临床误诊误治2024,Vol.37Issue(15) :95-100.DOI:10.3969/j.issn.1002-3429.2024.15.019

优化脓毒症早期抗生素治疗策略的研究进展

Progress in Optimizing Antibiotic Treatment Strategies for Early Sepsis

吴狄 刘善收 王倩梅 李俊杰
临床误诊误治2024,Vol.37Issue(15) :95-100.DOI:10.3969/j.issn.1002-3429.2024.15.019

优化脓毒症早期抗生素治疗策略的研究进展

Progress in Optimizing Antibiotic Treatment Strategies for Early Sepsis

吴狄 1刘善收 2王倩梅 2李俊杰2
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作者信息

  • 1. 710000 西安,西安医学院研究生工作部
  • 2. 710032 西安,空军军医大学第一附属医院急诊科
  • 折叠

摘要

脓毒症是感染引起的宿主反应失调,导致危及生命的器官功能障碍,病死率较高.脓毒症治疗的关键在于抗生素的合理使用,包括及时性、精准性以及个体化治疗.本文系统查阅国内外关于脓毒症抗生素抗菌谱与治疗时机、不同感染部位常见病原菌与耐药性、抗生素治疗方案与不良反应的文献并进行综述,以提高临床医师早期选用抗生素的精准性:基于病原菌流行病学和药敏学特征合理地选用抗生素,结合药效学和药代学特点优化脓毒症早期抗生素治疗策略,改善患者预后.

Abstract

Sepsis is a host response disorder caused by infection that leads to life-threatening organ dysfunction with a high fatality rate.The key to sepsis treatment is the rational use of antibiotics,including timeliness,precision and individual-ized treatment.In this study,domestic and foreign literature on antibiotic antibacterial spectrum and treatment timing,com-mon pathogens and drug resistance in different infection sites,antibiotic treatment plans and adverse reactions was systemati-cally reviewed,so as to improve the accuracy of early antibiotic selection by clinicians:Based on the epidemiology and phar-macokinetic characteristics of pathogenic bacteria,antibiotics were selected reasonably,combined with pharmacodynamics and pharmacokinetic characteristics to optimize the early antibiotic treatment strategy for sepsis,and improve the prognosis of pa-tients.

关键词

脓毒症/抗菌药/抗菌谱/微生物敏感性试验/耐药性/药代学/药效学/综述

Key words

Sepsis/Anti-bacterial agents/Antimicrobial Spectrum/Microbial sensitivity tests/Drug resistance/Pharmacokinetics/Pharmacodynamics/Review

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基金项目

空军军医大学临床研究项目(2023LC2335)

西京医院医务人员培养助推项目(XJZT24CY22)

西京医院医务人员培养助推项目(XJZT24LY08)

出版年

2024
临床误诊误治
解放军白求恩国际和平医院

临床误诊误治

CSTPCD
影响因子:0.914
ISSN:1002-3429
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