Nosocomial sinusitis

Long neglected in infection surveillance protocols nosocomial sinusitis is now emerging as a serious threat in the ICU particularly in ventilated or polytraumatized patients. Often discovered by chance this insidious infection is nevertheless a potential source of serious complications: pneumonia septicemia and abscesses.This book explores a series of hospital cases revealing predominantly male sinus infections with a polymicrobial bacterial profile dominated by Gram-negative bacilli such as Acinetobacter baumannii and Pseudomonas aeruginosa the majority of which were multi-resistant to antibiotics.In the light of these worrying data this book highlights the importance of early diagnosis targeted antibiotic therapy and a rigorous preventive strategy to limit the morbidity and mortality associated with this all-too-frequently overlooked infection. Essential reading for clinicians resuscitators and microbiologists involved in the management of nosocomial infections.