在后COVID-19时代严重的社区获得性肺炎
Alfonsina Ruiz-Spinelli1,2, Grant Waterer3, Jordi Rello4,5,6
1Intensive Care Unit, Department of Critical Care, Hospital de Clínicas, Facultad de Medicina, Universidad de la República, Montevideo, Uruguay.
审查了社区获得的严重肺炎 (sCAP) 治疗进展,强调病毒作用和有争议的皮质类固醇使用. 由于目前的指导方针中死亡率高,证据水平低,因此需要更多的研究.
科学领域:
- 肺部医学 肺部医学
- 传染性疾病 传染性疾病
- 关键的护理关键的护理
背景情况:
- 严重的社区性肺炎 (sCAP) 尽管有众多公布的指南,但死亡率仍然很高.
- 目前的sCAP治疗建议通常依赖于低水平的证据,需要临床医生进行批判性评估.
- 越来越多地认识到病毒病因在sCAP中的作用,影响患者的治疗结果和治疗策略.
结论:
- 尽管取得了进展,但sCAP的死亡率仍然不可接受地高,强调迫切需要高质量的研究.
- 在临床决策之前,临床医生必须批判性地评估支持当前sCAP治疗指南的证据基础.
- 未来的研究应该专注于加强新型治疗模式的证据,并澄清皮质类固醇等辅助疗法的作用.
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