尘肺病合并肺部感染诊断和治疗中国专家共识

标题: 尘肺病合并肺部感染诊断和治疗中国专家共识
title: Chinese expert consensus on the diagnosis and treatment of pneumoconiosis combined with pulmonary infection
版本: 原创版
version: Original
分类: 专家共识
classification: Experts consensus
领域: 诊疗
field: Diagnosis and Treatment
国家和地区: 中国
Country and region: China
指南使用者: 临床医疗人员
Guide users: Clinical medical personnel
证据分级方法: 证据和推荐意见的评价方法采用推荐等级的评估、制订与评价
Evidence grading method: grading of recommendations assessment, development and evaluation,GRADE
制定单位: 应急总医院
Formulating unit: Emergency General Hospital
注册时间: 2023-12-04
Registration time:
注册编号: PREPARE-2023CN051
Registration number:
指南制订的目的: 尘肺病作为一种慢性阻塞性肺疾病,对公共健康构成了严重的威胁。根据中国尘肺病的调查发现,患者的生活质量正在严重下降,主要由于并发的肺部感染的增多。由此,本文从多方面探讨了尘肺病和肺部感染的关联,及其诊疗和管理方案的专家共识。本文概述了尘肺病和肺部感染的临床特征,以及两者之间的内在联系。尘肺病患者的肺部组织病变导致对感染的易感性增加,尤其是细菌、病毒和真菌的感染可能导致急性发病,使病情进一步恶化。随后,该论文详细阐述了尘肺病合并肺部感染的诊断流程,识别其关键步骤和标准,包括常用的影像学、微生物学检查和生物标志物检测。并根据病原体类型、感染严重程度等特征,明确了适当的抗菌药物的选择和使用方式。疾病的有效治疗离不开个体化病例管理。本研究中,我们详述了根据尘肺病和感染的活动度、严重性、合并症情况制定的个体化治疗计划,同时强调改善生活习惯、营养支持、早期康复和心理支持的重要性。为避免尘肺患者并发肺部感染,本文还提供了防控措施予以展望,包括定期投入防尘设备和工艺技术改进,降低尘丝引起的肺部损伤,以及提高抵抗力,降低感染发生率。此外,论文还深化了未来研究前景和展望。我们指出,尘肺病合并肺部感染的精准诊治和有效管理正在取得重要进展,未来将根据基因组、转录组、蛋白质组和代谢组的研究结果,开展靶向治疗,以期改善尘肺病患者的预后和生活质量。
Purpose of the guideline: As a chronic obstructive pulmonary disease, pneumoconiosis poses a serious threat to public health. According to a survey on pneumoconiosis in China, the quality of life of patients is seriously declining, mainly due to an increase in concurrent lung infections. Therefore, this article explores the association between pneumoconiosis and pulmonary infection from multiple perspectives, as well as the expert consensus on diagnosis, treatment, and management plans. This article provides an overview of the clinical characteristics of pneumoconiosis and pulmonary infection, as well as the inherent relationship between the two. Pulmonary tissue lesions in patients with pneumoconiosis increase their susceptibility to infection, especially bacterial, viral, and fungal infections that may lead to acute onset and further deterioration of the condition. Subsequently, the paper elaborated on the diagnostic process of pneumoconiosis combined with pulmonary infection, identifying its key steps and standards, including commonly used imaging, microbiological examination, and biomarker detection. And based on the characteristics of pathogen type, severity of infection, etc., appropriate selection and use of antibiotics have been clarified. Effective treatment of diseases cannot be achieved without individualized case management. In this study, we elaborated on individualized treatment plans based on the activity, severity, and comorbidities of pneumoconiosis and infection, while emphasizing the importance of improving lifestyle habits, nutritional support, early rehabilitation, and psychological support. To avoid pulmonary infection in patients with pneumoconiosis, this article also provides prospects for prevention and control measures, including regular investment in dust prevention equipment and process technology improvement, reducing lung damage caused by dust filaments, and improving immunity to reduce infection rates. In addition, the paper also deepens the future research prospects and prospects. We point out that important progress is being made in the precise diagnosis, treatment, and effective management of pneumoconiosis combined with pulmonary infection. In the future, targeted therapy will be carried out based on the research results of genome, transcriptome, proteome, and metabolome to improve the prognosis and quality of life of pneumoconiosis patients.