From the Multidisciplinary Intensive Care, St James's University Hospital (IML); Department of Clinical Medicine, Trinity College, Dublin, Ireland (IML); Anaesthesia and Intensive Care Unit and Trauma Centre, Aix Marseille University, Nord Hospital, Assistance Publique Hôpitaux de Marseille, APHM, Marseille, France (ML, CM); Department of Anaesthesiology and Intensive Therapy, Semmelweis University, Budapest, Hungary (KM); General Intensive Care Unit, Shaare Zedek Medical Centre, Hebrew University Faculty of Medicine, Jerusalem, Israel (SE).
Eur J Anaesthesiol. 2017 Apr;34(4):215-220. doi: 10.1097/EJA.0000000000000595.
Antimicrobial treatment is the cornerstone of infection treatment, and the selection of appropriate antibiotic treatment for critically ill patients is challenging. Clinicians working with critically ill patients usually feel a greater obligation towards their patient than towards maintenance of the delicate ecological balance of prevalent microbiological threats and their resistance patterns. Although antibiotic overtreatment is a frequent phenomenon, patient outcomes need not be compromised when antibiotic treatment is driven by informed decision-making.At the 2016 Euro Anaesthesia Conference (London, UK), the European Society of Anaesthesia Intensive Care Scientific Subcommittee convened an expert panel on antibiotic therapy. This article summarises the main conclusions of the panel, namely the principles of antibiotic therapy that all physicians working with critically ill patients must know.
抗菌治疗是感染治疗的基石，为危重症患者选择合适的抗生素治疗具有挑战性。与危重症患者合作的临床医生通常对患者负有更大的责任，而不是维护流行微生物威胁及其耐药模式的微妙生态平衡。虽然抗生素过度治疗是一种常见现象，但当抗生素治疗是基于明智的决策时，患者的结局不一定受到影响。在 2016 年欧洲麻醉学大会（英国伦敦）上，欧洲麻醉学和重症监护科学小组委员会召集了一个抗生素治疗专家组。本文总结了专家组的主要结论，即所有与危重症患者合作的医生都必须了解的抗生素治疗原则。
