{"id":610742,"date":"2009-12-13T15:21:30","date_gmt":"2009-12-13T20:21:30","guid":{"rendered":"http:\/\/blogs.jwatch.org\/hiv-id-observations\/?p=646"},"modified":"2009-12-13T15:21:30","modified_gmt":"2009-12-13T20:21:30","slug":"infection-and-the-icu-outcome-predictable-but%c2%a0important","status":"publish","type":"post","link":"https:\/\/mereja.com\/index\/610742","title":{"rendered":"Infection and the ICU:  Outcome Predictable, but\u00a0Important"},"content":{"rendered":"<p>If you enrolled over 14,000 ICU patients into a study on a single day, and then did follow-up, what would you find regarding the relationship of infection to the outcomes of ICU stay and mortality?<\/p>\n<p>Just such a study was <a href=\"http:\/\/jama.ama-assn.org\/cgi\/content\/abstract\/302\/21\/2323\" >published in <\/a><em><a href=\"http:\/\/jama.ama-assn.org\/cgi\/content\/abstract\/302\/21\/2323\" >JAMA<\/a> <\/em>last week, and here are the not-so-stunning conclusions:<\/p>\n<blockquote>\n<p>Infections are common in patients in contemporary<sup> <\/sup>ICUs, and risk of infection increases with duration of ICU stay.<sup> <\/sup>In this large cohort, infection was independently associated<sup> <\/sup>with an increased risk of hospital death.<\/p>\n<\/blockquote>\n<p>To an ID specialist, this is kind of like reading that someone has done a study linking time spent outside in the rain and the likelihood of becoming wet.\u00a0 Patients in ICUs are susceptible to getting infections for innumerable reasons &#8212; so many that it seems to us (from our admittedly biased perspective) almost remarkable when an infection <em>doesn&#8217;t<\/em> occur.<\/p>\n<p>In all seriousness, ICU-related infections are a gargantuan problem, and if this study helps publicize the clinical and research needs, more power to it.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/feeds.feedburner.com\/~r\/HivAndIdObservations\/~4\/MIwZYWpg7zA\" height=\"1\" width=\"1\"\/><\/p>\n","protected":false},"excerpt":{"rendered":"<p>If you enrolled over 14,000 ICU patients into a study on a single day, and then did follow-up, what would you find regarding the relationship of infection to the outcomes of ICU stay and mortality? Just such a study was published in JAMA last week, and here are the not-so-stunning conclusions: Infections are common in [&hellip;]<\/p>\n","protected":false},"author":288,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"","jetpack_seo_html_title":"","jetpack_seo_noindex":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[4821],"tags":[],"class_list":["post-610742","post","type-post","status-publish","format-standard","hentry","category-news"],"jetpack_featured_media_url":"","jetpack_shortlink":"https:\/\/wp.me\/p9NivD-2ySG","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/mereja.com\/index\/wp-json\/wp\/v2\/posts\/610742","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mereja.com\/index\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/mereja.com\/index\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/mereja.com\/index\/wp-json\/wp\/v2\/users\/288"}],"replies":[{"embeddable":true,"href":"https:\/\/mereja.com\/index\/wp-json\/wp\/v2\/comments?post=610742"}],"version-history":[{"count":0,"href":"https:\/\/mereja.com\/index\/wp-json\/wp\/v2\/posts\/610742\/revisions"}],"wp:attachment":[{"href":"https:\/\/mereja.com\/index\/wp-json\/wp\/v2\/media?parent=610742"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/mereja.com\/index\/wp-json\/wp\/v2\/categories?post=610742"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/mereja.com\/index\/wp-json\/wp\/v2\/tags?post=610742"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}