WSES/GAIS/SIS-E/WSIS/AAST制定的《腹腔感染患者全球临床路径》解读
Interpretation of the World Society of the Emergency Surgery/the Global Alliance for Infection in Surgery/the Surgical Infection Society-Europe/the World Surgical Infection Society/the American Association for the Surgery of Trauma global clinical pathways for patients with intra- abdominal infections
腹腔感染(IAI)是常见的外科急症,也是全球医院急诊外科非创伤性死亡的主要原因。IAI的管理原则包括早期诊断、充分的感染源控制、合理的抗菌药物治疗以及利用重症监护资源迅速稳定患者生理状态,并结合最适的外科干预方式进行综合治疗。世界急诊外科学会(WSES)、全球外科感染联盟(GAIS)、欧洲外科感染学会(SIS-E)、世界外科感染学会(WSIS)和美国创伤外科协会(AAST)共同发布了一份国际多学会文件,为最常见的IAI建立循证临床路径,从而促进全球IAI患者的临床管理,形成IAI管理的全球标准,为临床医生提供指导。本文结合IAI国内外目前最新研究进展对该路径进行解读,以期国内医生根据实际临床情况优化诊疗,使患者最终获益。
更多Intra-abdominal infections (IAI) is common surgical emergencies and have been reported as major contributors to non-trauma deaths in hospitals worldwide. The principles of IAI management included early diagnosis, adequate source control, appropriate antimicrobial therapy, and prompt physiologic stabilization using critical care resources, combined with an optimal surgical approach. In order to facilitate clinical management, establish a global standard and provide guidance for clinicians, the World Society of Emergency Surgery (WSES), the Global Alliance for Infection in Surgery (GAIS), the Surgical Infection Society-Europe (SIS-E), the World Surgical Infection Society (WSIS), and the American Association for the Surgery of Trauma (AAST) worked together to complete an international multi-society document, which provided the evidence-based clinical pathways. Herein, we made a comprehensive interpretation for the clinical pathways combined with the latest domestic and international research developments, aiming to provide evidence for domestic doctors on the diagnosis and treatment of IAI, and ultimately benefit patients.
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