危重患者腹部念珠菌感染的新情况综述

L. Lagunes, A. Rey-Pérez
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引用次数: 3

摘要

摘要近年来,侵袭性念珠菌感染的发病率很高。入住重症监护室的患者患侵袭性念珠菌感染的风险最高,这主要是由于他们的疾病严重程度、免疫抑制状态、住院时间延长、广谱抗生素、感染性休克和念珠菌定植。腹腔内念珠菌感染包括一系列临床表现,从仅仅基于临床情况的怀疑到发烧、白细胞增多、生物标志物增加到责任微生物的分离。对于患有IAC的危重患者,及时治疗和充分的源头控制仍然是最终目标。
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What´s new in intraabdominal candidiasis in critically ill patients, a review
ABSTRACT A high prevalence of invasive candidiasis has been reported in recent years. Patients admitted to an intensive care unit are at the highest risk for invasive candidiasis, mostly due to the severity of their disease, immune-suppressive states, prolonged length of stay, broad-spectrum antibiotics, septic shock, and Candida colonization. Intraabdominal candidiasis comprises a range of clinical manifestations, from just the suspicion based on clinical scenario to fever, leukocytosis, increase in biomarkers to the isolation of the responsible microorganism. In critically ill patients with IAC prompt treatment and adequate source control remains the ultimate goal.
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