Bloodstream infections in internal medicine

Valerio Del Bono, Daniele Roberto Giacobbe

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)353-365
Number of pages13
JournalVirulence
Volume7
Issue number3
DOIs
Publication statusPublished - Apr 2 2016

Keywords

  • bloodstream infections
  • BSI
  • internal medicine
  • medical wards
  • sepsis

ASJC Scopus subject areas

  • Infectious Diseases
  • Microbiology
  • Parasitology
  • Immunology
  • Microbiology (medical)

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