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外科感染学会关于预防和治疗儿科腹腔内感染的指南:2025年更新
Jared M Huston1,2, Joseph D Forrester3, Philip S Barie4
1Department of Surgery, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Northwell Health, New Hyde Park, New York, USA.
Surgical infections
|October 13, 2025
概括
更新的指南提供了基于证据的建议,用于预防和管理儿科腹内感染 (IAI). 这些指南涵盖了针对儿童的抗微生物选择,治疗方案和感染控制策略.
科学领域:
- 儿童传染病 儿童传染病
- 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:
- 外科感染学会 (SIS) 之前已发布了关于儿科腹内感染 (IAI) 的指导方针.
- 目前的文献需要对这些基于证据的指南进行更新.
- 本文件基于最近的系统审查提出了修订后的建议.
研究的目的:
- 为儿童腹内感染 (IAI) 的预防和管理提供最新的,基于证据的指导方针.
- 将当前的文献和专家的共识合成可行的临床建议.
- 为医疗保健专业人员提供最佳实践信息,以治疗患有IAI的儿童.
主要方法:
- 从2016年1月到2024年10月,主要数据库 (PubMed,Cochrane图书馆,Embase,Web of Science) 进行了系统的文献审查.
- 该审查侧重于随机对照试验,系统性审查和有关儿科腹腔内感染的元分析.
- 建议使用推,评估,开发和评估 (GRADE) 系统进行评级,并通过代的审查和投票过程最终确定.
主要成果:
- 更新的SIS指南为儿科IAI提供了全面的,基于证据的建议.
- 解决的关键领域包括首选的抗微生物药物,服用时间和途径以及治疗持续时间.
- 该指南还涵盖了特定病原体的治疗,疾病过程管理,感染控制和抗菌药物管理.
结论:
- 这些更新的指南代表了预防和治疗儿科患者腹腔内感染的最新建议.
- 这些指南旨在通过标准化,基于证据的护理来改善患者的治疗结果.
- 实施这些建议对于优化儿科IAI管理至关重要.
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