arise from colonising bacteria. Intensive care patients and immunocompromised individuals are at highest risk for microbial invasion and subsequent infection due to multiple invasive procedures in addition to frequent application of chemotherapeutics and presence...

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Main Authors: Jan A. Sidler, Manuel Battegay, Sarah Tschudin-Sutter, Andreas F. Widmer, Maja Weisser
Format: Article
Language:English
Published: SMW supporting association (Trägerverein Swiss Medical Weekly SMW) 2014-09-01
Series:Swiss Medical Weekly
Subjects:
Online Access:https://www.smw.ch/index.php/smw/article/view/1917
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author Jan A. Sidler
Manuel Battegay
Sarah Tschudin-Sutter
Andreas F. Widmer
Maja Weisser
author_facet Jan A. Sidler
Manuel Battegay
Sarah Tschudin-Sutter
Andreas F. Widmer
Maja Weisser
author_sort Jan A. Sidler
collection DOAJ
description Most hospital-acquired infections arise from colonising bacteria. Intensive care patients and immunocompromised individuals are at highest risk for microbial invasion and subsequent infection due to multiple invasive procedures in addition to frequent application of chemotherapeutics and presence of poor microperfusion leading to mucosal disruption. In this narrative review, we summarise the literature on bacterial colonisation in intensive care patients, in particular the epidemiology, the clinical impact and respective infection control strategies of three pathogens, i.e., Enterococcusspp., extended-spectrum ß-lactamase producing gram-negative bacteria and Clostridium difficile, which have evolved from commensals to a public health concern today.
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spelling doaj.art-d8f314e45b2a4ea5895495df8a4223f42022-12-22T03:03:51ZengSMW supporting association (Trägerverein Swiss Medical Weekly SMW)Swiss Medical Weekly1424-39972014-09-01144394010.4414/smw.2014.14009Enterococci, Clostridium difficile and ESBL-producing bacteria: epidemiology, clinical impact and prevention in ICU patientsJan A. SidlerManuel BattegaySarah Tschudin-SutterAndreas F. WidmerMaja Weisser Most hospital-acquired infections arise from colonising bacteria. Intensive care patients and immunocompromised individuals are at highest risk for microbial invasion and subsequent infection due to multiple invasive procedures in addition to frequent application of chemotherapeutics and presence of poor microperfusion leading to mucosal disruption. In this narrative review, we summarise the literature on bacterial colonisation in intensive care patients, in particular the epidemiology, the clinical impact and respective infection control strategies of three pathogens, i.e., Enterococcusspp., extended-spectrum ß-lactamase producing gram-negative bacteria and Clostridium difficile, which have evolved from commensals to a public health concern today. https://www.smw.ch/index.php/smw/article/view/1917intensive care unitInfectionoutcomeClostridium difficilecolonizationEnterococcus
spellingShingle Jan A. Sidler
Manuel Battegay
Sarah Tschudin-Sutter
Andreas F. Widmer
Maja Weisser
Enterococci, Clostridium difficile and ESBL-producing bacteria: epidemiology, clinical impact and prevention in ICU patients
Swiss Medical Weekly
intensive care unit
Infection
outcome
Clostridium difficile
colonization
Enterococcus
title Enterococci, Clostridium difficile and ESBL-producing bacteria: epidemiology, clinical impact and prevention in ICU patients
title_full Enterococci, Clostridium difficile and ESBL-producing bacteria: epidemiology, clinical impact and prevention in ICU patients
title_fullStr Enterococci, Clostridium difficile and ESBL-producing bacteria: epidemiology, clinical impact and prevention in ICU patients
title_full_unstemmed Enterococci, Clostridium difficile and ESBL-producing bacteria: epidemiology, clinical impact and prevention in ICU patients
title_short Enterococci, Clostridium difficile and ESBL-producing bacteria: epidemiology, clinical impact and prevention in ICU patients
title_sort enterococci clostridium difficile and esbl producing bacteria epidemiology clinical impact and prevention in icu patients
topic intensive care unit
Infection
outcome
Clostridium difficile
colonization
Enterococcus
url https://www.smw.ch/index.php/smw/article/view/1917
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