脓毒症流行病学,定义,评分系统和诊断标记。

IF 0.9 Q4 CRITICAL CARE MEDICINE
Critical Care Nursing Quarterly Pub Date : 2025-07-01 Epub Date: 2025-05-21 DOI:10.1097/CNQ.0000000000000570
Sujith Modugula, Mary Altenbaugh, Milla Ivanova, Tiffany DuMont, Hammad Arshad
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引用次数: 0

摘要

败血症是一种危及生命的器官功能障碍,由宿主对感染的反应失调引起。由于发病率和死亡率高,它是一个主要的全球健康问题。本文提供了脓毒症的全面概述,重点是其流行病学,定义,评分系统和诊断标记。流行病学部分强调败血症的全球负担,注意到不同地区和人群的发病率和死亡率的差异。它还讨论了与败血症相关的危险因素,包括年龄、合并症和卫生保健相关暴露。定义部分追溯脓毒症定义的演变,强调当前的脓毒症-3标准,将器官功能障碍作为关键诊断特征。评分系统,如顺序器官衰竭评估(SOFA)评分和快速SOFA (qSOFA)评分,在其组成、计算和解释方面进行了讨论。诊断标记部分详细介绍了败血症诊断中使用的临床、实验室和微生物参数,重点介绍了传统标记和新兴技术。结论总结了要点,并强调早期识别和遵守循证指南对改善脓毒症结局的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Sepsis Epidemiology, Definitions, Scoring Systems, and Diagnostic Markers.

Sepsis is a life-threatening organ dysfunction resulting from a dysregulated host response to infection. It is a major global health concern due to its high morbidity and mortality. This article provides a comprehensive overview of sepsis, focusing on its epidemiology, definitions, scoring systems, and diagnostic markers. The epidemiology section highlights the global burden of sepsis, noting variations in incidence and mortality across different regions and populations. It also discusses the risk factors associated with sepsis, including age, comorbidities, and healthcare-associated exposures. The definitions section traces the evolution of sepsis definitions, emphasizing the current sepsis-3 criteria, which focus on organ dysfunction as a key diagnostic feature. Scoring systems, such as the Sequential Organ Failure Assessment (SOFA) score and the Quick SOFA (qSOFA) score, are discussed in terms of their components, calculation, and interpretation. The diagnostic markers section details the clinical, laboratory, and microbiological parameters used in sepsis diagnosis, highlighting traditional markers and emerging technologies. The conclusion summarizes the key points and emphasizes the importance of early recognition and adherence to evidence-based guidelines for improving sepsis outcomes.

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来源期刊
Critical Care Nursing Quarterly
Critical Care Nursing Quarterly CRITICAL CARE MEDICINE-
CiteScore
2.60
自引率
0.00%
发文量
76
期刊介绍: Critical Care Nursing Quarterly (CCNQ) is a peer-reviewed journal that provides current practice-oriented information for the continuing education and improved clinical practice of critical care professionals, including nurses, physicians, and allied health care professionals.
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