Rodríguez de Santiago Enrique, Albillos Martínez Agustín, López-Sanromán Antonio
Servicio de Gastroenterología y Hepatología, Hospital Universitario Ramón y Cajal, Madrid, España.
Servicio de Gastroenterología y Hepatología, Hospital Universitario Ramón y Cajal, Madrid, España; Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Universidad de Alcalá de Henares, Alcalá de Henares, Madrid, España.
Med Clin (Barc). 2017 May 10;148(9):415-423. doi: 10.1016/j.medcli.2016.12.041. Epub 2017 Feb 21.
Patients with inflammatory bowel disease constitute a population with a special predisposition to develop bacterial, viral and fungal infections. Iatrogenic immunosuppression, frequent contact with healthcare facilities and surgical interventions are some of the risk factors that explain why these infections are one of the main causes of morbi-mortality in this disease. Some of these infections follow a subtle and paucisymptomatic evolution; their diagnosis and management may become a real challenge for the attending physician if their screening is not systematized or they are not considered in the differential diagnosis. The objective of this review is to provide an update from a practical and concise perspective on the knowledge regarding the epidemiology, prevention, diagnosis and treatment of the most common infections.
炎症性肠病患者是一个特别容易发生细菌、病毒和真菌感染的群体。医源性免疫抑制、频繁接触医疗机构以及外科手术干预是一些风险因素,这些因素解释了为什么这些感染是该疾病发病和死亡的主要原因之一。其中一些感染呈隐匿性且症状轻微;如果筛查没有系统化,或者在鉴别诊断中没有考虑到这些感染,那么它们的诊断和管理可能会成为主治医生面临的一项真正挑战。本综述的目的是从实用和简洁的角度,对最常见感染的流行病学、预防、诊断和治疗方面的知识进行更新。