最后审阅: 30 Sep 2024
最后更新: 01 Dec 2023
小结
定义
病史和体格检查
关键诊断因素
- 存在的危险因素
- 腿疼
- 蜂窝织炎
- 腹泻
- 腹部绞痛
- 耳痛
- 眼痛、眼红
完整详情
其他诊断因素
- 发热
- 精神状态改变
- 恶心
- 呕吐
- 低血压
完整详情
危险因素
- 接触咸水或海水
- 处理和/或清洁海鲜
- 摄食生的或未煮熟的贝类
- 基础肝病(肝硬化、乙型肝炎或丙型肝炎、血色病)
- 正在接受皮质类固醇治疗或存在其他免疫抑制状态(HIV、化疗、实体器官移植)
完整详情
诊断性检查
首要检查
- 全血细胞计数
- 血小板计数
- 基础代谢检查
- 血乳酸
- 血培养
- 伤口拭子革兰染色
- 伤口拭子培养
- 粪便培养
- 耳道拭子培养
- 结膜拭子、角膜刮片或眼房抽吸物培养
- 无需培养的诊断性检测(CIDT)
完整详情
治疗流程
急症处理
脓毒症或严重全身性感染
仅局部皮肤/软组织感染
胃肠炎
浅表接种感染
撰稿人
作者
Michael Sands, MD, MPH & TM, FIDSA
Professor of Medicine
College of Medicine
University of Florida
Jacksonville
FL
利益声明
MS declares that he has no competing interests.
Carmen Isache, MD
Associate Professor of Medicine
College of Medicine
University of Florida
Jacksonville
FL
利益声明
CI declares that she has no competing interests.
同行评议者
Larry Bush, MD, FACP, FIDSA
Affiliated Professor of Medicine
Charles E. Schmidt College of Medicine
Florida Atlantic University
Affiliated Associate Professor of Medicine
Department of Medical Education
University of Miami-Miller School of Medicine
FL
利益声明
LB declares that he has no competing interests.
Franz Allerberger, MD, MPH
Professor of Clinical Microbiology
Austrian Agency for Health and Food Safety (AGES)
Vienna
Austria
利益声明
FA declares that he has no competing interests.
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