Critical Care Microbiology 2- Microbiology Challenges In Critical Care

Abstract

Resistant nosocomial organisms are difficult to eradicate completely in carriers: assume once positive, always positive.
Antibiotic policies should discourage use of high risk agents such as 3rd generation cephalosporins.
Infection control measures are vital to prevent outbreaks.
Currently the antibiotic armamentarium is good for gram positive- but worryingly sparse for resistant gram-negative organisms for whom the carbapenems are often the last resort.
C. Difficile is not susceptible to alcohol gels.
Stenotrophomonas maltophilia is intrinsically resistant to carbapenem