Estella Á, Vidal-Cortés P, Rodríguez A, Andaluz Ojeda D, Martín-Loeches I, Díaz E, Suberviola B, Gracia Arnillas M P, Catalán González M, Álvarez-Lerma F, Ramírez P, Nuvials X, Borges M, Zaragoza R
Servicio de Medicina Intensiva, Hospital Universitario de Jerez, Departamento de Medicina, Facultad de Medicina de Cádiz, Jerez de la Frontera, Cádiz, España.
Servicio de Medicina Intensiva, Complexo Hospitalario Universitario de Ourense, Ourense, España.
Med Intensiva. 2021 Nov;45(8):485-500. doi: 10.1016/j.medin.2021.04.007. Epub 2021 Apr 30.
Infections have become one of the main complications of patients with severe SARS-CoV-2 pneumonia admitted in ICU. Poor immune status, frequent development of organic failure requiring invasive supportive treatments, and prolonged ICU length of stay in saturated structural areas of patients are risk factors for infection development. The Working Group on Infectious Diseases and Sepsis GTEIS of the Spanish Society of Intensive Medicine and Coronary Units SEMICYUC emphasizes the importance of infection prevention measures related to health care, the detection and early treatment of major infections in the patient with SARS-CoV-2 infections. Bacterial co-infection, respiratory infections related to mechanical ventilation, catheter-related bacteremia, device-associated urinary tract infection and opportunistic infections are review in the document.
感染已成为入住重症监护病房(ICU)的重症新型冠状病毒肺炎患者的主要并发症之一。免疫状态差、频繁发生需要侵入性支持治疗的器官功能衰竭,以及患者在饱和结构区域的ICU住院时间延长,都是感染发生的危险因素。西班牙重症医学和冠心病监护病房学会(SEMICYUC)传染病和脓毒症GTEIS工作组强调了与医疗保健相关的感染预防措施、新型冠状病毒感染患者主要感染的检测和早期治疗的重要性。该文件中对细菌合并感染、与机械通气相关的呼吸道感染、导管相关菌血症、器械相关尿路感染和机会性感染进行了综述。