Bloodstream infections in internal medicine.

Abstract:

:Bloodstream infections (BSI) carry a heavy burden of morbidity and mortality in modern internal medicine wards (IMW). These wards are often filled with elderly subjects with several risk factors for BSI, such as multiple comorbidities, polypharmacy, immunosuppression, and indwelling devices. Diagnosing BSI in such a setting might require a high degree of suspicion, since the clinical presentation could be affected by underlying conditions and concomitant medications, which might delay the administration of an appropriate antimicrobial therapy, an event strongly and unfavorably influencing survival. Furthermore, selecting the appropriate antimicrobial therapy to treat these patients is becoming an increasingly complex task in which all possible benefits and costs should be carefully analyzed from patient and public health perspectives. Only a specialized, continuous, and interdisciplinary approach could really improve the management of IMW patients in an era of increasing antimicrobial resistance and complexity of care.

journal_name

Virulence

journal_title

Virulence

authors

Del Bono V,Giacobbe DR

doi

10.1080/21505594.2016.1140296

subject

Has Abstract

pub_date

2016-04-02 00:00:00

pages

353-65

issue

3

eissn

2150-5594

issn

2150-5608

journal_volume

7

pub_type

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