INFECTIOUS DISEASES A CLINICAL SHORT COURSE SECOND EDITION FREDERICK SOUTHWICK MW LANGE
otice Medicine is an ever-changing science. As new research and clinical experience broaden Despite dire warnings that we are approaching the end of the antibiotic era, the inci- dence of antibiotic-resistant bacteria continues to rise. The proportions of penicillin-resis- tant Streptococcus pneumoniae, hospital-acquired methicillin-resistant Staphylococcus ureus(MRSA), and vancomycin-resistant Enterococcus(VRE) strains continue to ncrease. Community-acquired MRSA (CMRSA)is now common throughout the world. Multiresistant Acinetobacter and Pseudomonas are everyday realities in many of our hos pitals. The press is now warning the lay public of the existence of"dirty hospitals. " As never before, it is critical that health care providers understand the principles of proper anti-infective therapy and use anti-infective agents judiciously. These agents need to be reserved for treatable infections-not used to calm the patient or the patient's family. To en, patients with viral infections that do not warrant anti-infective therapy arrive at the physician's offce expecting to be treated with an antibiotic And health care workers too often prescribe antibiotics to fulfill those expectations. Physicians unschooled in the iples of microbiology utilize anti-infective agents just as they would more conventional medications, such as anti-inflammatory agents, anti-hypertensive medications, and diac drugs. They use one or two broad-spectrum antibiotics to treat all patients with They use one or two broad-spectrum antibiotics to treat all patients with
Notice Medicine is an ever-changing science. As new research and clinical experience broaden our Despite dire warnings that we are approaching the end of the antibiotic era, the incidence of antibiotic-resistant bacteria continues to rise. The proportions of penicillin-resistant Streptococcus pneumoniae, hospital-acquired methicillin-resistant Staphylococcus aureus (MRSA), and vancomycin-resistant Enterococcus (VRE) strains continue to increase. Community-acquired MRSA (cMRSA) is now common throughout the world. Multiresistant Acinetobacter and Pseudomonas are everyday realities in many of our hospitals. The press is now warning the lay public of the existence of “dirty hospitals.” As never before, it is critical that health care providers understand the principles of proper anti-infective therapy and use anti-infective agents judiciously. These agents need to be reserved for treatable infections-not used to calm the patient or the patient's family. Too often, patients with viral infections that do not warrant anti-infective therapy arrive at the physician's office expecting to be treated with an antibiotic. And health care workers too often prescribe antibiotics to fulfill those expectations. Physicians unschooled in the principles of microbiology utilize anti-infective agents just as they would more conventional medications, such as anti-inflammatory agents, anti-hypertensive medications, and cardiac drugs. They use one or two broad-spectrum antibiotics to treat all patients with. They use one or two broad-spectrum antibiotics to treat all patients with
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For more information about this title click here Contents Contributors gments 1 ANTI-INFECTIVE THERAPY 2 THE SEPSIS SYNDROME 3 THE FEBRILE PATIENT 4 PULMONARY INFECTIONS 5 EYE, EAR NOSE, AND THROAT INFECTIONS 6 CENTRAL NERVOUS SYSTEM INFECTIONS 139 7 CARDIOVASCULAR INFECTIONS 8 GASTROINTESTINAL AND HEPATOBILIARY INFECTIONS 9 GENITOURINARY TRACT INFECTIONS AND SEXUALLY TRANSMITTED DISEASES(STDs) 10 SKIN AND SOFT TISSUE INFECTIONS 256 11 BONE AND JOINT INFECTIONS 273 12 PARASITIC INFECTIONS 13 ZOONOTIC INFECTIONS 14 BIOTERRORISM 15 SERIOUS ADULT VIRAL ILLNESSES OTHER THAN HIV 365 16 INFECTIONS IN THE IMMUNOCOMPROMISED HOST 17 HIV INFECTION
Contents Contributors ix Preface xi Acknowledgments xiii 1 ANTI-INFECTIVE THERAPY 1 2 THE SEPSIS SYNDROME 57 3 THE FEBRILE PATIENT 66 4 PULMONARY INFECTIONS 79 5 EYE, EAR NOSE, AND THROAT INFECTIONS 120 6 CENTRAL NERVOUS SYSTEM INFECTIONS 139 7 CARDIOVASCULAR INFECTIONS 167 8 GASTROINTESTINAL AND HEPATOBILIARY INFECTIONS 190 9 GENITOURINARY TRACT INFECTIONS AND SEXUALLY TRANSMITTED DISEASES (STDs) 231 10 SKIN AND SOFT TISSUE INFECTIONS 256 11 BONE AND JOINT INFECTIONS 273 12 PARASITIC INFECTIONS 288 13 ZOONOTIC INFECTIONS 322 14 BIOTERRORISM 349 15 SERIOUS ADULT VIRAL ILLNESSES OTHER THAN HIV 365 16 INFECTIONS IN THE IMMUNOCOMPROMISED HOST 384 17 HIV INFECTION 397 Index 435 For more information about this title, click here
Contributors Bernard hirschel, m. D Frederick S Southwick, M D Professor of medicine Professor of medicine Division of infectious diseases Chief of infectious diseases University of Geneva Vice Chairman of medicine Geneva. Switzerland University of Florida College of medicine P. Daniel Lew, M.D. Gainesville. florida Medicine and Chief of Infectious Diseases Sankar Swaminathan, M D. Associate professor of medicine Geneva, Switzerland Division of infectious diseas University of Florida Col Reuben Ramphal, M D cIne Professor of medicine Gainesville, florida Division of infectious diseases University of Florida College of medicine hinesville, Florida Copyright 2007 by The McGraw-Hill Companies, Inc. Click here for terms of use
Contributors Bernard Hirschel, M.D. Professor of Medicine Division of Infectious Diseases University of Geneva Geneva, Switzerland P. Daniel Lew, M.D. Professor of Medicine and Chief of Infectious Diseases University of Geneva Geneva, Switzerland Reuben Ramphal, M.D. Professor of Medicine Division of Infectious Diseases University of Florida College of Medicine Gainesville, Florida Frederick S. Southwick, M.D. Professor of Medicine Chief of Infectious Diseases Vice Chairman of Medicine University of Florida College of Medicine Gainesville, Florida Sankar Swaminathan, M.D. Associate Professor of Medicine Division of Infectious Diseases University of Florida College of Medicine Gainesville, Florida Copyright © 2007 by The McGraw-Hill Companies, Inc. Click here for terms of use