医疗保健相关脑膜炎的诊疗现状

Current Status of Diagnosis and Treatment of Healthcare-Associated Meningitis

医疗保健相关脑膜炎是一种特殊的脑膜炎,其病原学谱、临床表现、治疗都有区别于社区获得性脑膜炎。它具有死亡率高、致残率高的特点,严重威胁了患者的生命。本文综述了目前医疗保健相关脑膜炎的诊疗现状,对其病原学特点、临床特点、辅助检查的选择以及治疗方式作出总结,以期帮助临床医师实现对该疾病的早识别、早治疗,改善患者结局。Healthcare-associated meningitis is a special type of meningitis, and whose etiological spectrum, clinical manifestations and treatment are different from community-acquired meningitis. It has the characteristics of high mortality rate and high disability rate, seriously threatening the lives of patients. This article reviews the current diagnosis and treatment status of healthcare-related meningitis, summarizes its etiological characteristics, clinical characteristics, selection of auxiliary examination and treatment methods, in order to help clinicians realize early identification and treatment of the disease and improve patients’ outcomes.