RT Book, Section
A1 Collison, Maggie
A1 Galaydick, Jodi
A1 Weber, Stephen G.
A2 Schmidt, Gregory A.
A2 Kress, John P.
A2 Douglas, Ivor S.
SR Print(0)
ID 1201806371
T1 Gastrointestinal Infections and Clostridium Difficile
T2 Hall, Schmidt and Wood’s Principles of Critical Care, 5<sup>th</sup> Edition
YR 2023
FD 2023
PB McGraw Hill
PP New York, NY
SN 9781264264353
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1201806371
RD 2023/12/02
AB KEY  POINTSIn  addition  to  immunologic  mechanisms,  physical  (motility),  chemical  (gastric  acidity),  and  microbiologic  (normal  colonizing  flora)  factors  normally  protect  the  gastrointestinal  tract  against  infection.Esophagitis,  most  commonly  caused  by  Candida  albicans  or  herpes  simplex  virus,  may  be  underrecognized  among  patients  in  the  intensive  care  unit.Infection  with  Helicobacter  pylori  may  play  a  role  in  the  pathogenesis  of  gastric  stress  ulceration  among  critically  ill  patients.The  epidemiology  and  microbiology  of  diarrheal  illness  is  significantly  different  among  patients  in  the  critical  care  unit  than  is  observed  in  the  community  setting.  Most  infectious  diarrhea  in  the  ICU  is  hospital-acquired  and  is  usually  attributable  to  Clostridium  difficile.A  systematic  approach  to  the  critically  ill  patient  with  diarrhea  includes  consideration  of  pathogens  that  cause  noninflammatory,  inflammatory,  and  hemorrhagic  diarrhea.