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超越地平线:脓毒症管理当代策略的全面综述,涵盖预测指标、诊断工具和治疗进展。

Beyond the Horizon: A Comprehensive Review of Contemporary Strategies in Sepsis Management Encompassing Predictors, Diagnostic Tools, and Therapeutic Advances.

作者信息

Konjety Pavithra, Chakole Vivek G

机构信息

Anaesthesiology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

Research, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 Jul 10;16(7):e64249. doi: 10.7759/cureus.64249. eCollection 2024 Jul.

DOI:10.7759/cureus.64249
PMID:39130839
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11315441/
Abstract

This comprehensive review offers a detailed exposition of contemporary strategies in sepsis management, encompassing predictors, diagnostic tools, and therapeutic advances. The analysis elucidates the dynamic nature of sepsis, emphasizing the crucial role of early detection and intervention. The multifaceted strategies advocate for a holistic and personalized approach to sepsis care from traditional clinical methodologies to cutting-edge technologies. The implications for clinical practice underscore clinicians' need to adapt to evolving definitions, integrate advanced diagnostic tools, and embrace precision medicine. Integrating artificial intelligence and telemedicine necessitates a commitment to training and optimization. Judicious antibiotic use and recognition of global health disparities emphasize the importance of a collaborative, global effort in sepsis care. Looking ahead, recommendations for future research underscore priorities such as longitudinal studies on biomarkers, precision medicine trials, implementation science in technology, global health interventions, and innovative antibiotic stewardship strategies. These research priorities aim to contribute to transformative advancements in sepsis management, ultimately enhancing patient outcomes and reducing the global impact of this critical syndrome.

摘要

这篇全面综述详细阐述了脓毒症管理的当代策略,包括预测指标、诊断工具和治疗进展。该分析阐明了脓毒症的动态性质,强调了早期检测和干预的关键作用。多方面策略主张从传统临床方法到前沿技术,采用整体和个性化的脓毒症护理方法。对临床实践的影响强调临床医生需要适应不断演变的定义,整合先进诊断工具,并接受精准医学。整合人工智能和远程医疗需要致力于培训和优化。明智地使用抗生素以及认识到全球健康差异,强调了在脓毒症护理方面进行全球协作努力的重要性。展望未来,对未来研究的建议强调了一些优先事项,如生物标志物的纵向研究、精准医学试验、技术实施科学、全球健康干预以及创新的抗生素管理策略。这些研究优先事项旨在推动脓毒症管理的变革性进展,最终改善患者预后并减少这种关键综合征的全球影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afa7/11315441/e47452a7b82a/cureus-0016-00000064249-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afa7/11315441/e47452a7b82a/cureus-0016-00000064249-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afa7/11315441/e47452a7b82a/cureus-0016-00000064249-i01.jpg

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本文引用的文献

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Targeting the host response in sepsis: current approaches and future evidence.靶向脓毒症的宿主反应:当前方法和未来证据。
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An Integrated Multi-Omics and Artificial Intelligence Framework for Advance Plant Phenotyping in Horticulture.用于园艺作物高级表型分析的集成多组学与人工智能框架
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C-reactive protein-to-albumin ratio as a biomarker in patients with sepsis: a novel LASSO-COX based prognostic nomogram.C 反应蛋白与白蛋白比值作为脓毒症患者的生物标志物:一种新的基于 LASSO-COX 的预后列线图。
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Sepsis Prediction Model for Determining Sepsis vs SIRS, qSOFA, and SOFA.用于区分脓毒症与全身炎症反应综合征(qSOFA 和 SOFA)的脓毒症预测模型。
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Digital Transformation in Healthcare: Technology Acceptance and Its Applications.医疗保健领域的数字化转型:技术接受及其应用。
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Ultrasound in Sepsis and Septic Shock-From Diagnosis to Treatment.脓毒症和脓毒性休克中的超声——从诊断到治疗
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Vasopressors or High-Volume IV Fluids Both Effective for Sepsis.血管加压药或大容量静脉输液对脓毒症均有效。
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