感染诊疗应得到重视:支持美国感染病学会

Sepsis是导致重症患者死亡的重要原因。近年来，随着临床和基础研究的不断发展，人们对于Sepsis定义、诊断以及治疗认识不断深入，患者病死率持续下降。每4年颁布一次并更新的“拯救Sepsis运动(Surviving Sepsis Campaign，SSC)”指南受到国际广泛重视。2016年版SSC指南，在对Sepsis和感染性休克重新定义、重新制定诊断标准的基础上，于2017年1月正式发布。然而，2017年11月，美国感染病学会(Infectious Disease Society of America, IDSA)即在其官方期刊Clin Infect Dis发表公开声明，对2016年版SSC指南中关于感染诊疗的推荐意见提出质疑。本文站在IDSA的立场，尝试从Sepsis概念、诊断及治疗3个方面解读IDSA声明，探讨Sepsis中的“感染”问题。

Attach Importance to the Diagnosis and Treatment of Infection:Stand for Infectious Disease Society of America

Sepsis is one of the leading causes of morbidity and mortality in critically ill patients. With the development of understanding in the definition, diagnosis, and treatment of sepsis, the mortality rate is significantly reduced. The Surviving Sepsis Campaign Guideline: International Guidelines for Management of Sepsis and Septic Shock, which is released every four years, has received an extensive international attention. Based on big changes in the definition and diagnosis of sepsis and septic shock, the 2016 version of the SSC guideline was formally released in January 2017. However, just in November 2017, Infectious Disease Society of America (IDSA)issued a public statement in its official journal, Clinical Infectious Diseases, to question the recommendations of the 2016 SSC guidelines on the diagnosis and treatment of infection. Why did such a heated disagreement break out between the international medical authoritative societies over sepsis and infection? According to the concept, diagnosis, and treatment of sepsis, this article attempts to stand in the position of IDSA to interpret the IDSA statement and discuss the topic of "sepsis" and "infection".