摘要
急性呼吸道感染(ARTI)是儿科常见病、多发病,明确其病因有助于精准的规范化防治。目前,各级儿科医师对儿童ARTI病原学检测与临床管理存在认知水平差异,尤其对儿童不明原因ARTI尚无统一定义和诊疗路径。为提高ARTI病原学检测合理性,优化治疗策略和管理流程,中华医学会儿科学分会呼吸学组组织专家,围绕儿童ARTI病原学初判、诊断流程、病原检测方法选择、二代测序结果合理指导临床、病情评估、经验性治疗和管理、新发突发呼吸道传染病早期识别与处置,基于国内外相关文献和临床经验制订了本专家共识,对儿童ARTI病原学诊断与管理思路给出推荐意见。旨在同质性提高儿科医疗服务整体水平,改善儿童ARTI的转归和预后。
Acute respiratory tract infection(ARTI)is a common and prevalent disease in children.Defining its etiology is essential for precise and standardized prevention and treatment.There exists a disparity in the understanding of pathogen detection and clinical management of childhood ARTI among pediatricians at all levels,particularly regarding the lack of a unified definition and diagnostic and therapeutic pathway for ARTI of unknown etiology in children.To improve the rationality of etiological detection for ARTI,optimize treatment strategies and management processes,the Subspecialty Group of Respiratory Diseases,the Society of Pediatrics,Chinese Medical Association developed this expert consensus.It addresses initial etiological assessment,diagnostic workflow,selection of diagnostic methods,clinical guidance based on next-generation sequencing results,severity evaluation,empirical treatment and management,as well as early identification and management of emerging and re-emerging infectious respiratory diseases.Based on relevant domestic and international literature and clinical experience,this consensus provides recommendations on the etiological diagnosis and management of childhood ARTI,aiming to uniformly improve the overall level of medical services as well as improve the outcome and prognosis of ARTI in children.
作者
中华医学会儿科学分会呼吸学组
刘恩梅
陆权
邓昱
Respiratory Group,Pediatrics Branch of Chinese Medical Association;Liu Enmei;Lu Quan(不详;National Clinical Research Center for Child Health and Disease/Department of Respiratory Medicine,Children′s Hospital of Chongqing Medical University,Chongqing 400042,China;Department of Respiratory Medicine,Shanghai Children′s Hospital,School of Medicine,Shanghai Jiao Tong University,Shanghai 200062,China)
出处
《中华医学杂志》
北大核心
2025年第46期4225-4238,共14页
National Medical Journal of China
基金
国家重点研发计划(2022YFC2704905)。
关键词
呼吸道感染
儿童
病原体
患者管理
Respiratory tract infections
Child
Pathogen
Patient management
