Eckmann Christian, Sanchez-Garcia Miguel
Crit Care. 2013 Dec 10;17(6):1017. doi: 10.1186/cc13154.
The ideal management of infection includes not only the early identification and start of effective therapy but also the correct categorization of non-infected patients in order to avoid unnecessary use of antimicrobials. The availability of a specific and sensitive test for the presence of infection is of paramount importance to improve the prudent use of antimicrobial therapy. Procalcitonin (PCT) has been evaluated over recent years as to whether it can be used to detect the presence of different types of infection, allows reduced duration of antibiotic therapy, or predicts treatment failure or adverse outcome. In the previous issue of Critical Care, Jung and colleagues report about the monitoring of treatment response in abdominal sepsis by repetitive determination of PCT.
感染的理想管理不仅包括早期识别和开始有效的治疗，还包括对未感染患者进行正确分类，以避免不必要地使用抗菌药物。拥有一种针对感染存在的特异性和敏感性检测方法对于促进抗菌治疗的合理使用至关重要。近年来，人们对降钙素原（PCT）进行了评估，以确定它是否可用于检测不同类型感染的存在、缩短抗生素治疗时间，或预测治疗失败或不良结局。在上一期的《重症监护》杂志中，荣格及其同事报告了通过重复测定PCT来监测腹部脓毒症治疗反应的情况。
