每日一读使用阿昔洛韦对呼吸机相关性肺

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使用阿昔洛韦对呼吸机相关性肺炎和高载量单纯疱疹病毒复制患者生存的影响

Impactofacycloviruseonsurvivalofpatientswithventilator-associatedpneumoniaandhighloadherpessimplexvirusreplication

译者:金仁华

校对:医院

Abstract

Background:Herpessimplexvirus(HSV)replicationcanbedetectedintherespiratorysecretionsofahighproportionofventilatedintensivecareunit(ICU)patients.However,theclinicalsignificanceremainspoorlydefined.Weinvestigatedwhetherpatientswithventilator-associatedpneumonianotrespondingtoantibioticsandinwhomhighlevelsofHSVcouldbedetectedinrespiratorysecretionsbenefitfromacyclovirtreatment.

Methods:Respiratorysecretions(bronchoalveolarlavagefluidortrachealaspirates)weretestedforHSVreplicationbyquantitativereal-timePCR.ICUsurvivaltimes,clinicalparameters,andradiographicfindingswereretrospectively

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