在重症患者中对营养治疗的评估Clostridioides difficile感染患者
Anna M Kroninger1, BreAnna L Davids1, Andrew J Franck1
1North Florida/South Georgia Veterans Health System, Gainesville, FL, USA.
Clinical nutrition ESPEN
|March 19, 2025
概括
患有Clostridioides difficile感染 (CDI) 的重症患者接受了更高的卡路里和蛋白质营养. 与没有感染的患者相比,CDI患者的营养治疗,包括肠道食,是安全的,并且耐受性良好.
科学领域:
- 关键护理医学 关键护理医学
- 传染性疾病 传染性疾病
- 临床营养学 临床营养学
背景情况:
- 营养治疗在重症监护室 (ICU) 中至关重要.
- 对于患有Clostridioides difficile感染 (CDI) 的危急病患者的营养,存在有限的指导.
- CDI可能会导致严重的胃肠道并发症.
研究的目的:
- 为了比较患有CDI和没有CDI的重症患者的营养治疗.
- 评估营养供应,支持需求和安全方面的差异.
主要方法:
- 单中心,回顾性队列研究 (2013-2022年).
- 对比ICU患者的营养治疗与其他感染患者的CDI.
- 结果包括规定的营养剂量,需要支持和肠道养耐受性.
主要成果:
- 患有CDI的患者获得更高的中位数最大热量 (24.3 vs. 21.7 kcal/kg/day) 和蛋白质 (1.1 vs. 0.9 g/kg/day).
- 显著更多的CDI患者需要营养支持 (75.8%与48.5%相比).
- 肠道食的安全性和耐受性在各组之间是相似的.
结论:
- 在重症患者中,CDI没有对营养治疗产生负面影响.
- 与对照组相比,CDI患者的饮食和肠道营养疗法同样安全且耐受.
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