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抗生素相关腹泻识别与处理 被引量:14

Recognition and management of antibiotic-associated diarrhea
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摘要 抗生素相关腹泻(AAD)为抗生素应用的重要并发症,可分为感染性AAD及非感染性AAD。感染性AAD最常见的病原菌为艰难梭菌,其临床表现严重,并可引起伪膜性肠炎。非感染性AAD为临床常见的AAD类型,临床症状轻。AAD的首要治疗为调整或停用抗生素,并可联用菌群调节剂等,对于怀疑为感染性AAD者,可经验性给予肠道内应用万古霉素或甲硝唑治疗。合理的抗生素、微生态制剂的使用是预防AAD的有效措施。 Antibiotic-associated diarrhea (AAD) is an important complication of antibiotic use, which can be divided into infective type and non-infective type. The most common pathogenic bacteria of the infective AAD is elostridium difficile, which has serious clinical manifestations, and can cause pseudomembranous colitis. Non-infective AAD is the most frequent pattern of AAD, The discontinuation and replacement of the inciting antibiotics can be effective for most AAD, and intestinal flora regulation should be used. Empiric therapy of enteral administration of vaneomyein or metronidazole should be used for infective AAD. Rational use of antibiotics and the use of probioties are effective measures for the prevention of AAD.
出处 《中国实用外科杂志》 CSCD 北大核心 2016年第2期168-171,共4页 Chinese Journal of Practical Surgery
关键词 抗生素相关腹泻 腹泻 艰难梭菌 伪膜性肠炎 antibiotic-associated diarrhea diarrhea clostridium difficile pseudomembranous colitis
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