医学
腹泻
重症监护医学
模式
肠外营养
艰难梭菌
肠内给药
模式治疗法
疾病
梅德林
生活质量(医疗保健)
重症监护室
外科
护理部
内科学
抗生素
法学
社会学
微生物学
生物
社会科学
政治学
作者
Marina Regueira Pitta,Franciele Maciel Campos,Alline Gonçalves Monteiro,A.G.F. Cunha,Juliana Dourado Porto,Raquel Rodrigues Gomes
摘要
Abstract This tutorial suggests a current strategy toward a multiprofessional therapy based upon a comprehensive step‐by‐step approach to the course of intensive care unit diarrhea episodes. Evidence published in the last 10 years, obtained through a database search (PubMed), shows that its prevalence is quite variable. Although multicausal, it is often erroneously associated with the supply of enteral nutrition. Several complications affect not only nutrition status but also the development of skin lesions, which can become the focus of infections, and the length of hospital stay. Here, we propose an early, objective, directed, and multimodal approach, aiming at optimizing care for these patients. In a dynamic walkthrough, the reader will find a guide for the general diagnosis and for colitis resulting from Clostridium difficile infections, as well as current instructions and recommendations for drug treatment and supportive therapy for these 2 modalities. We also bring together ways to prevent and treat associated skin lesions in this setting. Because it is neglected in the critical environment, diarrhea is still a poorly addressed disease, and its complications bring about a significant worsening in quality of life and hospital stay.
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