留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

感染性疾病诊疗的思考

马小军

马小军. 感染性疾病诊疗的思考[J]. 协和医学杂志, 2018, 9(5): 393-398. doi: 10.3969/j.issn.1674-9081.2018.05.003
引用本文: 马小军. 感染性疾病诊疗的思考[J]. 协和医学杂志, 2018, 9(5): 393-398. doi: 10.3969/j.issn.1674-9081.2018.05.003
Xixojun MA. Overview of Diagnosis and Treatment of Infectious Diseases[J]. Medical Journal of Peking Union Medical College Hospital, 2018, 9(5): 393-398. doi: 10.3969/j.issn.1674-9081.2018.05.003
Citation: Xixojun MA. Overview of Diagnosis and Treatment of Infectious Diseases[J]. Medical Journal of Peking Union Medical College Hospital, 2018, 9(5): 393-398. doi: 10.3969/j.issn.1674-9081.2018.05.003

感染性疾病诊疗的思考

doi: 10.3969/j.issn.1674-9081.2018.05.003
详细信息
    作者简介:

    马小军:电话:010-69155081, E-mail:drmaxiaojun@sina.com

  • 中图分类号: R442.8

Overview of Diagnosis and Treatment of Infectious Diseases

More Information
  • 摘要: 科学技术进步带来的医学发展,对包括感染在内的很多疾病诊疗水平的提高作出了巨大贡献。但不可否认的是,感染依旧是威胁人类健康的重要病种。即便最先进的病原鉴定技术,也没能改变感染性疾病早期诊疗实践中,以感染内科医生为主体的经验性治疗和综合判断为主要手段的诊疗模式。因此,在我国目前感染专科医生普遍比较匮乏的现状下,如何提高临床医生对感染性疾病的综合诊疗能力,在接诊早期制定出符合患者后续诊疗需要的方案至关重要。本文拟结合临床实践和国际先进经验,对感染性疾病的诊疗思路进行梳理,以期为临床医生提供借鉴。
  • 图  1  2016年全球前10位死亡原因

  • [1] http://www.who.int/news-room/fact-sheets/detail/sepsis.
    [2] http://www.who.int/zh/news-room/fact-sheets/detail/the-top-10-causes-of-death.
    [3] Goto M, Schweizer ML, Vaughan-Sarrazin MS, et al.Association of Evidence-Based Care Processes With Mortality in Staphylococcus aureus Bacteremia at Veterans Health Administration Hospitals, 2003-2014[J].JAMA Intern Med, 2017, 177:1489-1497. doi:  10.1001/jamainternmed.2017.3958
    [4] Morgan DJ, Dhruva SS, Wright SM, et al. Update on Medical Practices That Should Be Questioned in 2015[J]. JAMA Intern Med, 2015, 175:1960-1964. doi:  10.1001/jamainternmed.2015.5614
    [5] Pham OH, McSorley SJ. Protective host immune responses to Salmonella infection[J]. Future Microbiol, 2015, 10: 101-110. doi:  10.2217/fmb.14.98
    [6] Hoenigl M, Strenger V, Buzina W, et al. European Organization for the Research and Treatment of Cancer/ Mycoses Study Group (EORTC/MSG) host factors and invasive fungal infections in patients with haematological malignancies[J]. J Antimicrob Chemother, 2012, 67: 2029-2033. doi:  10.1093/jac/dks155
    [7] Drinka P, Niederman MS, El-Solh AA, et al. Assessment of risk factors for multi-drug resistant organisms to guide empiric antibiotic selection in long term care: a dilemma[J]. J Am Med Dir Assoc, 2011, 12:321-325. doi:  10.1016/j.jamda.2010.06.012
    [8] Aliberti S, Di Pasquale M, Zanaboni AM, et al. Stratifying risk factors for multidrug-resistant pathogens in hospitalized patients coming from the community with pneumonia[J]. Clin Infect Dis, 2012, 54:470-478. doi:  10.1093/cid/cir840
    [9] Lambke M.Local antibiograms can reduce inappropriate antibiotic prescribing[J]. Am Fam Physician, 2012, 85:948-950. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=c9549cfbf52d4119d5aac8e246d32139
    [10] http://mghlabtest.partners.org/Microbiology.htm.
    [11] Bissonnette L, Bergeron MG. Diagnosing infections—current and anticipated technologies for point-of-care diagnostics and home-based testing[J]. Clin Microbiol Infect, 2010, 16:1044-1053. doi:  10.1111/j.1469-0691.2010.03282.x
    [12] Chiu CY, Bres V, Yu G, et al. Genomic Assays for Identification of Chikungunya Virus in Blood Donors, Puerto Rico, 2014[J]. Emerg Infect Dis, 2015, 21:1409-1413. doi:  10.3201/eid2108.150458
    [13] Chiu CY. Viral pathogen discovery[J]. Curr Opin Microbiol, 2013, 16:468-478. doi:  10.1016/j.mib.2013.05.001
    [14] https://www.cdc.gov/hai/organisms/cre/trackingcre.html.
    [15] https://www.hopkinsmedicine.org/amp/index.html.
    [16] https://www.mayoclinic.org/departments-centers/infectious-diseases/overview.
  • 加载中
图(1)
计量
  • 文章访问数:  429
  • HTML全文浏览量:  95
  • PDF下载量:  330
  • 被引次数: 0
出版历程
  • 收稿日期:  2018-06-11
  • 刊出日期:  2018-09-30

目录

    /

    返回文章
    返回

    【温馨提醒】近日,《协和医学杂志》编辑部接到作者反映,有多名不法人员冒充期刊编辑发送见刊通知,鼓动作者添加微信,从而骗取版面费的行为。特提醒您,本刊与作者联系的方式均为邮件通知或电话,稿件进度通知邮箱为:mjpumch@126.com,编辑部电话为:010-69154261,请提高警惕,谨防上当受骗!如有任何疑问,请致电编辑部核实。谢谢!