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S3指南增编:克罗恩病和溃疡性结肠炎——2019冠状病毒病大流行期间炎症性肠病患者的管理:开放式问答

Addendum to S3-Guidelines Crohn's disease and ulcerative colitis: Management of Patients with Inflammatory Bowel Disease in the COVID-19 Pandemic - open questions and answers.

作者信息

Stallmach Andreas, Sturm Andreas, Blumenstein Irina, Helwig Ulf, Koletzko Sibylle, Lynen Petra, Schmidt Carsten, Dignass Axel, Kucharzik Torsten

机构信息

Klinik für Innere Medizin IV (Gastroenterologie, Infektiologie und Hepatologie), Universitätsklinikum Jena, Jena.

Klinik für Innere Medizin, Schwerpunkt Gastroenterologie, DRK Kliniken Berlin | Westend, Berlin.

出版信息

Z Gastroenterol. 2020 Oct;58(10):982-1002. doi: 10.1055/a-1234-8079. Epub 2020 Oct 9.

Abstract

The COVID-19 pandemic is a global outbreak of new onset infections with the SARS-CoV-2 virus. To date, more than 3.4 million people have been infected throughout the world. In Germany, approximately 450,000 patients suffer from inflammatory bowel disease; these patients generally require continuous expert care and support. Against the background of a rapidly accumulating knowledge base on SARS-CoV-2, 68 expert authors of the current DGVS guidelines for Crohn's disease and ulcerative colitis took part in a virtual meeting to compile up-to-date, practice-orientated recommendations aimed at improving the care of patients with IBD. These recommendations address the risk of infection, including the risk for specific patient groups, the possible course of the disease, and consequences for pharmacological and surgical therapies of the underlying disease, as well as general measures for infection prevention and adjuvant prophylactic and therapeutic options.

摘要

新冠疫情是由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引发的全球新发感染疫情。截至目前,全球已有超过340万人感染。在德国,约有45万患者患有炎症性肠病;这些患者通常需要持续的专业护理和支持。在关于SARS-CoV-2的知识基础迅速积累的背景下,当前《德国胃肠病学会(DGVS)克罗恩病和溃疡性结肠炎指南》的68位专家作者参加了一次虚拟会议,以编制最新的、以实践为导向的建议,旨在改善炎症性肠病患者的护理。这些建议涉及感染风险,包括特定患者群体的风险、疾病的可能病程、基础疾病的药物和手术治疗后果,以及感染预防的一般措施和辅助预防及治疗选择。

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