Consensus Document on the Diagnosis and Treatment of Chronic Bronchial Infection in Chronic Obstructive Pulmonary Disease
Consensus Document on the Diagnosis and Treatment of Chronic Bronchial Infection in Chronic Obstructive Pulmonary Disease
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DOI：
10.1016/j.arbres.2020.04.023
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发表时间：
2020-10-01
影响因子：
8
通讯作者：
Asesor del Documento, Comite
中科院分区：
文献类型：
--
作者：
de la Rosa Carrillo, David;Luis Lopez-Campos, Jose;Asesor del Documento, Comite
尽管稳定期慢性阻塞性肺疾病（COPD）患者气道中微生物的长期存在会导致不良结局，但在疾病管理指南中尚未建立关于如何诊断和治疗这些病例的建议。为了指导专业人员，西班牙肺科和胸外科学会（SEPAR）准备了一份文件，旨在回答关于偶尔或习惯性分离微生物的COPD患者的临床管理问题。由于现有的科学证据过于异质，无法用于创建临床实践指南，因此我们根据现有的科学文献和临床经验起草了一份文件，阐述了不同临床情况的定义及其诊断和管理。该文本是由一大批在该领域具有广泛临床和科学经验的呼吸医学专家协商一致起草和批准的，并得到了SEPAR科学委员会的认可。(C)2020年SEPAR。出版社：Elsevier Espana，S.L.U. All rights reserved.
Although the chronic presence of microorganisms in the airways of patients with stable chronic obstructive pulmonary disease (COPD) confers a poor outcome, no recommendations have been established in disease management guidelines on how to diagnose and treat these cases.In order to guide professionals, the Spanish Society of Pulmonology and Thoracic Surgery (SEPAR) has prepared a document which aims to answer questions on the clinical management of COPD patients in whom microorganisms are occasionally or habitually isolated. Since the available scientific evidence is too heterogeneous to use in the creation of a clinical practice guideline, we have drawn up a document based on existing scientific literature and clinical experience, addressing the definition of different clinical situations and their diagnosis and management. The text was drawn up by consensus and approved by a large group of respiratory medicine experts with extensive clinical and scientific experience in the field, and has been endorsed by the SEPAR Scientific Committee. (C) 2020 SEPAR. Published by Elsevier Espana, S.L.U. All rights reserved.