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INDEX DE COLONISATION EN REANIMATION

INDEX DE COLONISATION EN REANIMATION. RATIONNEL: LA CONTAMINATION EST ENDOGENE LES SOUCHES DE LA COLONISATION SONT LES SOUCHES DE L’INFECTION Stephan et al, Clin Infect Dis 2002. INDEX DE PITTET = nombre de sites colonisés/nombre de sites testés >ou= 0,5 Valeurprédictive négative de 100%

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INDEX DE COLONISATION EN REANIMATION

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  1. INDEX DE COLONISATION EN REANIMATION RATIONNEL: LA CONTAMINATION EST ENDOGENELES SOUCHES DE LA COLONISATION SONT LES SOUCHES DE L’INFECTION Stephan et al, Clin Infect Dis 2002 INDEX DE PITTET = nombre de sites colonisés/nombre de sites testés >ou= 0,5 Valeurprédictive négative de 100% Pittet et al, Annal Surg 1994 CANDIDURIE SUPERIEURE OU EGALE A 10 4 UFC/ml ? Sellami et al, AFAR 2006

  2. Indice de colonisation Pittet D et al, Colonization andsubsequent infections in critically ill surgical patients annsurg

  3. LE « CANDIDA SCORE » “A bedside scoring system for early antifungal treatment in nonneutropenic critically ill patients with Candida colonization”. SCORE > 2,5 RISQUE DE CANDIDOSE INVASIVE x 7,75 IC95% [4,74-12,66] Leon et al, Crit Care Med 2006 “Invasive candidiasis is highly improbable if a Candida-colonized non-neutropenic critically ill patient has a candida score <3” Leon et al, Crit Care Med 2009

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