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台湾肺炎治疗建议与指南。

Recommendations and guidelines for the treatment of pneumonia in Taiwan.

机构信息

Division of Infectious Diseases, Department of Internal Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.

Division of Infectious Diseases, Department of Pediatrics, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.

出版信息

J Microbiol Immunol Infect. 2019 Feb;52(1):172-199. doi: 10.1016/j.jmii.2018.11.004. Epub 2018 Dec 6.

Abstract

Pneumonia is a leading cause of death worldwide, ranking third both globally and in Taiwan. This guideline was prepared by the 2017 Guidelines Recommendations for Evidence-based Antimicrobial agents use in Taiwan (GREAT) working group, formed under the auspices of the Infectious Diseases Society of Taiwan (IDST). A consensus meeting was held jointly by the IDST, Taiwan Society of Pulmonary and Critical Care Medicine (TSPCCM), the Medical Foundation in Memory of Dr. Deh-Lin Cheng, the Foundation of Professor Wei-Chuan Hsieh for Infectious Diseases Research and Education and CY Lee's Research Foundation for Pediatric Infectious Diseases and Vaccines. The final guideline was endorsed by the IDST and TSPCCM. The major differences between this guideline and the 2007 version include the following: the use of GRADE methodology for the evaluation of available evidence whenever applicable, the specific inclusion of healthcare-associated pneumonia as a category due to the unique medical system in Taiwan and inclusion of recommendations for treatment of pediatric pneumonia. This guideline includes the epidemiology and recommendations of antimicrobial treatment of community-acquired pneumonia, hospital-acquired pneumonia, ventilator-associated pneumonia, healthcare-associated pneumonia in adults and pediatric pneumonia.

摘要

肺炎是全球主要的致死病因,在全球和中国台湾地区均位列第三。本指南由 2017 年台湾地区抗生素合理使用指南推荐意见(GREAT)工作组制定,该工作组是在台湾感染症医学会(IDST)的支持下成立的。IDST、台湾胸腔暨重症加护医学会(TSPCCM)、程德林博士纪念医学基金会、谢纬医师感染症研究暨教育基金会及李永进小儿传染病及疫苗研究基金会共同举办了共识会议。本指南最终获得 IDST 和 TSPCCM 的认可。与 2007 年版本相比,本指南的主要差异包括:在适用情况下,使用 GRADE 方法评估现有证据,由于台湾独特的医疗体系,专门将医源性肺炎纳入一个类别,并纳入了儿科肺炎的治疗建议。本指南包括社区获得性肺炎、医院获得性肺炎、呼吸机相关性肺炎、成人医源性肺炎以及儿科肺炎的流行病学和抗生素治疗建议。

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