Paper reports overview Cranberry juice, fluid replacement and bad innovations 英文参考文献.docVIP

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Paper reports overview Cranberry juice, fluid replacement and bad innovations 英文参考文献.doc

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Paper reports overview Cranberry juice, fluid replacement and bad innovations 英文参考文献

Available online /content/5/6/331 Commentary Paper reports overview: Cranberry juice, fluid replacement and bad innovations Jonathan Ball Lecturer in Intensive Care Medicine, Department of Anaesthesia Intensive Care, St George’s Hospital Medical School, University of London, London, UK Correspondence: Jonathan Ball, j.ball@sghms.ac.uk Published online: 8 November 2001 Critical Care 2001, 5:331-332 ? 2001 BioMed Central Ltd (Print ISSN 1364-8535; Online ISSN 1466-609X) This commentary reflects on the paper reports published in the Critical Care Forum between 11 September 2001 and 5 November 2001 Another example of the hazards of technological innervations has emerged from the introduction of automated taps that are employed to reduce cross contamination when hand washing [8]. Alarmingly, a study of the effectiveness of such devices found that, rather than improving control of infection, they actually act as a reservoir for intensive care unit pathogens, in particular Pseudomonas aeruginosa and Legionella spp. In the present issue of Critical Care the breadth of ongoing research is reflected in the diversity of the subjects reported on. More evidence regarding what we should and should not be feeding our patients continues to emerge. A systematic review of immunonutrition trials [1] concludes that this therapy is of no benefit and may indeed be harmful. Outside the critical care arena, however, there is evidence that specific dietary supplements are beneficial, with cranberry juice lowering the incidence of urinary tract infections in a susceptible population [2]. Further trials of dietary supplements in critically ill patients are underway, withω-3 fatty acids attracting particular interest. The value of enteral nutrition was reinforced by a study that investigated risk factors for the development of decubitus ulcers [3]. That report acts as a timely reminder that, Although not reported on, the following may be of interest. Sepsis research has suffered a furth