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[医院获得性肺炎的经验性治疗方案]

[Empiric therapy protocol for nosocomial pneumonia].

作者信息

Vázquez E García, Torres A Hernández, Martínez J A Herrero, Gómez J Gómez

机构信息

Servicio de Medicina Interna-Infecciosas. Hospital Clínico Universitario Virgen de la Arrixaca. Murcia. España. Departamento de Medicina Interna. Facultad de Medicina. Universidad de Murcia. Murcia. España.

出版信息

Medicine (Madr). 2014 May;11(56):3330-3332. doi: 10.1016/S0304-5412(14)70779-6. Epub 2014 May 22.

DOI:10.1016/S0304-5412(14)70779-6
PMID:32287899
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7143586/
Abstract

Nosocomial pneumonia is one of the most common infections in hospitalized patients and is associated with high morbidity and mortality. The treatment for these patients is established empirically and should be administered as soon as possible to improve their clinical prognosis. In most cases, microbiological documentation of the pneumonia's etiology is not achieved. There is therefore a well-established need for clear action protocols directed to all medical professionals who are in charge of caring for these patients.

摘要

医院获得性肺炎是住院患者中最常见的感染之一，与高发病率和死亡率相关。这些患者的治疗是根据经验确定的，应尽快给予以改善其临床预后。在大多数情况下，无法获得肺炎病因的微生物学证据。因此，对于所有负责护理这些患者的医疗专业人员，迫切需要制定明确的行动方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bab0/7143586/c0d19333ccdd/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bab0/7143586/c0d19333ccdd/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bab0/7143586/c0d19333ccdd/gr1.jpg

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Is healthcare-associated pneumonia a distinct entity needing specific therapy?医护相关性肺炎是否为一种需要特定治疗的独特实体？
Curr Opin Infect Dis. 2012 Apr;25(2):166-75. doi: 10.1097/QCO.0b013e32835023fb.
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Health care-associated pneumonia: an evidence-based review.医疗保健相关性肺炎：循证综述。
Am J Med. 2011 Aug;124(8):689-97. doi: 10.1016/j.amjmed.2011.01.023. Epub 2011 Jun 12.
3
Treatment guidelines and outcomes of hospital-acquired and ventilator-associated pneumonia.医院获得性肺炎和呼吸机相关性肺炎的治疗指南和结果。
Clin Infect Dis. 2010 Aug 1;51 Suppl 1:S48-53. doi: 10.1086/653049.
4
Guidelines for the management of adults with hospital-acquired, ventilator-associated, and healthcare-associated pneumonia.成人医院获得性肺炎、呼吸机相关性肺炎和医疗保健相关性肺炎管理指南。
Am J Respir Crit Care Med. 2005 Feb 15;171(4):388-416. doi: 10.1164/rccm.200405-644ST.