强化治疗师报告的关键支气管炎管理:需要更多的数据和新的指导方针
Adrian D Zurca1, Sebastián González-Dambrauskas2,3, Jose Colleti4
1Penn State Children's Hospital, Hershey, Pennsylvania.
Hospital pediatrics
|July 10, 2023
概括
儿科重症监护室 (PICU) 提供者经常使用婴儿支气管炎的诊断和治疗干预措施,这些干预措施超过了当前的指导方针. 需要为PICU患者制定基于证据的临床指南.
科学领域:
- 儿科重症监护医学 儿科重症监护医学
- 呼吸系统疾病 呼吸系统疾病
- 临床实践指南 临床实践指南
背景情况:
- 现有的支气管炎指南没有充分解决儿童重症监护室 (PICU) 婴儿的需求.
- 在管理患有支气管炎的婴儿的PICU提供者之间,临床实践中存在着公认的差异.
研究的目的:
- 为了确定PICU提供者在支气管炎管理中的实践差异.
- 探讨在PICU中治疗严重支气管炎的具体临床指导方针的需要.
主要方法:
- 一项横截面电子调查分发给北美和拉丁美洲,亚洲以及澳大利亚/新西兰的PICU提供者.
- 该调查提供英语,西班牙语和葡萄牙语,收集了2020年11月至2021年3月期间的数据.
主要成果:
- 657名PICU提供者作出回应,报告经常使用诊断测试 (例如,全血细胞计,呼吸道病毒面板,胸部X射线) 和治疗 (例如,β激动剂,皮质类固醇,抗生素,利尿剂).
- 干预对于被直管的婴儿更为常见,大多数提供者都同意需要针对需要非侵入性或侵入性呼吸支持的严重支气管炎制定具体指南.
结论:
- 婴儿支气管炎的PICU提供者报告的做法往往超过当前的指导方针建议.
- 需要进行进一步的临床研究,以制定基于证据的指导方针,适用于PICU中患有支气管炎的重症婴儿.
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