Antibiotics and timing in infectious disease in the emergency department

被引:31
作者
Gonzalez-Castillo, Juan [1 ]
Javier Candel, Francisco [2 ]
Julian-Jimenez, Agustin [3 ]
机构
[1] Hosp Clin San Carlos, Serv Urgencias, Madrid, Spain
[2] Hosp Clin San Carlos, Serv Microbiol Clin, Madrid, Spain
[3] Hosp Virgen Salud, Serv Urgencias, Toledo, Spain
来源
ENFERMEDADES INFECCIOSAS Y MICROBIOLOGIA CLINICA | 2013年 / 31卷 / 03期
关键词
Emergency department; Antibiotics; Time; Treatment; Bacteremia; Procalcitonin; Sepsis; Meningitis; Pneumonia; COMMUNITY-ACQUIRED PNEUMONIA; INTENSIVE-CARE-UNIT; INADEQUATE ANTIMICROBIAL TREATMENT; BLOOD-STREAM INFECTIONS; GOAL-DIRECTED THERAPY; BACTERIAL-MENINGITIS; SEVERE SEPSIS; SEPTIC SHOCK; HOSPITAL MORTALITY; SURGICAL-TREATMENT;
D O I
10.1016/j.eimc.2012.01.025
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Infectious diseases, besides being a major cause of mortality in developing countries, are one of the main reasons for consultation in emergency medicine. In the last few years, there have been numerous published studies on the importance of starting antibiotic treatment at an early stage in the Emergency Department. However, this issue is of great controversy, owing to some contradictory studies as well as the implications this may have on the pressure of the patient care. This review is presents a summary of the scientific evidence published in this regard, and makes some recommendations based on this published evidence to improve the initial management of patients with an infection; a question of great importance as it can reduce mortality in some specific situations. (C) 2011 Elsevier Espana, S.L. All rights reserved.
引用
收藏
页码:173 / 180
页数:8
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