Sepsis

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Delayed diagnoses result in high mortality

Sepsis kills around 130 patients daily In Germany alone. This systemic disease is mostly caused by bacterial pathogens, and less frequently by fungal organisms or parasites. Professor Dr Frank M Brunkhorst of the Centre of Sepsis Control and Care (CSCC), at Jena University Hospital, Germany, is seeking strategies to combat such scary figures.

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System identifies more pathogens and antimicrobial resistances than any other

By integrating all necessary pre-analytical and analytical steps into one solution, the recently CE-marked Unyvero system, which is now commercially available in Europe, provides pathogen identification and antibiotic resistance marker information without needing expert staff and a sophisticated infrastructure, its manufacturer Curetis reports. Of even greater interest is its range of targets.

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Sepsis

Along with a call for earlier identification and intervention in sepsis cases, intensive care consultant Dr Ron Daniels also stressed that timely intervention is cost-effective for health systems as it leads to fewer sepsis patients needing treatment in intensive care units (ICU).

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Sepsis – a Global Medical Emergency

The Global Sepsis Alliance (GSA) is urging healthcare providers, patients and policymakers worldwide to treat sepsis as a medical emergency. “Tens of millions of people die from sepsis each year, making it the likely leading cause of death worldwide. Sepsis kills regardless of age, ethnicity, location and access to care,” said Konrad Reinhart, M.D., Chairman of the GSA and director of the…

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The ‘sepsis team’

‘We are all aware of the importance of early diagnosis and rapid appropriate treatment of patients with severe sepsis. Yet, many patients still do not receive satisfactory early management and the application of recent guidelines for sepsis management is still inadequate,’ writes Jean-Louis Vincent MD PhD, from the Intensive Care Department, Erasme Hospital, Université Libre de Bruxelles,…

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Advancing POC diagnostics

Improvements in microfluidics and detection technologies are beginning to expand the range of point-of-care diagnostics beyond simple blood chemistry tests to sophisticated immuno-assays and molecular diagnostics. Though yet to see much adoption in European hospitals, these point-of-care (POC) diagnostics are coming into use in the USA, initially in emergency rooms and ICUs where fast results are…

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The 3rd Annual General Meeting of the Austrian Society for Laboratory Medicine and Clinical Chemistry

Different tests bring different results, and results of the same types of test vary from laboratory to laboratory. "In the case of test procedures for autoimmune diseases there are incredible discrepancies," confirmed Professor Manfred Herold, head of the Laboratory for Rheumatism at the University Clinic for Internal Medicine One, Innsbruck. The reason: "There are no standards for…

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Article • MRSA

Effective screening can kill several birds with one stone

The MRSA problem has been ignored almost stoically in many European countries for the past 20 years. Thus the number of resistant Staphylococci cases exploded from 1% in 1990 around 25% in 2010. However, the recognition that an infection can result in additional hospital costs of up to €10,000 has led to a change in thinking. The Netherlands, for example, declared war on MRSA with ‘search and…

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Treatment beyond anti-infectives

Professor Norbert Suttorp and his team at the Clinic for Infectology and Pneumonology, Charité University Hospital Berlin, have been working on the understanding of the basic mechanisms of inflammation and infection -- and utilising them. Professor Suttorp has been working for many years on questions relating to the subject Therapy in addition to antibiotics.

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Germany legislates for MRSA reporting

The UK, Denmark, Ireland, Sweden and the Netherlands already have it - an official obligation to report MRSA cases to their health authorities. Since 1 July 2009 German law has also required notification. Professor Herbert Hof, Director of the Institute for Microbiology and Hygiene at the University Hospital Mannheim, Germany, explained why such notification became essential.

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Dräger Award for Intensive Care Medicine 2009

At this year's Euroanaesthesia 2009, in Milan, the European Society of Anaesthesiology (ESA) presented for the third time the “Dräger Award for Intensive Care Medicine”. The 10,000 Euro prize went to the working group studying “Effects of ventilation with 100% oxygen during early hyperdynamic porcine fecal peritonitis” in the Department of Anesthesiology, University Hospital Ulm, Germany.

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New insights, algorithms and debates

For the first time in 33 years, wound healing was the focus of a dedicated session at the 33rd annual VEITHsymposium for vascular surgeons in New York (11/06). This underscores the fact that wound healing is heading increasingly towards a speciality that warrants the special attention of dedicated people willing to embrace an interdisciplinary approach to non-healing or complex wounds.

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