• Crit Care Nurs Clin North Am · Sep 2010

    Review

    Infectious diseases in end-stage liver disease patients.

    • Aneesh K Mehta and G Marshall Lyon.
    • Division of Infectious Diseases, Emory University School of Medicine, Woodruff Memorial Research Building, Suite 2101, 101 Woodruff Circle, Atlanta, GA 30322, USA. aneesh.mehta@emory.edu
    • Crit Care Nurs Clin North Am. 2010 Sep 1; 22 (3): 291-307.

    AbstractPatients with chronic liver diseases sustain impairment to immune systems, which worsens over time. These defects in their host defense lead to risks of bacterial infections and increased morbidity. Providers should have heightened surveillance for infectious diseases and suspect one with any acute change in status. Patient history may reveal rare infections and allow initiation of early appropriate therapy. There should be a low threshold for obtaining diagnostic cultures and peritoneal fluid samples and discussing possible causes with an infectious diseases consultant or a microbiology laboratory. These maneuvers will maximize therapy in patients at high risk for death due to infectious disease.(c) 2010 Elsevier Inc. All rights reserved.

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