外科感染学会关于腹内感染管理的指南:2024年更新
Jared M Huston1, Philip S Barie2, E Patchen Dellinger3
1Departments of Surgery and Science Education, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Northwell Health, New Hyde Park, New York, USA.
Surgical infections
|July 11, 2024
概括
外科感染学会更新了其基于证据的指导方针,用于管理成年人的腹内感染 (IAI). 本指南提供了预防和治疗的当前建议,强调了抗微生物药物管理.
科学领域:
- 传染性疾病 传染性疾病
- 手术感染 手术感染
- 基于证据的医学基于证据的医学.
背景情况:
- 自1992年以来,外科感染学会 (SIS) 定期更新了基于证据的腹内感染 (IAI) 管理指南.
- 此前的指导方针于2002年,2010年和2017年发表.
- 本文档介绍了指南的最新更新.
研究的目的:
- 为成人患者预防和管理腹腔内感染 (IAI) 提供最新的,基于证据的指南.
- 将最近的文献发现纳入临床实践建议中.
- 为了指导抗微生物选择,时间,持续时间,源控制和管理.
主要方法:
- 从2016年到2024年2月,使用主要数据库 (PubMed/Medline,Cochrane图书馆,Embase,Web of Science) 进行了系统的文献审查.
- 审查重点是随机对照试验,系统性审查和有关成人腹内感染的元分析.
- 建议,评估,发展和评估 (GRADE) 系统的分级被用来评价证据质量和建议的强度.
主要成果:
- 该指南包括IAI管理的新和更新的建议.
- 建议涵盖抗微生物治疗 (选择,时间,持续时间,降级),源控制,特定病原体,疾病过程和抗微生物管理.
- 证据质量被评为高 (A),中等 (B) 或弱 (C),建议被评为强大 (1) 或弱 (2).
结论:
- 本更新的指南提供了SIS对成人IAI预防和管理的最新,基于证据的建议.
- 它旨在通过明智的临床决策来优化患者的治疗结果.
- 实施抗微生物药物管理计划是一个关键组成部分.
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