瑞典儿科传染病学会2025年关于伴有或不伴有休克的疑似儿科败血症初始治疗的建议。

IF 2.1 4区医学 Q1 PEDIATRICS

Acta Paediatrica Pub Date : 2025-07-28 DOI:10.1111/apa.70247

Annika Malmgren, Ioannis Orfanos, Johan Smedbäck, Karin Biswanger

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引用次数: 0

摘要

瑞典儿科传染病学会与急诊医学、麻醉和重症监护儿科学会合作，制定了2025年疑似败血症初步治疗建议。它们涵盖28天至18岁的矫正年龄，但不包括免疫缺陷、免疫抑制和疑似脑膜炎。脓毒症和脓毒症相关休克的怀疑是基于临床表现、生命参数和乳酸水平（如果有的话）。怀疑脓毒症合并休克1小时内开始治疗，怀疑脓毒症无休克3小时内开始治疗。它包括静脉输液和抗生素。血管活性药物、皮质类固醇和免疫调节疗法如有需要可加用。

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The Swedish Society of Paediatric Infectious Diseases' 2025 Recommendations for the Initial Management of Suspected Paediatric Sepsis With or Without Shock.

The Swedish Society of Paediatric Infectious Diseases worked with paediatric societies for emergency medicine, anaesthesia, and intensive care to produce the 2025 recommendations for the initial management of suspected sepsis. They cover 28 days of corrected age to 18 years, but exclude immunodeficiency, immunosuppression, and suspected meningitis. Suspicion of sepsis and sepsis-associated shock is based on clinical findings, vital parameters, and lactate levels, if available. Treatment should be initiated within 1 h of suspicion for sepsis with shock and 3 h for sepsis without shock. It includes intravenous fluids and antibiotics. Vasoactive medication, corticosteroids, and immunomodulatory therapies are added if needed.

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来源期刊

Acta Paediatrica 医学-小儿科

CiteScore

6.50

自引率

5.30%

发文量

384

审稿时长

2-4 weeks

期刊介绍： Acta Paediatrica is a peer-reviewed monthly journal at the forefront of international pediatric research. It covers both clinical and experimental research in all areas of pediatrics including: neonatal medicine developmental medicine adolescent medicine child health and environment psychosomatic pediatrics child health in developing countries