Severe Community Acquired Pneumonia (perspectives On Critical Care Infectious Diseases, Volume 3)

__Severe Community Acquired Pneumonia__ is a book in which chapters are authored and the same topics discussed by North American and European experts. This approach provides a unique opportunity to view the different perspectives and points of view on this subject. Severe CAP is a common clinical problem encountered in the ICU setting. This book reviews topics concerning the pathogenesis, diagnosis and management of SCAP. The discussions on the role of alcohol in severe CAP and adjunctive therapies are important topics that further our understanding of this severe respiratory infection.

Severe Community Acquired Pneumonia is a book in which chapters are authored and the same topics discussed by North American and European experts. This approach provides a unique opportunity to view the different perspectives and points of view on this subject. Severe CAP is a common clinical problem encountered in the ICU setting. This book reviews topics concerning the pathogenesis, diagnosis and management of SCAP. The discussions on the role of alcohol in severe CAP and adjunctive therapies are important topics that further our understanding of this severe respiratory infection.

Doody Review Services

Reviewer:David J. Dries, MD(University of Minnesota Medical School)
Description:This monograph describes management of community acquired pneumonia. Etiologic considerations, general management principles and specific clinical strategies are special matters discussed in the book's 11 chapters.
Purpose:One of a series of updates on therapy for controversial topics and infectious problems within critical illness is provided.
Audience:Practitioners and senior trainees in critical care medicine are an appropriate audience for this work. Editors and authors represent international authorities in management of pulmonary diseases.
Features:Management principles and treatment of specific problem organisms are first discussed. Alcohol as an etiologic factor for community acquired pneumonia and adjunctive therapies are discussed in four concluding chapters. Presentation in chapters is terse with texture of type dividing major subheadings. Tables are occasionally employed, but there are no other illustrations. Chapters contain an appropriate reference list. In many cases, references date to within one to year of publication. The table of contents includes only chapter title and authorship while an index of four pages organized according to subjects concludes.
Assessment:This book suffers initially from the lack of a stated objective. For example, contributors do not discern intellectual boundaries for community acquired pneumonia as opposed to that which may be seen elsewhere and at other times in the critical care unit. Issues of diagnosis and an algorithm of graduated support with mechanical ventilation are incompletely developed. Other chapters, such as those describing the pathophysiology of alcohol as a risk factor for pneumonia, offer a worthwhile collection of data and insight. Disease state definition and principles of antimicrobial therapy could be added to a subsequent edition describing this problem.

Much research over the past 30 to 40 years has shown that the inflammatory response, while critical for host defense during microbial infection, may itself play a central role in the pathogenesis of sepsis. Although key mediators responsible for this injury have been identified, efforts clinically to augment our conventional antimicrobial and supportive therapies during sepsis with agents modulating the inflammatory response have been unsuccessful. As a result, the mortality associated with this lethal syndrome, especially when complicated by shock, has remained persistently high. Unfortunately, during this same period of time, the incidence of sepsis has accelerated as other fields of medicine have relied increasingly on therapies that predispose to infection. While frustrating, overall this experience in the field of sepsis has not been without value. Most importantly, it has helped define on several different levels the complexity of the septic patient. Recognizing and addressing this complexity as discussed by each of the contributors to Evolving Concepts in Sepsis and Septic Shock may now provide new inroads into the treatment of sepsis. Front Matter....Pages i-ix Management of Respiratory Failure in Severe Community-Acquired Pneumonia....Pages 1-18 Severe Community Acquired Pneumonia: Management of Respiratory Failure....Pages 19-25 Approach to Severe Community Acquired Legionellosis....Pages 27-40 Approach to Severe Legionellosis....Pages 41-56 The Problem of Penicillin-Resistant Streptococcus Pneumoniae ....Pages 57-74 The Role of Pseudomonas Aeruginosa in Community Acquired Pneumonia....Pages 75-103 Pseudomonas Aeruginosa and Initial Antibiotic Choices....Pages 105-118 The Role Of Alcohol in Severe Pneumonia and Acute Lung Injury....Pages 119-137 The Role of Alcohol in Severe Pneumonia and Acute Lung Injury....Pages 139-152 Adjunctive Therapies in Severe Community-Acquired Pneumonia....Pages 153-178 Adjunctive Therapies in Severe Community-Acquired Pneumonia....Pages 179-189 Back Matter....Pages 191-194

Infectious Complications in Transplant Patients has been uniquely designed and formatted to address issues and trends pertaining to pathogens deemed important in critically ill transplant patients. The chapters have been carefully selected so as to direct the focus of the book towards current approaches to controversial, emerging or topical problems in these patients.
Each chapter has been authored by a North American and a European specialist. This format serves to impart an added dimension reflective of the diversity of opinions and practices pertaining to unresolved or controversial issues. The authors are recognized experts in their respective fields.

Infection transmitted by a cadaveric donor organ can result not only in a loss of the recipient's allograft, but also in death of the immunosuppressed patient. Edited By Peter Q. Eichacker And Jérôme Pugin. Includes Bibliographical References And Index.