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体外膜肺氧合相关肺炎诊断标准分析

Analysis of diagnostic criteria for ECMO-associated pneumonia.

作者信息

England Julie, Lee Rachael, Marshall Tammy, Xie Rongbing, Blood Peggy, Wille Keith, Gongora Enrique, Nellore Anoma, Kirklin James K, Walker Jeremey

机构信息

Department of Internal Medicine, Division of General Internal Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.

Department of Internal Medicine, Division of Infectious Diseases, University of Alabama at Birmingham, Birmingham, AL, USA.

出版信息

Infect Control Hosp Epidemiol. 2024 Dec 3;46(1):1-3. doi: 10.1017/ice.2024.181.

DOI:10.1017/ice.2024.181
PMID:39624027
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11717475/
Abstract

Ventilator-associated pneumonia (VAP) is a well-established cause of morbidity in critically ill patients. Current VAP criteria exclude patients on extracorporeal membrane oxygenation (ECMO). This retrospective analysis tests the validity of VAP in this population, as well as a new proposed diagnostic criterion for ECMO-associated pneumonia.

摘要

呼吸机相关性肺炎（VAP）是重症患者发病的一个公认原因。目前的VAP标准将接受体外膜肺氧合（ECMO）治疗的患者排除在外。这项回顾性分析检验了VAP在这一人群中的有效性，以及一项新提出的ECMO相关性肺炎诊断标准。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e392/11717475/ff655b87795d/S0899823X24001818_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e392/11717475/ff655b87795d/S0899823X24001818_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e392/11717475/ff655b87795d/S0899823X24001818_fig1.jpg

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本文引用的文献

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Extracorporeal Membrane Oxygenation during Respiratory Pandemics: Past, Present, and Future.体外膜肺氧合在呼吸流行病中的应用：过去、现在和未来。
Am J Respir Crit Care Med. 2022 Jun 15;205(12):1382-1390. doi: 10.1164/rccm.202111-2661CP.
2
Basics of Extracorporeal Membrane Oxygenation.体外膜肺氧合基础。
Surg Clin North Am. 2022 Feb;102(1):23-35. doi: 10.1016/j.suc.2021.09.001.
3
ECLS-associated infections in adults: what we know and what we don't yet know.成人体外膜肺氧合相关感染：已知与未知。
Intensive Care Med. 2020 Feb;46(2):182-191. doi: 10.1007/s00134-019-05847-z. Epub 2019 Nov 25.
4
Ventilator-associated pneumonia in extracorporeal membrane oxygenation-assisted patients.体外膜肺氧合辅助患者的呼吸机相关性肺炎
Ann Transl Med. 2018 Nov;6(21):427. doi: 10.21037/atm.2018.10.18.
5
Infections during extracorporeal membrane oxygenation: epidemiology, risk factors, pathogenesis and prevention.体外膜肺氧合期间的感染：流行病学、风险因素、发病机制和预防。
Int J Antimicrob Agents. 2017 Jul;50(1):9-16. doi: 10.1016/j.ijantimicag.2017.02.025. Epub 2017 May 18.
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Ventilator-Associated Pneumonia: New Definitions.呼吸机相关性肺炎：新定义
Crit Care Clin. 2017 Apr;33(2):277-292. doi: 10.1016/j.ccc.2016.12.009. Epub 2017 Jan 18.
7
The inflammatory response to extracorporeal membrane oxygenation (ECMO): a review of the pathophysiology.体外膜肺氧合（ECMO）的炎症反应：病理生理学综述
Crit Care. 2016 Nov 28;20(1):387. doi: 10.1186/s13054-016-1570-4.
8
"Awake" extracorporeal membrane oxygenation (ECMO): pathophysiology, technical considerations, and clinical pioneering.“清醒”体外膜肺氧合（ECMO）：病理生理学、技术考量及临床开拓
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9
Extra Corporeal Membrane Oxygenation (ECMO) review of a lifesaving technology.体外膜肺氧合（ECMO）——一项救命技术的综述。
J Thorac Dis. 2015 Jul;7(7):E166-76. doi: 10.3978/j.issn.2072-1439.2015.07.17.
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Clin Infect Dis. 2012 Dec;55(12):1633-41. doi: 10.1093/cid/cis783. Epub 2012 Sep 18.