来自修改的德尔菲共识小组的未知来源的发烧和炎症的更新建议
William F Wright1, Lauren Stelmash2, Albrecht Betrains3
1Division of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Open forum infectious diseases
|July 5, 2024
概括
对于源不明发烧 (FUO) 和源不明炎症 (IUO) 的新共识建议是使用修改后的Delphi过程开发的. 这些指南旨在为临床医生和研究人员标准化诊断和管理.
科学领域:
- 医学诊断 医学诊断 医学诊断
- 临床实践指南 临床实践指南
- 流行病学 流行病学
背景情况:
- 源不明的发烧 (FUO) 和源不明的炎症 (IUO) 是常见的诊断挑战.
- 现有的文献缺乏标准化的诊断方法,需要基于共识的建议.
研究的目的:
- 为FUO和IUO的诊断和管理制定基于共识的建议.
- 为临床医生,研究人员和患者提供标准化指南.
主要方法:
- 一个经过修改的Delphi过程,涉及4轮在线调查和2次现场视频会议.
- 根据同行评审的出版物和研究,招募了国际专家.
- 在与FUO和IUO诊断和分类有关的关键主题上寻求共识.
主要成果:
- 在纳入流行病学因素,更新分类标准,初始评估,诊断分类系统和限制经验治疗方面达成了共识.
- 专家不同意在FUO诊断标准中使用FDG-PET/CT.
- 关于温度测量地点,疾病持续时间,复发性发烧定义以及统一的FUO/IUO策略,存在不同的意见.
结论:
- 德尔菲生成的建议比FUO和IUO之前的定义提供了改进.
- 这些指南是临床实践和未诊断疾病的未来研究的宝贵资源.
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