RT Book, Section
A1 Sizemore, James M.
A1 Cobbs, C. Glenn
A1 Carr, Mark B.
A2 Hall, Jesse B.
A2 Schmidt, Gregory A.
A2 Wood, Lawrence D.H.
SR Print(0)
ID 2291003
T1 Chapter 49. Endocarditis and Other Intravascular Infections
T2 Principles of Critical Care, 3e
YR 2005
FD 2005
PB The McGraw-Hill Companies
PP New York, NY
SN 9780071416405
LK accessanesthesiology.mhmedical.com/content.aspx?aid=2291003
RD 2021/03/04
AB The  possibility  of  intravascular  infection  should  be  considered  in  all  critically  ill  patients  with  bacteremia  or  fungemia  of  uncertain  origin,  particularly  when  there  are  known  intravascular  or  endocardial  abnormalities  or  intravascular  devices;  fever  or  hemodynamic  instability  of  unclear  origin;  or  signs  of  inflammation  related  to  an  indwelling  intravascular  device.Blood  cultures  are  the  most  important  diagnostic  test  for  this  group  of  infections  because  most  intravascular  infections  will  result  in  persistent  bacteremia  or  fungemia.Successful  therapy  often  requires  prolonged  administration  of  microbicidal  agents  plus  removal  of  devices.Certain  microbes,  including  staphylococci,  enterococci,  aerobic  gram-negative  bacilli,  and  yeasts,  are  especially  likely  to  cause  intravascular  infectious  disease.