[针对传染病灾难的重症监护后备力量]
[Intensive care back up for infectious disease disasters].
作者信息
Wichmann D, Matthews H, Nentwich M F, Schmiedel S, Kluge S
机构信息
Klinik für Intensivmedizin, Universitätsklinikum Hamburg-Eppendorf, Martinistr. 52, 20251, Hamburg, Deutschland.
Sektion Infektiologie, I. Medizinische Klinik und Poliklinik, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland.
出版信息
Med Klin Intensivmed Notfmed. 2020 Nov;115(8):641-648. doi: 10.1007/s00063-020-00743-7. Epub 2020 Oct 9.
BACKGROUND
Outbreaks of infectious diseases pose particular challenges for hospitals and intensive care units.
OBJECTIVES
Typical infectiological scenarios and their significance for modern intensive care medicine are presented.
MATERIALS AND METHODS
Selected pathogens/infectious diseases that have significantly strained the resources of intensive care units are described.
RESULTS
Intensive medical care is necessary in severe cases of many infectious diseases. In the context of epidemics/pandemics, many critically ill patients have to be admitted within a short time. Examples are the 2009 H1N1 influenza pandemic, the 2011 enterohemorrhagic Escherichia coli (EHEC) outbreak in northern Germany, the 2014/2015 Ebola fever outbreak and the 2020 coronavirus disease 19 (COVID-19) pandemic. Multidisciplinary teams, protocol development, adequate staffing, and training are required to achieve optimal treatment outcomes, including prevention of healthcare worker infections.
CONCLUSIONS
Pandemics and epidemics are unique challenges for intensive care unit preparedness planning.
背景
传染病爆发给医院和重症监护病房带来了特殊挑战。
目的
介绍典型的感染病情况及其对现代重症医学的意义。
材料与方法
描述了那些给重症监护病房资源造成巨大压力的特定病原体/传染病。
结果
许多传染病的重症病例都需要重症医疗护理。在流行病/大流行的背景下，许多重症患者必须在短时间内入院。例如2009年甲型H1N1流感大流行、2011年德国北部肠出血性大肠杆菌（EHEC）疫情、2014/2015年埃博拉热疫情以及2020年冠状病毒病（COVID-19）大流行。为了实现最佳治疗效果，包括预防医护人员感染，需要多学科团队、制定方案、充足的人员配备和培训。
结论
大流行和流行病对重症监护病房的应急准备规划而言是独特的挑战。
Zotero 插件