关于腹腔内角膜炎的管理的审查
Pedro Puerta-Alcalde1,2,3, Jesús Guinea4,5,6,7, Emilio Maseda8,9
1Hospital Germans Trias i Pujol, Badalona, Spain.
概括
腹腔内角膜炎显著增加了ICU患者的死亡率和住院时间. 优化的多学科方法对于改善这些复杂感染的结果至关重要.
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
- 临床微生物学 临床微生物学
背景情况:
- 腹腔内角膜炎,包括Candida腹膜炎和,占ICU诊断的腹腔内感染的10-30%.
- 与长时间住院,增加发病率和更高的死亡率有关.
- 尽管侵袭性 кандидоз治疗取得了进展,但腹腔内 кандидоз的最佳管理策略仍未得到充分定义.
研究的目的:
- 审查管理腹腔内角膜炎的关键挑战.
- 针对微生物学诊断,抗真菌剂量,腹腔内液透以及脂质体安二B的作用.
- 提供关于抗真菌耐药性,药理动力学/药理动力学和日常临床实践的见解.
主要方法:
- 文献综述侧重于微生物学诊断,抗真菌药物动力学/药物动力学和临床管理.
- 对有关抗真菌耐药性出现的当前数据的分析.
- 在重症监护病房设置中评估治疗策略.
主要成果:
- 微生物学诊断和抗真菌耐药性的风险是关键考虑因素.
- 抗真菌药物的药理动力学和药理动力学特性会影响治疗的疗效.
- 临床管理需要仔细考虑药物选择,剂量和来源控制.
结论:
- 优化的多学科方法对于改善患者的治疗结果至关重要.
- 快速诊断,量身定制的抗真菌疗法和有效的源控制至关重要.
- 解决诊断和治疗的不确定性可以提高腹腔内候群的预后.
相关概念视频
01:30Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
250
A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
250
01:17Urinary Tract Infection IV: Nursing Management
432
In managing urinary tract infections (UTIs) in nursing, a comprehensive assessment is essential. Begin by gathering subjective data, such as the patient’s complaints of dysuria (painful urination), urinary frequency, urgency, suprapubic pain, and any lower abdominal discomfort. This information can be complemented by questions regarding previous UTIs, sexual activity, and personal hygiene practices, which can provide insight into risk factors. Objective assessment should focus on signs...
432
01:28Acute Pyelonephritis II: Diagnostic Studies and Management
308
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
308
01:21Inflammatory Bowel Disease V: Surgical Management
441
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
441
01:24Cystic Fibrosis: Management
467
Cystic fibrosis (CF) is an autosomal recessive disorder that predominantly affects individuals of Northern European descent, occurring at a rate of 1 in 3500. It is caused by a genetic mutation in a gene on chromosome 7, most commonly the ΔF508 mutation, that codes for the cystic fibrosis transmembrane conductance regulator (CFTR) protein. This results in thicker mucus secretions and obstruction pathologies in multiple organs, including the lungs and sinuses.
Sinus disease and chronic...
Sinus disease and chronic...
467