病毒性肺炎:从流感到COVID-19
Catia Cilloniz1,2, Guinevere Dy-Agra3, Rodolfo S Pagcatipunan3
1Hospital Clinic of Barcelona, IDIBAPS, CIBERESA, Barcelona, Spain.
Seminars in respiratory and critical care medicine
|January 16, 2024
概括
社区获得性肺炎 (CAP) 通常是由呼吸道病毒引起的,特别是在弱势群体中. 虽然支持性护理对于严重病例至关重要,但向性抗病毒疗法仅限于流感和呼吸道同胞病毒感染.
科学领域:
- 传染性疾病 传染性疾病
- 肺部病理学 肺部病理学
- 病毒学 病毒学
背景情况:
- 呼吸系统病毒是社区获得性肺炎 (CAP) 的重要原因之一.
- 先进的诊断改善了病毒识别,特别是在免疫功能低下,老年和严重的CAP患者中.
- 病毒性肺炎的严重程度和结果在流感和非流感病毒之间是可比的.
研究的目的:
- 审查目前关于病毒性肺炎的证据.
- 涵盖流行病学,诊断,管理,治疗和预防策略.
- 突出诊断和支持性护理在管理病毒CAP中的作用.
主要方法:
- 对病毒性肺炎现有证据的文献综述.
- 综合有关诊断技术及其影响的数据.
- 分析治疗选择,包括抗病毒和支持性护理.
主要成果:
- 呼吸系统病毒越来越多地被确定为CAP的原因.
- 抗病毒治疗仅限于流感和RSV.
- 基于证据的支持性护理仍然是严重病毒性肺炎管理的基石.
结论:
- 病毒性肺炎的诊断和管理已经通过新技术进步.
- 支持性护理对于严重的病毒性肺炎至关重要.
- 需要进一步的研究,以扩大对导致CAP的各种呼吸道病毒的抗病毒选择.
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