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抗击脓毒症:从公共卫生角度看。

Combatting Sepsis: A Public Health Perspective.

机构信息

Division of Hospital Medicine, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia.

Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.

出版信息

Clin Infect Dis. 2018 Sep 28;67(8):1300-1302. doi: 10.1093/cid/ciy342.

DOI:10.1093/cid/ciy342
PMID:29846544
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6557150/
Abstract

Public health professionals and organizations have an opportunity to create a more comprehensive sepsis prevention strategy that spans the continuum of care and merges existing infection prevention strategies with chronic disease management and improved education on the signs and symptoms of worsening infection and sepsis. Recent public health efforts have improved our understanding of US national sepsis epidemiology and focused on increasing sepsis awareness. Additional opportunities and challenges include creating more integrated sepsis and infection prevention programs that encompass outpatient and inpatient care.

摘要

公共卫生专业人员和组织有机会创建一个更全面的脓毒症预防策略,该策略跨越护理连续体,并将现有的感染预防策略与慢性病管理和关于感染和脓毒症恶化迹象和症状的教育改进相结合。最近的公共卫生工作提高了我们对美国国家脓毒症流行病学的理解,并侧重于提高脓毒症意识。其他机会和挑战包括创建更具整合性的脓毒症和感染预防计划,涵盖门诊和住院护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df65/6557150/a88d710cd92d/nihms-1029966-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df65/6557150/a88d710cd92d/nihms-1029966-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df65/6557150/a88d710cd92d/nihms-1029966-f0001.jpg

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本文引用的文献

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Defining Pediatric Sepsis.定义儿童脓毒症。
JAMA Pediatr. 2018 Apr 1;172(4):312-314. doi: 10.1001/jamapediatrics.2017.5208.
2
Risk of Subsequent Sepsis Within 90 Days After a Hospital Stay by Type of Antibiotic Exposure.住院后 90 天内使用不同类型抗生素与后续发生脓毒症的风险。
Clin Infect Dis. 2018 Mar 19;66(7):1004-1012. doi: 10.1093/cid/cix947.
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Incidence and Trends of Sepsis in US Hospitals Using Clinical vs Claims Data, 2009-2014.2009 - 2014年美国医院中使用临床数据与索赔数据的脓毒症发病率及趋势
临床医生在思考脓毒症时的所想:马里兰大学医学系统的一项调查结果
Crit Care Explor. 2024 Dec 9;6(12):e1183. doi: 10.1097/CCE.0000000000001183. eCollection 2024 Dec 1.
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Identification of a hyperinflammatory sepsis phenotype using protein biomarker and clinical data in the ProCESS randomized trial.利用 ProCESS 随机试验中的蛋白质生物标志物和临床数据鉴定高炎症性败血症表型。
Sci Rep. 2024 Mar 14;14(1):6234. doi: 10.1038/s41598-024-55667-5.
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Prior Evaluation of Nutritional Status and Mortality in Patients with Sepsis in South Korea.韩国脓毒症患者营养状况评估与死亡率的相关性研究
Nutrients. 2023 Dec 8;15(24):5040. doi: 10.3390/nu15245040.
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[A single-center study on the distribution and antibiotic resistance of pathogens causing bloodstream infection in patients with hematological malignancies].[一项关于血液系统恶性肿瘤患者血流感染病原菌分布及抗生素耐药性的单中心研究]
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