解析重症感染的抗感染治疗策略课件.PPTVIP

抗微生物药物耐药时代重症感染的抗感染治疗策略中国医科大学附属第一医院感染性疾病科Chenbaiyi63@163.com 抗微生物药物耐药时代重症感染的抗感染治疗策略?重症感染与医院感染?重症感染的病原学－以医院感染为例? －医院感染病原体流行病学? －细菌耐药机制对药物选择的启示?重症感染的抗感染治疗策略 重症感染？SepsisSIRS plus Documented InfectSIRSat least 2 of the following Severe SepsisT°38°C or 37°C Sepsis plus organ failurePulse 90 beats/ minSeptic shockSevere sepsis andRR 20 breaths/minWBC 12,000 cells/ml,4,000 cells/mlor 10% immature formsHypotensiondespiteadequateACCP/SCCM consensus conference 1 Mortality in sepsis706050403020100SIRSSepsis Severe Sepsissepsis shockMain determinant of mortality:Organ failure 知 识证据病人/医生因文化信仰个人价值经验病人资料基础