Kim Y S, Pons V G
Department of Medicine, University of California, San Francisco.
Neurosurg Clin N Am. 1994 Oct;5(4):741-54.
The sources of fever and infection in neurosurgical patients in the intensive care unit are varied and complex. Benign postoperative fever due to atelectasis of the lungs or from central nervous system sources are difficult to define. Distinguishing between these "benign" sources and true nosocomial bacterial infections can be a difficult clinical process. Empiric antibiotic regimens are outlined, and some guidelines are proposed for the management of infected catheters.
重症监护病房中神经外科患者发热和感染的来源多种多样且复杂。肺部肺不张或中枢神经系统来源导致的术后良性发热难以界定。区分这些“良性”来源与真正的医院内细菌感染可能是一个艰难的临床过程。文中概述了经验性抗生素治疗方案,并针对感染导管的处理提出了一些指导原则。