危重症成年患者呼吸道病毒的诊断与管理：一项针对重症监护医生知识与实践的国际调查
Diagnosis and management of respiratory viruses in critically ill adult patients: an international survey of knowledge and practice among intensivists.
作者信息
Philippot Quentin, Labbé Vincent, Pichon Jérémie, Djibré Michel, Fartoukh Muriel, Voiriot Guillaume
机构信息
Service de Médecine Intensive Réanimation, Hôpital Tenon, Sorbonne Université, Hôpitaux Universitaires de l'Est Parisien, Assistance Publique - Hôpitaux de Paris, Paris, France.
出版信息
Ann Intensive Care. 2020 Apr 28;10(1):50. doi: 10.1186/s13613-020-00660-0.
In this survey endorsed by the European Society of Intensive Care Medicine (ESICM), we aimed to describe the practice patterns of intensivists worldwide, regarding their diagnosis and management of respiratory viruses in lower respiratory tract infections. There were 229 respondents from 53 countries, mainly in Europe (78%). Our main findings are that a majority of intensivists (i) searched for respiratory viruses in case of severe community-acquired LRTI in adults, whatever the season and the medical history and clinical presentation; (ii) had access to large-panel respiratory mPCR; (iii) used them as first-line diagnostic test in routine practice; (iv) had some knowledge about the panel of the mPCR that they use, but markedly less about the cost. However, we observed strong heterogeneity regarding how intensivists took into account mPCR results for infection control (confinement measures) and patient care (antiviral treatment and antibiotics management).
在这项由欧洲重症医学学会（ESICM）认可的调查中，我们旨在描述全球重症监护医生在诊断和管理下呼吸道感染中的呼吸道病毒方面的实践模式。有来自53个国家的229名受访者，主要来自欧洲（78%）。我们的主要发现是，大多数重症监护医生：（i）在成人严重社区获得性下呼吸道感染的情况下，无论季节、病史和临床表现如何，都会检测呼吸道病毒；（ii）能够使用大panel呼吸道多重PCR；（iii）在常规实践中将其用作一线诊断测试；（iv）对他们所使用的多重PCR panel有一定了解，但对成本的了解明显较少。然而，我们观察到在重症监护医生如何将多重PCR结果用于感染控制（隔离措施）和患者护理（抗病毒治疗和抗生素管理）方面存在很大差异。
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