Chacko Binila, Chaudhry Dhruva, Peter John V, Khilnani Gopi C, Saxena Prashant, Sehgal Inderpaul S, Ahuja Kunal, Rodrigues Camilla, Modi Manish, Jaiswal Anand, Jasiel G Joel, Sahasrabudhe Shrikant, Bose Prithviraj, Ahuja Aman, Suprapaneni Vineela, Prajapat Brijesh, Manesh Abi, Chawla Rajesh, Guleria Randeep
Medical Intensive Care Unit, Christian Medical College, Vellore, Tamil Nadu, India.
Department of Pulmonary and Critical Care Medicine, Pt BDS Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India.
Indian J Crit Care Med. 2024 Aug;28(Suppl 2):S67-S91. doi: 10.5005/jp-journals-10071-24783. Epub 2024 Aug 10.
Tuberculosis (TB) is an important cause of morbidity and mortality globally. About 3-4% of hospitalized TB patients require admission to the intensive care unit (ICU); the mortality in these patients is around 50-60%. There is limited literature on the evaluation and management of patients with TB who required ICU admission. constituted a working group to develop a position paper that provides recommendations on the various aspects of TB in the ICU setting based on available evidence. Seven domains were identified including the categorization of TB in the critically ill, diagnostic workup, drug therapy, TB in the immunocompromised host, organ support, infection control, and post-TB sequelae. Forty-one questions pertaining to these domains were identified and evidence-based position statements were generated, where available, keeping in focus the critical care aspects. Where evidence was not available, the recommendations were based on consensus. This position paper guides the approach to and management of critically ill patients with TB.
Chacko B, Chaudhry D, Peter JV, Khilnani G, Saxena P, Sehgal IS, . isccm Position Statement on the Approach to and Management of Critically Ill Patients with Tuberculosis. Indian J Crit Care Med 2024;28(S2):S67-S91.
结核病是全球发病和死亡的重要原因。约3%-4%的住院结核病患者需要入住重症监护病房(ICU);这些患者的死亡率约为50%-60%。关于需要入住ICU的结核病患者的评估和管理的文献有限。成立了一个工作组来制定一份立场文件,该文件根据现有证据就ICU环境中结核病的各个方面提供建议。确定了七个领域,包括危重症患者结核病的分类、诊断检查、药物治疗、免疫功能低下宿主中的结核病、器官支持、感染控制和结核病后遗症。确定了与这些领域相关的41个问题,并在可行的情况下生成了基于证据的立场声明,重点关注重症监护方面。在没有证据的情况下,建议基于共识。本立场文件指导了重症结核病患者的处理方法和管理。
查科B、乔杜里D、彼得JV、基尔纳尼G、萨克森纳P、塞加尔IS等。国际危重病医学会关于重症结核病患者处理方法和管理的立场声明。《印度重症监护医学杂志》2024年;28(增刊2):S67-S91。