[Emphasizing the clinical diagnosis and treatment of liver disease-associated infections]

Zhonghua Gan Zang Bing Za Zhi. 2021 Aug 20;29(8):721-724. doi: 10.3760/cma.j.cn501113-20210715-00342.
[Article in Chinese]

Abstract

Liver disease-associated infection is a common condition in clinic. The existence of underlying liver disease increases the morbidity, mortality, and other adverse consequences of various infections, which in turn aggravates the liver disease-associated infections progression. Therefore, liver disease and infection should be emphasized in the clinical management. The assessment of liver disease includes its etiology, severity level, and complications, while the assessment of infectious diseases emphasizes its etiology and lesion location. Timely elimination of pathogens and complications is the treatment aspect of liver disease, whereas empiric pathogenic therapy is the treatment aspect of infection. The use of anti-infective drugs with a high risk of liver damage should be avoided when the pathogen is determined, and the target should be treated as soon as possible.

肝病相关感染是临床常见情况,基础肝病的存在使多种感染的发生率和病死等不良结局增加,感染反过来也会加重肝病的进展。临床管理中既要关注肝病,也要重视感染。肝病的评估方面包括其病原学、严重程度和并发症,感染的评估方面重点关注病原学和病变部位。治疗时,肝病方面应尽可能清除病原并及时治疗并发症,感染方面应及时进行经验性病原治疗,避免应用肝损伤风险高的抗感染药物,一旦明确病原尽快转为目标治疗。.

Keywords: Bacteria; Diagnosis; Fungus; Infection; Liver disease; Treatment; Virus.

MeSH terms

  • Humans
  • Liver Diseases* / diagnosis
  • Liver Diseases* / etiology
  • Liver Diseases* / therapy
  • Risk Factors