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小儿脓毒症:降低脓毒症相关死亡率的新策略

Pediatric Sepsis: New Strategies for Reducing Sepsis Related Mortality.

作者信息

Kannikeswaran Nirupama, Mahajan Prashant

机构信息

Pediatrics and Emergency Medicine, Central Michigan University College of Medicine, Mt Pleasant, MI, USA. Correspondence to: Dr Nirupama Kannikeswaran, Professor of Pediatrics and Emergency Medicine, Central Michigan University College of Medicine, 1280 East Campus Dr Mt Pleasant, MI 48858.

Pediatric Emergency Medicine, University of Michigan, College of Medicine, MI, USA.

出版信息

Indian Pediatr. 2023 Dec 15;60(12):981-984. Epub 2023 Sep 11.

Abstract

Sepsis is one of the leading causes of morbidity and mortality in children. Timely recognition and management of sepsis with fluid resuscitation and antibiotic administration leads to better clinical outcomes. However, clinical recognition of sepsis in children is challenging given its rare occurrence, the overlap of clinical features with other common febrile illness, lack of specific diagnostic biomarkers and the ability of children to compensate until the late stages of shock. Despite updating of pediatric sepsis definition and implementation of screening tools to facilitate early recognition, mortality from sepsis continues to be high. Continued education, research and advocacy efforts are needed to improve patient outcomes in pediatric sepsis.

摘要

脓毒症是儿童发病和死亡的主要原因之一。通过液体复苏和抗生素给药及时识别和处理脓毒症可带来更好的临床结果。然而,鉴于脓毒症在儿童中罕见发生、临床特征与其他常见发热性疾病重叠、缺乏特异性诊断生物标志物以及儿童在休克晚期之前具有代偿能力,儿童脓毒症的临床识别具有挑战性。尽管更新了儿童脓毒症定义并实施了筛查工具以促进早期识别,但脓毒症导致的死亡率仍然很高。需要持续开展教育、研究和宣传工作,以改善儿童脓毒症患者的治疗结果。

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