Gastroenterology and Transplant Hepatology, Papa Giovanni XXIII Hospital, Bergamo, Italy.
Medical Area Department, Lecco Hospital, Italy.
Dig Liver Dis. 2014 Mar;46(3):204-12. doi: 10.1016/j.dld.2013.07.015. Epub 2013 Sep 8.
The statements produced by the consensus conference on infection in end-stage liver disease promoted by the Italian Association for the Study of the Liver, are here reported. The topics of epidemiology, risk factors, diagnosis, prophylaxis, and treatment of infections in patient with compensated and decompensated liver cirrhosis were reviewed by a scientific board of experts who proposed 26 statements that were graded according to level of evidence and strength of recommendation, and approved by an independent jury. Each topic was explored focusing on the more relevant clinical questions. By systematic literature search of available evidence, comparison and discussion of expert opinions, pertinent statements answering specific questions were presented and approved. Short comments were added to explain the basis for grading evidence particularly on case of controversial areas.
本文报道了由意大利肝脏研究协会组织的感染性疾病共识会议的相关内容。会议对代偿期和失代偿期肝硬化患者的流行病学、危险因素、诊断、预防和治疗进行了讨论。专家组对这些内容进行了综述,提出了 26 条推荐意见,这些意见按照证据水平和推荐强度进行分级,并由独立评审团进行了审议。专家组通过对现有文献进行系统检索,对专家意见进行比较和讨论,提出并批准了能够回答具体问题的相关推荐意见。对于证据分级的依据,特别是存在争议的领域,都添加了简短的注释说明。