在固体器官移植中治疗腹
Abdullah Alraddadi1, Deepali Kumar
1Ajmera Transplant Centre, University Health Network, Toronto, Ontario, Canada.
Current opinion in infectious diseases
|August 13, 2025
概括
固体器官移植接受者的腹需要及时诊断和管理. 最近的进展包括用于病原体识别的多重面板和针对Clostridium difficile感染的更新疗法.
科学领域:
- 胃肠病学 胃肠病学
- 移植医学 移植医学 移植医学
- 传染性疾病 传染性疾病
背景情况:
- 腹是固体器官移植 (SOT) 接受者的常见并发症.
- 确定病因对于有效的管理和患者的治疗结果至关重要.
研究的目的:
- 审查SOT接受者的腹的传染性和非传染性病因.
- 讨论当前的诊断方法和治疗策略.
主要方法:
- 关于SOT患者腹的传染性和非传染性原因的文献综述.
- 分析最近的诊断和治疗方面的进展.
主要成果:
- 多重胃肠道面板现在是快速病原体识别的标准.
- 困难杆菌感染率正在上升,建议使用fidaxomicin.
- 诺罗病毒和SARS-CoV-2是重要的考虑因素;必须排除非传染性原因,如酸毒性和IBD.
结论:
- 包括详细的病史,分子诊断和内镜在内的综合方法是必不可少的.
- 针对已确定感染原因的向治疗是管理的基石.
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