Current opinion in critical care
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Clostridium difficile infection (CDI), long-associated with morbidity and mortality in healthcare settings, has evolved in recent years with unprecedented clinical manifestations. Today, CDI is characterized by unusually toxigenic and resistant subtypes, expanded epidemiology, and a growing list of risk factors. In this article, we discuss current trends and research for CDI in critical care settings, and new controversies that influence clinical practice. ⋯ Annually, CDI adds billions of dollars to US healthcare costs compared with just a few years ago, and reflects a new and profound pattern of morbidity and mortality. As this disease changes, our knowledge and practice patterns must adjust to meet the current challenge of CDI.
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Curr Opin Crit Care · Apr 2009
ReviewPractical management of acute liver failure in the Intensive Care Unit.
Acute liver failure is an uncommon condition affecting about 2500 patients each year in the United States. Optimal medical management in the ICU is one of the more important factors impacting survival with or without liver transplantation. This review focuses on the practical aspects of the management of patients with acute liver failure in the ICU. ⋯ The careful management of the patient in the ICU with acute liver failure improves the likelihood of survival.