Chamis AL, Gesty-Palmer D, Fowler VG, Corey GR
Department of Medicine and Division of Infectious Diseases, Duke University Medical Center, Box 3038, Durham, NC 27710, USA.
Curr Infect Dis Rep. 1999 Jun;1(2):129-135. doi: 10.1007/s11908-996-0019-3.
Staphylococcus aureus bacteremia (SAB) is a serious and growing problem. A longstanding controversy in infectious diseases has centered around the duration of therapy for patients with SAB. Fortunately, the refinement of echocardiography and the creation of new diagnostic criteria have aided in the diagnosis of infective endocarditis in patients with SAB. These advancements have resulted in the development of an algorithm that combines clinical, microbiologic, and echocardiographic findings to stratify patients with SAB into different treatment regimens.
金黄色葡萄球菌血症(SAB)是一个严重且日益突出的问题。传染病领域长期存在的争议一直围绕着SAB患者的治疗时长。幸运的是,超声心动图技术的改进以及新诊断标准的制定有助于诊断SAB患者的感染性心内膜炎。这些进展促成了一种算法的开发,该算法结合临床、微生物学和超声心动图检查结果,将SAB患者分层为不同的治疗方案。