重症监护中最常见的错误--抗生素。

Q4 Medicine Rozhledy v Chirurgii Pub Date : 2024-01-01 DOI:10.33699/PIS.2024.103.3.79-83
V Adámková
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引用次数: 0

摘要

抗生素耐药性的大幅增加和新型有效抗生素的有限范围是我们应该考虑合理使用抗感染治疗方法的原因。在临床实践中,经常可以发现在治疗危重病人时过度使用抗生素和非适应症使用抗生素的情况。抗生素治疗通常是经验性的,或者只是基于治疗上的不确定性,而不仅仅局限于重症监护室的病人。在取样进行微生物分析之前就使用了抗生素,或者没有根据实验室结果调整治疗方案。解决之道在于抗生素管理,这是确保抗生素在未来数年内足够有效的方法。
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The most common mistakes in intensive care - antibiotics.

The enormous increase in antibiotic resistance and the limited spectrum of new, effective antibiotics are the reasons why we should think about a rational approach to anti-infective therapy. The excessive and non-indicated use of antibiotics while treating critically ill patients can be found quite often in clinical practice. Antibiotic therapy is usually indicated empirically, or it is only based on therapeutic indecision, not just in ICU patients. The antibiotics are administered before taking a sample for microbiological analysis or there is no therapy adjustment based on the laboratory findings. The solution lies in antibiotic stewardship, which is the way to ensure that antibiotics will be sufficiently effective in years to come.

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来源期刊
Rozhledy v Chirurgii
Rozhledy v Chirurgii Medicine-Medicine (all)
CiteScore
0.50
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67
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