Management of Infectious Complications in the Critically Ill Obese Patient

Kristin Turza Campbell, Laura H. Rosenberger, Amani D. Politano, Tjasa Hranjec, Robert G. Sawyer

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Managing infectious complications in obese critically ill patients presents unique challenges and is associated with significant cost to the health care industry. Generally, obese patients tend to have a higher incidence of blood-stream, catheter-related, and surgical-site infections. Physiologically, obesity is a chronic inflammatory state, which may result in an exaggerated immune response to sepsis. Adipocytes release cytokines and adipokines that have been implicated in the proinflammatory phenotype of obesity. Not only is aggressive prevention of infection by a multidisciplinary team valuable, but narrowing antibiotics to target the organisms present is fundamental in obese patients.

Original languageEnglish (US)
Title of host publicationCritical Care Management of the Obese Patient
PublisherWiley-Blackwell
Pages83-92
Number of pages10
ISBN (Print)9780470655900
DOIs
StatePublished - Apr 19 2012

Keywords

  • Antibiotics
  • Catheter-related infections
  • Infection
  • Obesity
  • Recommendations
  • Surgical-site infection

ASJC Scopus subject areas

  • Medicine(all)

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