Timsit Jean-François
Group of Epidemiology of Cancer and Severe Diseases, INSERM U 578, Medical ICU, University Hospital, Albert Michallon, 38000 Grenoble, France.
Crit Care. 2005;9(6):629-30. doi: 10.1186/cc3923. Epub 2005 Nov 22.
Severe sepsis is more and more frequent, especially because of an increased rate of immunocompromised patients. Despite the improvement in the overall prognosis of HIV/AIDS patients and the improvement of global ICU care, the prognosis of HIV/ADS patients hospitalized in ICU with severe sepsis remained poor. This situation is partly due to the increased proportion of HIV/AIDS patients with limited access to health care and to a reluctance of ICU physicians in admitting HIV infected patients. However, medical literature suggests that ICU prognosis of immunocompromised (especially cancer) patients should be largely improved by early ICU admission and by an early institution of supportive techniques. This strategy should be used in HIV/AIDS patients with severe sepsis.
严重脓毒症越来越常见,尤其是由于免疫功能低下患者的比例增加。尽管艾滋病毒/艾滋病患者的总体预后有所改善,全球重症监护病房(ICU)护理水平也有所提高,但因严重脓毒症入住ICU的艾滋病毒/艾滋病患者的预后仍然很差。这种情况部分归因于获得医疗保健机会有限的艾滋病毒/艾滋病患者比例增加,以及ICU医生不愿收治艾滋病毒感染患者。然而,医学文献表明,免疫功能低下(尤其是癌症)患者通过早期入住ICU和早期采用支持技术,其在ICU的预后应能得到很大改善。这种策略应适用于患有严重脓毒症的艾滋病毒/艾滋病患者。