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在小动物中定义败血症
Stefano Cortellini1, Amy E DeClue2, Massimo Giunti3
1Department of Clinical Science and Services, The Royal Veterinary College, University of London, Hatfield, UK.
概括
兽医缺乏对败血症的明确定义,与人类医学不同. 建立对小动物败血症的共识定义对于推动研究和改善患者护理至关重要.
科学领域:
- 兽医医学 兽医医学 兽医医学
- 传染性疾病 传染性疾病
- 关键的护理关键的护理
背景情况:
- 败血症是一种危及生命的疾病,是由于身体对感染的反应失调导致的.
- 人类医学已经为败血症建立了共识定义,最近的定义是在2016年.
- 兽医目前缺乏统一的定义,依赖于修改的人类标准.
研究的目的:
- 讨论人类和兽医中败血症的现有定义.
- 突出需要在兽医领域达成共识的定义.
- 为制定小动物败血症的基于证据的诊断标准奠定基础.
主要方法:
- 对以前试图定义败血症的叙事审查.
- 讨论了解败血症的发展情况.
- 对现有定义的批评和缺陷的分析.
主要成果:
- 与人类医学相比,兽医界如何定义和临床识别败血症存在显著差异.
- 缺乏共识定义阻碍了研究,临床翻译和患者护理优化.
- 大多数兽医出版物使用的是从较旧的人类共识定义中修改后的标准.
结论:
- 建立对兽医中败血症的共识定义对于进步至关重要.
- 这一审查为创建基于证据的标准来识别小动物的败血症提供了基础.
- 统一的定义将改善研究,临床实践和兽医重症监护中的患者结果.
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