流感
Influenza.
作者信息
Beigel John H
机构信息
National Institute of Allergy and Infectious Diseases, National Institute of Health, Bethesda, MD, USA.
出版信息
Crit Care Med. 2008 Sep;36(9):2660-6. doi: 10.1097/CCM.0b013e318180b039.
OBJECTIVE
Influenza is a major concern for intensivists in all communities in the U.S. While there is considerable concern whether or not the country will be ready for a pandemic influenza, even seasonal influenza poses a major challenge to hospitals. The objective of this review is to summarize current knowledge of influenza with emphasis on the issues that intensivist will encounter.
SETTING
Intensive care unit in a 450-bed, tertiary care, teaching hospital.
METHODS
Source data were obtained from a PubMed search of the medical literature. PubMed "related articles" search strategies were likewise employed frequently.
SUMMARY AND CONCLUSIONS
Seasonal influenza causes more than 200,000 hospitalizations and 41,000 deaths in the U.S. every year, and is the seventh leading cause of death in the U.S. Despite this impact there is a shortcoming in knowledge of influenza among many health care workers, and a paucity of clinical data and studies to guide therapy. Intensivists need to recognize the importance of seasonal influenza as a cause of severe morbidity and mortality. This review summarizes current knowledge of the diagnosis, complications, therapy, and infection control measures associated with influenza.
目的
在美国，流感是各地重症监护医生主要关注的问题。尽管人们十分担心美国是否已为大流行性流感做好准备，但即使是季节性流感也给医院带来了重大挑战。本综述的目的是总结流感的现有知识，重点关注重症监护医生将会遇到的问题。
背景
一家拥有450张床位的三级护理教学医院的重症监护病房。
方法
源数据来自对医学文献的PubMed检索。同样也经常使用PubMed的“相关文章”检索策略。
总结与结论
在美国，季节性流感每年导致超过20万例住院病例和41000例死亡，是美国第七大死因。尽管有如此影响，但许多医护人员对流感的认识存在不足，且缺乏指导治疗的临床数据和研究。重症监护医生需要认识到季节性流感作为严重发病和死亡原因的重要性。本综述总结了与流感相关的诊断、并发症、治疗及感染控制措施的现有知识。
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