协和医学杂志2024,Vol.15Issue(3) :489-497.DOI:10.12290/xhyxzz.2024-0119

重症医学科的医院感染与非医院感染

Hospital Acquired Infections and Non-Hospital Acquired Infections in the Department of Critical Care Medicine

史展 常志刚
协和医学杂志2024,Vol.15Issue(3) :489-497.DOI:10.12290/xhyxzz.2024-0119

重症医学科的医院感染与非医院感染

Hospital Acquired Infections and Non-Hospital Acquired Infections in the Department of Critical Care Medicine

史展 1常志刚1
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作者信息

  • 1. 国家老年医学中心 中国医学科学院老年医学研究院 北京医院重症医学科,北京 100730
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摘要

重症医学科感染患者来源复杂、感染部位多样,可能合并多种病原菌感染,且其耐药率高,为临床诊疗带来了巨大挑战.重症医学科感染可分为医院感染和非医院感染2种类型,二者临床特点存在较大差异.本文从医院感染与非医院感染的角度出发,就重症感染的相关概念、危险因素、发病机制以及血流感染、肺部感染、腹腔感染、颅内感染等常见重症感染特点、诊治方案与防控策略展开论述,以期为重症患者的临床管理提供有价值的指导.

Abstract

Patients with infections in the department of critical care medicine have complex sources and diverse sites of infection,which may be associated with multiple pathogenic bacteria and have a high rate of drug resistance,posing a significant challenge to clinical diagnosis and treatment.Infections in the depart-ment of critical care medicine can be divided into two types:hospital acquired infections and non-hospital ac-quired infections,with significant differences in clinical characteristics between the two.This article discusses the relevant concepts,risk factors,pathogenesis,and common characteristics of severe infections such as bloodstream infections,pulmonary infections,intra-abdominal infections,and intracranial infections,as well as diagnostic and treatment plans and prevention and control strategies from the perspectives of hospital ac-quired and non-hospital acquired infections,aiming to provide valuable guidance for the clinical management of critically ill patients.

关键词

重症医学/重症感染/医院感染/多重耐药菌感染/感染防控

Key words

critical care medicine/severe infection/hospital acquired infection/multidrug-resistant infection/infection prevention and control

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基金项目

国家重点研发计划(2023YFC3011803)

出版年

2024
协和医学杂志
中国医学科学院 北京协和医院

协和医学杂志

CSTPCDCSCD北大核心
影响因子:0.754
ISSN:1674-9081
参考文献量54
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