Nosocomial spontaneous bacterial peritonitis antibiotic treatment in the era of multi-drug resistance pathogens: A systematic review.

Nosocomial spontaneous bacterial peritonitis antibiotic treatment in the era of multi-drug resistance pathogens: A systematic review.
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DOI:
10.3748/wjg.v23.i25.4654
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发表时间:
2017-07-07
影响因子:
4.3
通讯作者:
Pace MC
Pace MC
中科院分区:
医学2区
文献类型:
--
作者:
Fiore M;Maraolo AE;Gentile I;Borgia G;Leone S;Sansone P;Passavanti MB;Aurilio C;Pace MC

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鉴于多重耐药(MDR)细菌的重要性日益增加,系统回顾医院内自发性细菌性腹膜炎(N-SBP)的病因学文献。使用以下检索策略对MEDLINE和Google Scholar数据库进行了2000年至2016年11月15日的文献检索:“自发性”和“腹膜炎”。通过电子数据库进行的初步检索共检索到2556条记录。删除重复项后,保留了1958项记录。其中1735篇基于标题和摘要的筛选而被排除,随后剩余的文章数量为223篇。在这些记录中,经过仔细评估,只有9个被纳入定性分析。MDR细菌的总体比例在研究中占病例的22%至73%。N-SBP是由MDR病原体引起的,占很大比例。这应该促使我们重新仔细评估治疗这种临床疾病的指南。
To systematically review literature upon aetiology of nosocomial spontaneous bacterial peritonitis (N-SBP) given the rising importance of multidrug-resistant (MDR) bacteria. A literature search was performed on MEDLINE and Google Scholar databases from 2000 to 15th of November 2016, using the following search strategy: “spontaneous” AND “peritonitis”. The initial search through electronic databases retrieved 2556 records. After removing duplicates, 1958 records remained. One thousand seven hundred and thirty-five of them were excluded on the basis of the screening of titles and abstract, and the ensuing number of remaining articles was 223. Of these records, after careful evaluation, only 9 were included in the qualitative analysis. The overall proportion of MDR bacteria turned out to be from 22% to 73% of cases across the studies. N-SBP is caused, in a remarkable proportion, by MDR pathogens. This should prompt a careful re-assessment of guidelines addressing the treatment of this clinical entity.
比较在Embase,Medline和Google Scholar:一项前瞻性研究中对120个系统评价进行搜索的覆盖范围,召回和精确度。
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