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复发性感染:识别、管理、预防。

Recurrent infection: Recognition, management, prevention.

机构信息

Department of Infectious Disease, Cleveland Clinic; Assistant Professor, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH

出版信息

Cleve Clin J Med. 2020 Jun;87(6):347-359. doi: 10.3949/ccjm.87gr.20001.

Abstract

infection (CDI) is the most common cause of diarrhea in hospitalized patients and results in substantial morbidity, mortality, and costs. Its clinical management, primarily with antibiotics, is often complicated by recurrent episodes. These recurrent CDI episodes are thought to be caused by antibiotic disruption of colonic microbiota and usually occur within 4 weeks of completing antibiotic therapy. The risk of recurrent CDI increases after the first episode, creating a need for management strategies to diagnose, treat, and prevent these complications.

摘要

感染(CDI)是住院患者腹泻的最常见原因,可导致发病率、死亡率和医疗费用大幅增加。其临床管理主要采用抗生素,但常因反复发作出现并发症。这些复发性 CDI 发作被认为是抗生素破坏结肠微生物群引起的,通常发生在抗生素治疗完成后 4 周内。首次发作后,复发性 CDI 的风险增加,因此需要管理策略来诊断、治疗和预防这些并发症。

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