泛复杂腹腔感染概念的意义及诊治策略
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摘要
腹腔感染是临床上比较常见的疾病类型,是一类疾病的统称。既往指南及综述中主要根据感染的来源将其分为:社区获得性腹腔感染和卫生保健相关腹腔感染,根据感染的范围分为非复杂腹腔感染和复杂腹腔感染。然而随着临床实践的不断深入,以腹腔感染的来源及范围分类与临床诊治难易与转归不相一致。"泛复杂腹腔感染"概念的提出,期望引发专家们对腹腔感染诊疗问题的共同探讨和思考。
Intra-abdominal infections(IAIs)is common in the clinic which includes a variety of pathological conditions,ranging from uncomplicated appendicitis to fecal peritonitis.IAIs can be classified as healthcare-associated IAIs and community-acquired IAIs according to the circumstance of origin.IAIs can be also classified as uncomplicated IAIs and complicated IAIs according to the extent of infection.However,the circumstance of origin and extent of infection can't predict the therapy difficulty and clinical outcome.So,the authors first propose the new concept of "pan-complicated IAIs" and elaborate its clinical significance which may evoke the interest of clinicians to pay close attention to the diagnosis and treatment of IAIs.
Intra-abdominal infections(IAIs)is common in the clinic which includes a variety of pathological conditions,ranging from uncomplicated appendicitis to fecal peritonitis.IAIs can be classified as healthcare-associated IAIs and community-acquired IAIs according to the circumstance of origin.IAIs can be also classified as uncomplicated IAIs and complicated IAIs according to the extent of infection.However,the circumstance of origin and extent of infection can't predict the therapy difficulty and clinical outcome.So,the authors first propose the new concept of "pan-complicated IAIs" and elaborate its clinical significance which may evoke the interest of clinicians to pay close attention to the diagnosis and treatment of IAIs.
引文
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[10]Mazuski JE,Tessier JM,May AK,et al.Response to"re-thinking the definition of complicated intra-abdominal infection"[J].Surg Infect(Larchmt),2017,18(3):375-376.(2019-05-03收稿)
[2]Emmi V,Sganga G,SgangaG.Clinical diagnosis of intra-abdominal infections[J].J Chemother,2009,21(suppl):12-18.
[3]Mazuski JE,Tessier JM,May AK,et al.The surgical infection society revised guidelines on the management of intra-abdominal infection[J].Surg Infect(Larchmt),2017,18(1):1-76.
[4]Solomkin JS,Mazuski JE,Bradley JS,et al.Diagnosis and management of complicated intra-abdominal infection in adults and children:guidelines by the surgical infection society and the infectious diseases society of america[J].Clin Infect Dis,2010,50(2):133-164.
[5]Sartelli M,Viale P,Catena F,et al.2013 WSES guidelines for management of intra-abdominal infections[J].World J Emerg Surg,2013,8(1):3.
[6]Sartelli M,Chichom-Mefire A,Labricciosa FM,et al.The management of intra-abdominal infections from a global perspective:2017 WSES guidelines for management of intra-abdominal infections[J].World J Emerg Surg,2017,12:29.
[7]任建安,黎介寿.严重腹腔感染的手术治疗[J].中国实用外科杂志,2004,24(6):335-336.
[8]任建安,黎介寿.严重腹腔感染的综合治疗[J].中国实用外科杂志,2007,27(12):940-942.
[9]Zhang J,Di Y,Wang Z,et al.Re-thinking the definition of complicated intra-abdominal infection[J].Surg Infect(Larchmt),2017,18(3):374.
[10]Mazuski JE,Tessier JM,May AK,et al.Response to"re-thinking the definition of complicated intra-abdominal infection"[J].Surg Infect(Larchmt),2017,18(3):375-376.(2019-05-03收稿)