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诊断感染的关键概念——何时治疗及何时不治疗。

Key concepts in diagnosing infection - when to treat and when not to.

机构信息

Department of Infectious Diseases, University Hospitals Birmingham, Hawthorne House, Heartlands Hospital, Birmingham B9 5SS; Department of Acute Medicine, Heartlands Hospital, University Hospitals Birmingham.

Department of Microbiology, University Hospitals Birmingham, Queen Elizabeth Hospital, Birmingham B9 2WB.

出版信息

Clin Med (Lond). 2024 Nov;24(6):100264. doi: 10.1016/j.clinme.2024.100264. Epub 2024 Nov 9.

DOI:10.1016/j.clinme.2024.100264
PMID:39528021
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11617389/
Abstract

What tests to send and when? This article examines the evidence for common microbiological tests and discusses their limitations and interpretation. Urine tests, surface swabs, blood cultures and screening swabs are all discussed in the context of a fictional clinical case.

摘要

该送哪些检查,何时送检?本文探讨了常见微生物检查的证据,并讨论了这些检查的局限性和解读。尿检查、表面拭子、血培养和筛查拭子都在一个虚构的临床病例背景下进行了讨论。

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Incidence and Time-to-Onset of Carbapenemase-Producing Enterobacterales (CPE) Infections in CPE Carriers: a Retrospective Cohort Study.碳青霉烯酶产生肠杆菌科细菌(CPE)感染在 CPE 携带者中的发生率和发病时间:一项回顾性队列研究。
Microbiol Spectr. 2022 Dec 21;10(6):e0186822. doi: 10.1128/spectrum.01868-22. Epub 2022 Nov 2.
2
Joint Healthcare Infection Society (HIS) and Infection Prevention Society (IPS) guidelines for the prevention and control of meticillin-resistant Staphylococcus aureus (MRSA) in healthcare facilities.联合医疗保健感染学会(HIS)和感染预防学会(IPS)关于医疗机构耐甲氧西林金黄色葡萄球菌(MRSA)预防与控制的指南。
J Hosp Infect. 2021 Dec;118S:S1-S39. doi: 10.1016/j.jhin.2021.09.022. Epub 2021 Oct 29.
3
The EBJIS definition of periprosthetic joint infection.EBJIS 定义的人工关节假体周围感染。
Bone Joint J. 2021 Jan;103-B(1):18-25. doi: 10.1302/0301-620X.103B1.BJJ-2020-1381.R1.
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Implant infections: adhesion, biofilm formation and immune evasion.植入物感染:黏附、生物膜形成和免疫逃避。
Nat Rev Microbiol. 2018 Jul;16(7):397-409. doi: 10.1038/s41579-018-0019-y.
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Sensitivity of superficial cultures in lower extremity wounds.下肢创面的浅层培养物的敏感性。
J Hosp Med. 2010 Sep;5(7):415-20. doi: 10.1002/jhm.688.
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Clin Infect Dis. 2010 Mar 1;50(5):625-63. doi: 10.1086/650482.
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