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Chatper 18 : Invasive Procedures

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Invasive Procedures, Page 1 of 2

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Abstract:

Instantly invasive are procedures that break through natural barriers for moments only, e.g., piercing, injection, and venipuncture. Instantly invasive procedures are widely performed in nosocomial settings. Agents from instantly invasive procedures range broadly and include skin and enteric flora and blood-borne agents. Patients acquire malaria from intravascular devices. Any wound should prompt review of tetanus vaccination and query of rabies exposure. Acute (traumatic) wounds include abrasions, open fractures, gun shot wounds, and burns. Blood is both a fluid organ or tissue and a bioproduct. Partial organs and tissue transplants from human donors include cornea, bone and cartilage, epidermis and fascia, heart valves and vascular grafts, and embryos. Cell transplants include hematopoietic stem cells and sperma. The automate is the dialyzer (blood-washing machine). Dialysis is invasive, as it requires vascular (hemodialysis [HD]) or peritoneal (peritoneal dialysis [PD]) access. Indications are acute, for acute renal failure, or chronic, for end-stage renal disease.

Citation: Stürchler D. 2006. Invasive Procedures, p 467-494. In Exposure. ASM Press, Washington, DC. doi: 10.1128/9781555817510.ch18

Key Concept Ranking

Hepatitis C virus
0.46535793
Molluscum contagiosum virus
0.46535793
Hepatitis C virus
0.46535793
Lymphocytic choriomeningitis virus
0.46535793
Molluscum contagiosum virus
0.46535793
Lymphocytic choriomeningitis virus
0.46535793
Hepatitis C virus
0.46535793
0.46535793
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Figures

Image of Figure 18.1
Figure 18.1

Agents from nosocomial bloodstream infections, 49 U.S. hospitals, 1995–2002 ( 24,179). Isolates (axis) are given by days from admission (axis). Squares are for means, and lines show standard deviations. From reference 8227. Reproduced with permission by University of Chicago Press.

Citation: Stürchler D. 2006. Invasive Procedures, p 467-494. In Exposure. ASM Press, Washington, DC. doi: 10.1128/9781555817510.ch18
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Image of Figure 18.2
Figure 18.2

SSI, United Kingdom, 1997–2000. Percentage of operations infected (axis, overall 4% or 2,074/48,522), is given by site (axis). Dots represent participating hospitals. Box plot represent percentiles (right upper corner). From reference 5891. Reproduced with permission by Public Health Laboratory Service.

Citation: Stürchler D. 2006. Invasive Procedures, p 467-494. In Exposure. ASM Press, Washington, DC. doi: 10.1128/9781555817510.ch18
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References

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Tables

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Table 18.1

Reported relative frequencies and rates of occurrence of nosocomial agentemias (viremia, bacteremia, and fungemia), bloodstream infections, or sepsis, by agent cluster

Citation: Stürchler D. 2006. Invasive Procedures, p 467-494. In Exposure. ASM Press, Washington, DC. doi: 10.1128/9781555817510.ch18
Generic image for table
Table 18.2

SSI, United States, 1992–1998

Citation: Stürchler D. 2006. Invasive Procedures, p 467-494. In Exposure. ASM Press, Washington, DC. doi: 10.1128/9781555817510.ch18
Generic image for table
Table 18.3

Viral infections in United States population, in tissue donors, and in blood donors, 2001

Citation: Stürchler D. 2006. Invasive Procedures, p 467-494. In Exposure. ASM Press, Washington, DC. doi: 10.1128/9781555817510.ch18

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