Michael E. DeBakey VA Medical Center, Baylor College of Medicine, Houston, TX 77030, USA.
Med Clin North Am. 2012 Nov;96(6):1203-23. doi: 10.1016/j.mcna.2012.08.008.
The diagnosis of sepsis is challenging given the lack of appropriate diagnostic methods and the inaccuracy of diagnostic criteria. Early resuscitation, intravenous antibiotics, and source control are crucial in the management of septic patients. The treatment of catheter-related bloodstream infection (CRBSI) often comprises 1 to 2 weeks of intravenous antibiotics plus catheter removal. Infections related to surgical devices are more difficult to manage because they require longer duration of therapy and possibly multiple surgical procedures. This review represents an update on the diagnosis and management of sepsis, catheter-related blood stream infections and some clinically important device-related infections.
鉴于缺乏适当的诊断方法和诊断标准的不准确性,败血症的诊断具有挑战性。早期复苏、静脉内抗生素和源头控制对败血症患者的治疗至关重要。导管相关血流感染 (CRBSI) 的治疗通常包括 1 至 2 周的静脉内抗生素加导管去除。与手术器械相关的感染更难处理,因为它们需要更长的治疗时间,可能需要多次手术。本综述代表了败血症、导管相关血流感染和一些临床重要的器械相关感染的诊断和治疗的最新进展。