美罗培南治疗新生儿脓毒症的临床实践指南（2024年版）

《美罗培南治疗新生儿脓毒症的临床实践指南》制订组; 北京大学第三医院; 《中国当代儿科杂志》编辑部

doi:10.7499/j.issn.1008-8830.2309059

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中国当代儿科杂志 ›› 2024, Vol. 26 ›› Issue (2) : 107-117. DOI: 10.7499/j.issn.1008-8830.2309059

标准·方案·指南

美罗培南治疗新生儿脓毒症的临床实践指南（2024年版）

《美罗培南治疗新生儿脓毒症的临床实践指南》制订组，北京大学第三医院，《中国当代儿科杂志》编辑部

作者信息 +

Clinical practice guidelines for meropenem therapy in neonatal sepsis (2024)

Guideline Development Group of Clinical Practice Guidelines for Meropenem Therapy in Neonatal Sepsis; PekingUniversity Third Hospital; Editorial Department of Chinese Journal of Contemporary Pediatrics

Author information +

文章历史 +

摘要

美罗培南是新生儿脓毒症治疗中使用最为广泛的特殊级别抗菌药物之一，但其不合理应用导致细菌多重耐药问题日益严峻。该指南遵循规范的制订方法与流程，针对9个临床问题形成了12条推荐意见，内容涵盖新生儿美罗培南的使用时机、推荐剂量、延长输注、监测与评估、抗菌药物调整方案、治疗疗程以及碳青霉烯耐药肠杆菌目细菌感染的治疗策略，以期为美罗培南在新生儿脓毒症患儿中的合理使用提供循证证据与用药建议。

Abstract

Meropenem is one of the most widely used special-grade antimicrobial agents in the treatment of neonatal sepsis. However, its irrational use has led to an increasingly severe problem of bacterial multidrug resistance. The guideline was developed following standardized methods and procedures, and provides 12 recommendations specifically addressing 9 clinical issues. The recommendations cover various aspects of meropenem use in neonates, including timing of administration, recommended dosage, extended infusion, monitoring and assessment, antimicrobial adjustment strategies, treatment duration, and treatment strategies for carbapenem-resistant Enterobacteriaceae infections. The aim of the guideline is to provide evidence-based recommendations and guidance for the rational use of meropenem in neonates with sepsis.

导出引用

《美罗培南治疗新生儿脓毒症的临床实践指南》制订组，北京大学第三医院，《中国当代儿科杂志》编辑部. 美罗培南治疗新生儿脓毒症的临床实践指南（2024年版）[J]. 中国当代儿科杂志. 2024, 26(2): 107-117 https://doi.org/10.7499/j.issn.1008-8830.2309059

Guideline Development Group of Clinical Practice Guidelines for Meropenem Therapy in Neonatal Sepsis; PekingUniversity Third Hospital; Editorial Department of Chinese Journal of Contemporary Pediatric. Clinical practice guidelines for meropenem therapy in neonatal sepsis (2024)[J]. Chinese Journal of Contemporary Pediatrics. 2024, 26(2): 107-117 https://doi.org/10.7499/j.issn.1008-8830.2309059

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