危急病患者内心炎:一篇综述
Wagner Nedel1,2, Marcio Manozzo Boniatti1,3,4, Thiago Lisboa1,4,5,6
1Hospital de Clinicas de Porto Alegre.
Current opinion in critical care
|August 30, 2023
概括
审查了危急病患者感染性内心炎 (IE) 的当前最佳实践. 更新的诊断标准和治疗监测对于管理IE至关重要,特别是在心脏器械等新风险因素的情况下.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 关键护理医学 关键护理医学
背景情况:
- 传染性内心炎 (IE) 流行病学正在转变,与风湿性疾病相关性减少,与退行性膜病变,假体门和心脏植入式电子设备相关的患病率增加.
- 更新的杜克标准现在包括新出现的风险因素,包括与设备相关的IE和透气管内心炎.
- 器官功能障碍,置换疗法和体外膜氧化显著影响严重病情的IE患者的治疗决策.
研究的目的:
- 审查当前关于治疗重症患者感染性内心炎的最佳实践的文献.
- 突出最近在IE诊断和治疗方面的进展和不断变化的风险因素.
主要方法:
- 关于感染性内心炎管理近期进展的文献综述.
- 对重症患者的最新诊断标准和治疗策略的分析.
- 评估器官功能障碍和新风险因素对IE护理的影响.
主要成果:
- IE越来越多地与退行性膜病变,假发门和心脏器械有关,需要更新诊断方法.
- 治疗性抗生素水平监测显示,有望改善器官功能障碍重症患者的治疗结果.
- 考虑器官功能障碍,置换疗法和ECMO对于适当的药物选择和剂量至关重要.
结论:
- 对IE的诊断调查必须与当前的流行病学趋势和患者的具体情况保持一致.
- 根据最新的标准和个性化治疗指导,迅速的临床或手术治疗对于感染性内心炎的良好结果至关重要.
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