Infectious Diseases Unit, Internal Medicine Department, La Paz University Hospital, Madrid, Spain.
IdiPAZ Hospital La Paz Institute for Health Research, La Paz University Hospital, Madrid, Spain.
Clin Infect Dis. 2024 Aug 16;79(2):420-429. doi: 10.1093/cid/ciae285.
Point-of-care ultrasound (POCUS) is a safe, noninvasive technique performed at the patient's bedside, providing immediate results to the operator. It complements physical examination and facilitates clinical decision-making. In infectious diseases, POCUS is particularly valuable, offering an initial assessment in cases of suspected infection. It often leads to an early tentative diagnosis enabling the prompt initiation of antimicrobial treatment without the delay associated with traditional radiology. POCUS provides direct visualization of affected organs, assists in evaluating fluid balance, and facilitates various interventions, all while reducing patient discomfort. For infectious disease specialists, becoming proficient in POCUS is a critical future challenge, requiring dedicated training for effective utilization.
床旁即时超声检查(POCUS)是一种安全、无创的技术,可在患者床边进行,为操作者提供即时结果。它补充了体格检查,并有助于临床决策。在传染病方面,POCUS 特别有价值,可为疑似感染病例提供初步评估。它通常可以做出早期的初步诊断,从而可以在不延迟的情况下及时开始使用抗菌药物治疗,而无需像传统放射学那样等待。POCUS 可以直接观察受影响的器官,帮助评估液体平衡,并促进各种干预措施,同时减轻患者的不适。对于传染病专家来说,熟练掌握 POCUS 是未来的一项重要挑战,需要进行专门的培训才能有效地利用这一技术。