Reinhart K, Brunkhorst F M, Bone H-G, Bardutzky J, Dempfle C-E, Forst H, Gastmeier P, Gerlach H, Gründling M, John S, Kern W, Kreymann G, Krüger W, Kujath P, Marggraf G, Martin J, Mayer K, Meier-Hellmann A, Oppert M, Putensen C, Quintel M, Ragaller M, Rossaint R, Seifert H, Spies C, Stüber F, Weiler N, Weimann A, Werdan K, Welte T
University Hospital Jena, Clinic for Anaesthesiology and Intensive Care Therapy, Jena, Germany.
Ger Med Sci. 2010 Jun 28;8:Doc14. doi: 10.3205/000103.
Practice guidelines are systematically developed statements and recommendations that assist the physicians and patients in making decisions about appropriate health care measures for specific clinical circumstances taking into account specific national health care structures. The 1(st) revision of the S-2k guideline of the German Sepsis Society in collaboration with 17 German medical scientific societies and one self-help group provides state-of-the-art information (results of controlled clinical trials and expert knowledge) on the effective and appropriate medical care (prevention, diagnosis, therapy and follow-up care) of critically ill patients with severe sepsis or septic shock. The guideline had been developed according to the "German Instrument for Methodological Guideline Appraisal" of the Association of the Scientific Medical Societies (AWMF). In view of the inevitable advancements in scientific knowledge and technical expertise, revisions, updates and amendments must be periodically initiated. The guideline recommendations may not be applied under all circumstances. It rests with the clinician to decide whether a certain recommendation should be adopted or not, taking into consideration the unique set of clinical facts presented in connection with each individual patient as well as the available resources.
实践指南是系统制定的声明和建议,旨在帮助医生和患者针对特定临床情况,在考虑特定国家医疗保健结构的前提下,就适当的医疗保健措施做出决策。德国脓毒症学会S-2k指南的首次修订版是与17个德国医学科学学会及一个自助组织合作完成的,它提供了关于严重脓毒症或脓毒性休克重症患者有效且适当的医疗护理(预防、诊断、治疗及后续护理)的最新信息(对照临床试验结果和专家知识)。该指南是根据科学医学学会协会(AWMF)的“德国方法学指南评估工具”制定的。鉴于科学知识和技术专长不可避免地会取得进展,必须定期启动修订、更新和修正工作。指南建议并非在所有情况下都适用。临床医生应根据与每位患者相关的独特临床实际情况以及可用资源,自行决定是否采用某项建议。