Healthcare Associated Infections: A Case-based Approach to Diagnosis and Management

ISBN : 9780199796380

Stephen G. Weber; Cassandra D. Salgado
240 ページ
129 x 204 mm

The field of healthcare epidemiology and infection prevention is evolving with the emergence of new pathogens, new resistance patterns, new treatment options, and new pressures for performance improvement. In addition to the changing landscape of the field, public and regulatory scrutiny has highlighted the importance of following best clinical practices when managing patients with known or suspected healthcare-associated infections (HAIs). Healthcare Associated Infections aims to equip clinicians and healthcare workers to effectively manage commonly encountered HAIs through succinct, case-based discussion. The book is perfect for use as a quick reference for busy clinicians seeking advice on the management of challenging patients, for infection preventionists wishing to learn more about the clinical management of these infections, or for trainees looking for an engaging introduction to a field that must be mastered by any clinician with an inpatient practice. Part of the Oxford American Infectious Disease Library, each chapter presents a series of cases to provide a framework for discussing commonly encountered pathogens that cause HAIs and the most important points regarding the diagnosis and treatment of patients with these infections. Brief, clinically pertinent introductions to the prevention of HAI are integrated within the discussion of each case.


1. Overview - a general approach to the management of healthcare-associated infections
a. Standard approach to the patient with suspected healthcare-associated infection
b. General principles of infection control and prevention
2. Respiratory infections
a. Ventilator-associated pneumonia (VAP)
b. Aspiration pneumonia
c. Healthcare-associated Legionellosis
d. Healthcare-associated viral pneumonia
e. Mycobacterium tuberculosis
3. Endovascular infections
a. Central line-associated bloodstream infection (CLABSI)
b. Staphylococcus aureus bacteremia and endocarditis
c. Candidemia in the intensive care unit
d. Central-line tunnel infections
e. Intra-cardiac device infections
f. Arteriovenous fistula and graft infections
4. Skin, soft tissue, and orthopedic infections
a. Necrotizing fasciitis after surgery
b. Varicella zoster among hospitalized patients
c. Scabies in the hospital
d. Prosthetic joint infection
5. Gastrointestinal and intra-abdominal infections
a. Healthcare-associated Clostridium difficile infection
b. Herpes simplex virus esophagitis
c. Norovirus in the healthcare setting
d. Post-surgical intra-abdominal abscess
6. Urinary tract infections
a. Catheter-associated urinary tract infection
7. Infections in immunocompromised patients
a. Healthcare-associated infection after solid organ transplant
b. Healthcare-acquired infections in hematopoietic stem cell transplant recipients
8. Issues in pediatrics
a. Sepsis in a very low birth weight neonate
b. Bordetella pertussis in healthcare
c. Respiratory syncytial virus in the neonatal intensive care unit
9. Multidrug-resistant organisms and bioterrorism
a. The methicillin-resistant Staphylococcus aureus-colonized patient
b. Extended spectrum beta-lactamase and other highly-resistant GNR
c. Vancomycin-resistant enterococci
d. Bioterrorism and hospital preparedness


SGW: Associate Professor, Section of Infectious Diseases and Global Health, Medical Director of Infection Control and Clinical Quality, University of Chicago Pritzker School of Medicine, Chicago, Illinois. CS: Associate Professor, Division of Infectoius Diseases, Medical Director of Infection Control, Medical University of South Carolina, Charleston, South Carolina