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[危及生命感染的经验性抗生素治疗——当前概念与争议]

[Empirical antibiotic therapy in life-threatening infections-current concepts and controversies].

作者信息

Brinkmann A, Chiriac U, Eckmann C, Frey O R, Grabein B, Hagel S, Richter D, Liebchen U

机构信息

Klinik für Anästhesie, operative Intensivmedizin und spezielle Schmerztherapie, Klinikum Heidenheim, Schlosshaustraße 100, 89522, Heidenheim, Deutschland.

Apotheke, Universitätsklinikum Heidelberg, Heidelberg, Deutschland.

出版信息

Anaesthesiologie. 2025 Aug;74(8):476-488. doi: 10.1007/s00101-025-01531-8. Epub 2025 May 15.

Abstract

Along with early administration and the selection of the right drug, it is important to consider pharmacokinetic and pharmacodynamic principles, especially in life-threatening infections. Therefore, successful antibiotic therapy requires a clear understanding of the relationship between microbiology, pharmacology, and intensive care medicine. Open and transparent communication among professionals is essential for improving the quality of care. This article discusses current concepts and controversies by presenting a relevant case study of community-acquired pneumonia. It aims to help clinicians select the right drug for each patient, including the correct dose, the appropriate administration, and the right duration of treatment.

摘要

除了早期给药和选择合适的药物外,考虑药代动力学和药效学原理也很重要,尤其是在危及生命的感染中。因此,成功的抗生素治疗需要清楚地了解微生物学、药理学和重症医学之间的关系。专业人员之间开放和透明的沟通对于提高护理质量至关重要。本文通过呈现一个社区获得性肺炎的相关案例研究来讨论当前的概念和争议。其目的是帮助临床医生为每位患者选择合适的药物,包括正确的剂量、适当的给药方式和正确的治疗持续时间。

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