呼吸机相关肺炎的诊治进展

被引:8
作者
陈小东
机构
[1] 复旦大学附属华山医院呼吸科
关键词
呼吸机相关肺炎; 经验性抗菌治疗; 降阶梯治疗; 短程治疗;
D O I
暂无
中图分类号
R563.1 [肺炎];
学科分类号
100201 [内科学];
摘要
呼吸机相关肺炎(VAP)是一类严重的院内感染,几乎占重症监护病房感染的1/3,病死率极高。其病原茵主要为细菌,其中约1/3为混合性感染。检测到病原微生物是诊断VAP的"金标准"。在未获得病原学和药敏试验资料前,合理的经验性抗菌治疗尤为重要。本文主要阐述目前VAP的诊疗进展,尤其是抗菌药物治疗方面,如经验性抗菌治疗、降阶梯治疗、短程治疗及单药治疗。
引用
收藏
页码:538 / 542
页数:5
相关论文
共 5 条
[1]
Early predictors for infection recurrence and death in patients with ventilator-associated pneumonia [J].
Combes, Alain ;
Luyt, Charles-Edouard ;
Fagon, Jean-Yves ;
Wolff, Michel ;
Trouillet, Jean-Louis ;
Chastre, Jean .
CRITICAL CARE MEDICINE, 2007, 35 (01) :146-154
[2]
Both early-onset and late-onset ventilator-associated pneumonia are caused mainly by potentially multiresistant bacteria [J].
Giantsou, E ;
Liratzopoulos, N ;
Efraimidou, E ;
Panopoulou, M ;
Alepopoulou, E ;
Kartali-Ktenidou, S ;
Minopoulos, GI ;
Zakynthinos, S ;
Manolas, KI .
INTENSIVE CARE MEDICINE, 2005, 31 (11) :1488-1494
[3]
Invasive approaches to the diagnosis of ventilator-associated pneumonia: A meta-analysis [J].
Shorr, AF ;
Sherner, JH ;
Jackson, WL ;
Kollef, MH .
CRITICAL CARE MEDICINE, 2005, 33 (01) :46-53
[4]
β lactam monotherapy versus β lactam-aminoglycoside combination therapy for sepsis in immunocompetent patients: systematic review and meta-analysis of randomised trials.[J].Mical Paul;Ishay Benuri-Silbiger;Karla Soares-Weiser;Leonard Leibovici.BMJ: British Medical Journal.2004, 7441
[5]
呼吸机相关肺炎预防研究进展 [J].
刘庆华 ;
何礼贤 .
国外医学呼吸系统分册., 2004, (03) :122-124