概括
对败血症和全身炎症反应综合征 (SIRS) 建立了新的定义,但患者的特征仍然不清楚. 许多严重的SIRS患者缺乏感染,结果各不相同,需要一致的定义和更长的随访研究.
科学领域:
- 关键护理医学 关键护理医学
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 建立了败血症和全身炎症反应综合征 (SIRS) 的新定义.
- 对于符合这些新定义的患者群体的了解有限.
研究的目的:
- 阐明严重败血症和SIRS的流行病学和自然史.
- 为了识别这些患者队伍中的已知和未知.
主要方法:
- 在多项临床研究中对患者特征进行比较分析 (甲基prednisolone,VA系统性败血症,HA-1A,E5).
主要成果:
- 在严重的SIRS患者中,很大一部分患者 (至少15%) 缺乏已记录的感染.
- 在受感染的患者中,细菌血症,グラム阴性感染和休克并不是普遍存在的.
- 死亡率在14天和1个月分别为26%和42%,与类似的死亡率为阳性和阴性败血症.
结论:
- 避免在严重的SIRS患者中假定格兰阴性感染;在将格兰阴性败血症研究结果概括时要谨慎.
- 对败血症或SIRS的研究应包括至少1个月的死亡随访.
- 标准化定义对于有效的跨研究比较至关重要.
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