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Infectious Diseases and Infection Control in Anesthesia - Immunocompromised Patients

Infectious Diseases and Infection Control in Anesthesia - Immunocompromised Patients is a topic covered in the Clinical Anesthesia Procedures.

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Immunocompromised Patients

Immunocompromised patients are at increased risk for community-acquired, nosocomial, and opportunistic infections. Immunocompromise can be due to malignancy, chemotherapy, HIV infection, corticosteroids, severe malnutrition, and immunosuppressive therapy for solid organ and bone marrow transplant recipients or severe autoimmune disease.

  1. Elective surgery should be delayed if possible in the severely immunocompromised (i.e., total neutrophil count <500 cells/mm3).
  2. Strict adherence to sterile technique is essential.
  3. Providers with respiratory infections should not be involved in the care of severely immunocompromised patients. If unavoidable, the provider should wear a surgical mask during any contact with the patient.
  4. Patients may be on neutropenic precautions that include specific dietary and environmental restrictions as well as the wearing of masks during transport.
  5. Antibiotic prophylaxis is used in various immunocompromised patients for prophylaxis against postoperative wound infection and for long-term prophylaxis against opportunistic infections. It is important to verify which immunosuppressant drugs a patient is taking as many may interact with common perioperative medications. Cyclosporine, in particular, is associated with metabolism alteration and toxicity when combined with various antibiotics.

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Citation

Pino, Richard M., editor. "Infectious Diseases and Infection Control in Anesthesia - Immunocompromised Patients." Clinical Anesthesia Procedures, 9th ed., Wolters Kluwer, 2019. Anesthesia Central, anesth.unboundmedicine.com/anesthesia/view/ClinicalAnesthesiaProcedures/728487/all/Infectious_Diseases_and_Infection_Control_in_Anesthesia___Immunocompromised_Patients.
Infectious Diseases and Infection Control in Anesthesia - Immunocompromised Patients. In: Pino RM, ed. Clinical Anesthesia Procedures. 9th ed. Wolters Kluwer; 2019. https://anesth.unboundmedicine.com/anesthesia/view/ClinicalAnesthesiaProcedures/728487/all/Infectious_Diseases_and_Infection_Control_in_Anesthesia___Immunocompromised_Patients. Accessed April 25, 2019.
Infectious Diseases and Infection Control in Anesthesia - Immunocompromised Patients. (2019). In Pino, R. M. (Ed.), Clinical Anesthesia Procedures. Available from https://anesth.unboundmedicine.com/anesthesia/view/ClinicalAnesthesiaProcedures/728487/all/Infectious_Diseases_and_Infection_Control_in_Anesthesia___Immunocompromised_Patients
Infectious Diseases and Infection Control in Anesthesia - Immunocompromised Patients [Internet]. In: Pino RM, editors. Clinical Anesthesia Procedures. Wolters Kluwer; 2019. [cited 2019 April 25]. Available from: https://anesth.unboundmedicine.com/anesthesia/view/ClinicalAnesthesiaProcedures/728487/all/Infectious_Diseases_and_Infection_Control_in_Anesthesia___Immunocompromised_Patients.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Infectious Diseases and Infection Control in Anesthesia - Immunocompromised Patients ID - 728487 ED - Pino,Richard M, BT - Clinical Anesthesia Procedures UR - https://anesth.unboundmedicine.com/anesthesia/view/ClinicalAnesthesiaProcedures/728487/all/Infectious_Diseases_and_Infection_Control_in_Anesthesia___Immunocompromised_Patients PB - Wolters Kluwer ET - 9 DB - Anesthesia Central DP - Unbound Medicine ER -