Baker Samantha J, Chu Daniel I
Department of General Surgery, University of Alabama at Birmingham, Birmingham, Alabama.
Department of Gastrointestinal Surgery, University of Alabama at Birmingham, Birmingham, Alabama.
Clin Colon Rectal Surg. 2020 Mar;33(2):82-86. doi: 10.1055/s-0039-3400474. Epub 2020 Feb 25.
(reclassified as " ") colitis is a common nosocomial infection associated with increased morbidity and mortality. Like many clinical encounters, a focused history and physical examination will help to guide initial management. Further laboratory testing will assist with diagnosis through stool studies, and blood tests, such as white blood cell counts and serum creatinine, can help to stratify patients into illness severity groups for treatment decisions. Radiographic evaluation can be helpful in patients with severe disease and concern for complicated colitis. Endoscopic evaluation should be carefully considered in patients with suspected mucosal injury secondary to infections and plays a role when an alternative diagnosis is suspected. Treatment options depend on the clinical presentation and can range from antibiotic therapy to emergent surgery to fecal transplantation for recurrent episodes. Care for these patients is often challenging, but through a systemic workup the appropriate treatment may be delivered.
(重新分类为“ ”)结肠炎是一种常见的医院感染,与发病率和死亡率增加相关。与许多临床情况一样,重点病史和体格检查将有助于指导初始治疗。进一步的实验室检查将通过粪便研究辅助诊断,而血液检查,如白细胞计数和血清肌酐,有助于将患者分层为疾病严重程度组以做出治疗决策。影像学评估对患有严重疾病且担心并发结肠炎的患者可能有帮助。对于怀疑继发于感染的黏膜损伤患者,应仔细考虑内镜评估,并且在怀疑有其他诊断时发挥作用。治疗方案取决于临床表现,范围从抗生素治疗到急诊手术,再到复发性发作的粪便移植。对这些患者的护理通常具有挑战性,但通过系统检查可提供适当的治疗。