败血症和脓毒性休克的全球负担

L. La Via, G. Sangiorgio, S. Stefani, Andrea Marino, Giuseppe Nunnari, S. Cocuzza, I. La Mantia, Bruno Cacopardo, Stefano Stracquadanio, Serena Spampinato, S. Lavalle, A. Maniaci
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引用次数: 0

摘要

宿主对感染的反应失调会导致脓毒症和脓毒性休克这两种可能致命的疾病出现器官功能障碍。尽管医疗水平不断进步,但这两种疾病的发病率和死亡率仍然居高不下,成为全球主要的健康负担。这篇详尽的综述旨在全面总结目前有关败血症和脓毒性休克在全球流行情况的知识。我们利用广泛使用的计算机数据库对文献进行了全面检索,并根据预先确定的纳入和排除标准选择了相关研究。综述采用了叙事方法,对检索到的数据进行了综合。综述的结论表明,不同地区和国家在脓毒症和脓毒性休克的发病率、流行率和死亡率方面存在很大差异。与高收入国家(HICs)相比,中低收入国家(LMICs)的负担更重,不成比例。我们讨论了各种医疗环境中的风险因素、合并症以及临床管理和诊断方面的困难。综述强调,为了成功应对脓毒症和脓毒性休克给全球带来的负担,需要开展更多的研究,提高人们的认识,并根据具体情况采取干预措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Global Burden of Sepsis and Septic Shock
A dysregulated host response to infection causes organ dysfunction in sepsis and septic shock, two potentially fatal diseases. They continue to be major worldwide health burdens with high rates of morbidity and mortality despite advancements in medical care. The goal of this thorough review was to present a thorough summary of the current body of knowledge about the prevalence of sepsis and septic shock worldwide. Using widely used computerized databases, a comprehensive search of the literature was carried out, and relevant studies were chosen in accordance with predetermined inclusion and exclusion criteria. A narrative technique was used to synthesize the data that were retrieved. The review’s conclusions show how widely different locations and nations differ in terms of sepsis and septic shock’s incidence, prevalence, and fatality rates. Compared to high-income countries (HICs), low- and middle-income countries (LMICs) are disproportionately burdened more heavily. We talk about risk factors, comorbidities, and difficulties in clinical management and diagnosis in a range of healthcare settings. The review highlights the need for more research, enhanced awareness, and context-specific interventions in order to successfully address the global burden of sepsis and septic shock.
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