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9780340741962

The Surgeon's Guide to Antimicrobial Chemotherapy

by ; ;
  • ISBN13:

    9780340741962

  • ISBN10:

    0340741961

  • Format: Paperback
  • Copyright: 2000-02-24
  • Publisher: Hodder Education Publishers
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Summary

The management of sepsis has an essential role in surgical care and surgeons are major users of antimicrobial agents. Indeed, the development of antimicrobial drugs has enabled the development of modern surgery, free of the morbidity and mortality associated with septic complications. To use antimicrobial agents effectively, the surgeon needs an understanding of the microbiological and pharmacological basis of their role as well as their clinical use. This book is a manual of good practice giving essential advice on the choice of agent for the full range of surgical infections - taking both optimal clinical use and cost-effectiveness into account. The book provides a succinct and up-to-date account of those antimicrobial agents (including antiviral agents) more commonly used in surgery. It is structured both to review antimicrobial agent by type and by their mode of use in various surgical subspecialties. Extensive cross-referencing, tabulation and a good index ensure that the optimal treatment regimen for any given clinical situation can be found quickly. There is also an extensive bibliography. Antimicrobial resistance - an ever increasing problem worldwide - is highlighted and there are major sections on the use of antifungal agents and antibiotic use in immunocompromized patients. The book is designed as a guide to good practice for trainee surgeons and will also be useful to postgraduate and professional surgeons in all subspecialties faced with difficult surgical infection.

Author Biography

John E. Payne is Senior Lecturer, Department of Surgery, University of Sydney, Australia.

Table of Contents

Preface ix
Part One General Considerations
Surgical infection
3(11)
History
3(1)
Principal factors in surgical site infection
4(7)
Host response/abscesses
11(3)
Biology of bacteria and related microbes
14(11)
General properties of bacteria
14(1)
Bacterial cell wall
15(1)
Bacterial growth kinetics
16(2)
Genetic change/gene transfer
18(2)
Normal flora
20(1)
Changes in normal flora
20(5)
Part Two Antimicrobial Agents
Antibacterial agents - general information
25(42)
History
25(2)
Mechanisms of action
27(4)
Bacterial resistance to antibiotics
31(18)
Treatment strategies and principles
49(18)
Selected antibacterial agents
67(44)
β-Lactams
68(20)
Aminoglycosides
88(6)
Quinolones
94(4)
Anti-anaerobe agents
98(3)
Glycopeptides
101(3)
Fusidic acid
104(1)
Rifamycins
104(1)
Trimethoprim and cotrimoxazole
105(1)
Macrolides
106(1)
Tetracyclines
107(1)
Investigational antimicrobial agents
107(1)
Topical antibacterial agents
108(3)
Antibacterial prophylaxis in surgery
111(13)
General principles
111(3)
Appendectomy
114(1)
Biliary surgery
114(1)
Clean procedures
115(1)
Invasive investigational procedures
115(1)
Route and timing of antibiotic administration
115(2)
Possible prophylactic antibiotic choices and regimens
117(4)
Conclusions
121(1)
Selective decontamination of the digestive tract
122(1)
Organ transplant patients
123(1)
Antifungal agents
124(24)
Mode of action
124(2)
Range of antifungal agents
126(10)
Treatment of selected fungal diseases
136(10)
Resistance to antifungal agents
146(2)
Other antimicrobial agents
148(12)
Antiviral agents
148(8)
Antiparasitic agents
156(4)
Laboratory aspects of antimicrobial use
160(9)
Antimicrobial sensitivity testing
160(4)
Serum assays on patients during antibiotic therapy
164(5)
Part Three Surgical Infections
Neurosurgical infections
169(6)
Brain abscess
169(3)
Epidural abscess
172(1)
Intramedullary abscess of the spinal cord
173(1)
Surgical site infection following spinal infusion
174(1)
Infections of the head and neck
175(4)
Sinusitis
175(1)
Face
175(1)
Oral cavity
176(3)
Cardiovascular infections
179(4)
Vascular graft infection
179(2)
Intravenous and central catheter-related infections
181(2)
Chest infections
183(3)
Pulmonary cavity (abscess)
183(3)
Intra-abdominal infections
186(25)
Peritonitis
186(17)
Liver abscess/biliary tract infections
203(3)
Antibiotic-associated colitis
206(2)
Renal abscess
208(1)
Gynaecological infections
209(2)
Skin and soft-tissue infections of surgical importance
211(14)
Necrotizing soft-tissue infections
211(7)
Diabetic foot infections
218(3)
Bite and puncture wounds
221(4)
Locomotor/orthopaedic infections
225(13)
Osteomyelitis
225(8)
Prosthetic infections
233(3)
Microbiological aspects of large-joint sepsis
236(2)
Infection in the immunocompromised and transplatn patient
238(8)
Host barriers to infection
238(2)
Bacterial infections
240(2)
Viral infections
242(2)
Fungal infections
244(1)
Toxoplasmosis
245(1)
References 246(29)
Index 275

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