{"id":144247,"date":"2023-09-05T04:43:42","date_gmt":"2023-09-05T04:43:42","guid":{"rendered":"https:\/\/labinsights.com\/acf_article\/%e4%ba%9e%e6%b4%b2%e7%9a%84%e6%95%97%e8%a1%80%e7%97%87%e7%85%a7%e8%ad%b7%e7%bc%ba%e5%8f%a3%e8%a1%a8%e6%98%8e%e9%9c%80%e8%a6%81%e6%9b%b4%e5%a5%bd%e7%9a%84%e8%a8%ba%e6%96%b7\/"},"modified":"2026-02-03T06:25:50","modified_gmt":"2026-02-03T06:25:50","slug":"sepsis-care-gaps-in-asia-demonstrate-need-for-better-diagnostics","status":"publish","type":"acf_article","link":"https:\/\/labinsights.com\/zhtw\/disease-area\/critical-care\/sepsis-care-gaps-in-asia-demonstrate-need-for-better-diagnostics\/","title":{"rendered":"\u4e9e\u6d32\u7684\u6557\u8840\u75c7\u7167\u8b77\u7f3a\u53e3\u8868\u660e\u9700\u8981\u66f4\u597d\u7684\u8a3a\u65b7"},"content":{"rendered":"<p 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class=\"text-align-justify\">\u904e\u5ea6\u4f7f\u7528\u9019\u4e9b\u6cbb\u7642\u4ee5\u53ca\u5ef6\u9577\u5411\u60a3\u8005\u6295\u4e88\u9019\u4e9b\u6cbb\u7642\u7684\u6642\u9593\u6bb5\u53ef\u80fd\u5c0e\u81f4AMR\uff0c\u5728\u500b\u4eba\u548c\u793e\u6703\u5c64\u9762\u7522\u751f\u8ca0\u9762\u5f71\u97ff\uff0c\u5c0d\u4e16\u754c\u5404\u5730\u7684\u91ab\u7642\u4fdd\u5065\u7cfb\u7d71\u69cb\u6210\u56b4\u91cd\u5a01\u8105\u3002\u5728\u4e9e\u6d32\uff0cAMR\u5a01\u8105\u5c24\u5176\u56b4\u91cd\u3002\u6297\u83cc\u7d20\u8010\u85e5\u6027\u5be9\u67e5\u7684\u4e00\u9805\u5206\u6790\u9810\u6e2c\uff0c\u52302050\u5e74\uff0c\u53ef\u6b78\u56e0\u65bcAMR\u7684\u6b7b\u4ea1\u4eba\u6578\u5c07\u8d85\u904e470\u842c\uff0c\u6bd4\u6b50\u6d32\u3001\u5317\u7f8e\u6216\u62c9\u4e01\u7f8e\u6d32\u7684\u9810\u671f\u6b7b\u4ea1\u4eba\u6578\u9ad8\u51fa\u4e00\u500b\u6578\u91cf\u7d1a[4]\u3002<\/p>\n<h2 class=\"text-align-justify\" style=\"font-family: Inter !important; font-weight: 500 !important; font-size: 28px !important; line-height: 36px !important; letter-spacing: 0px !important;\">\u6557\u8840\u75c7\u8a3a\u65b7\u7684\u91cd\u8981\u6027<\/h2>\n<p class=\"text-align-justify\">\u901a\u5e38\uff0c\u6557\u8840\u75c7\u8a3a\u65b7\u4f9d\u8cf4\u65bc\u81e8\u5e8a\u89c0\u5bdf\uff0c\u4ee5\u53ca\u7d93\u7531 <a href=\"https:\/\/labinsights.com\/zhtw\/disease-area\/sepsis\/understanding-the-role-of-pct-in-sepsis\/\" target=\"_blank\" rel=\"noopener\">\u4ee5\u4e0b\u4e09\u7a2e\u751f\u7269\u6a19\u7c64\u4e4b\u4e00\u9032\u884c\u5be6\u9a57\u5ba4\u8a55\u4f30\uff1a<\/a> \u964d\u9223\u7d20\u539f(PCT)\u3001\u4ecb\u767d\u7d206 (IL-6)\u6216C\u53cd\u61c9\u86cb\u767d(CRP)\u3002PCT\u6e2c\u8a66\u70ba\u4e00\u7a2e\u6aa2\u6e2c\u6557\u8840\u75c7\u7684\u5e38\u7528\u65b9\u6cd5\uff0c\u56e0\u70ba\u5b83\u6703\u5728\u6e2c\u5b9a\u4e2d\u5728\u75c5\u60c5\u767c\u4f5c\u5f8c\u5169\u81f3\u516d\u5c0f\u6642\u5167\u51fa\u73fe\uff0c\u4e26\u5728\u7d0424\u5c0f\u6642\u5167\u9054\u5230\u5cf0\u503c[5]\u3002PCT\u91cf\u5316\u53ef\u7528\u65bc\u5e6b\u52a9\u8a3a\u65b7\u6557\u8840\u75c7\u3001\u8a55\u5b9a\u75be\u75c5\u56b4\u91cd\u5ea6\u53ca\u9810\u6e2c\u4e0b\u547c\u5438\u9053\u611f\u67d3\u7684\u6557\u8840\u75c7\u3002<\/p>\n<p class=\"text-align-justify\">PCT\u751f\u7269\u6a19\u8a18\u7684\u53e6\u4e00\u76ca\u8655\u662f\uff0c\u5176\u4ea6\u53ef\u7528\u65bc\u6307\u5c0e\u6557\u8840\u75c7\u60a3\u8005\u7684\u6cbb\u7642\u9078\u64c7\uff0c\u4ee5\u78ba\u4fdd\u66f4\u9069\u5728\u5730\u4f7f\u7528\u6297\u751f\u7d20\u4e26\u9075\u5b88\u6297\u83cc\u7ba1\u7406\u65b9\u6848[6,7]\u3002\u96a8\u8457\u5c0dAMR\u5f71\u97ff\u7684\u64d4\u6182\u65e5\u76ca\u589e\u52a0\uff0c\u6211\u5011\u53ef\u80fd\u6703\u770b\u5230\u9019\u4e9b\u65b9\u6848\u7684\u63a5\u53d7\u5ea6\u66f4\u9ad8\uff0c\u5373\u4f7f\u5728\u8cc7\u6e90\u5331\u4e4f\u7684\u74b0\u5883\u4e2d\uff0c\u9019\u4e5f\u9700\u8981\u66f4\u597d\u7684\u6aa2\u6e2c\u7b56\u7565\u3002<\/p>\n<p class=\"text-align-justify\">IL-6\u5c0d\u6557\u8840\u75c7\u7684\u7279\u7570\u6027\u4f4e\u65bcPCT\uff0c\u4f46\u81ea\u5f9e\u5176\u66f4\u65e9\u9054\u5230\u5cf0\u503c\u4ee5\u4f86\uff0c\u8a31\u591a\u81e8\u5e8a\u5be6\u9a57\u5ba4\u5df2\u7d93\u958b\u59cb\u6e2c\u8a66\u9019\u7a2e\u4e00\u822c\u708e\u75c7\u751f\u7269\u6a19\u8a8c\u7269\uff0c\u4ee5\u5617\u8a66\u5118\u5feb\u767c\u73fe\u6557\u8840\u75c7\u3002\u5728COVID-19\u5927\u6d41\u884c\u671f\u9593\uff0c\u91dd\u5c0dIL-6\u7684\u6e2c\u8a66\u7372\u5f97\u4e86\u652f\u63f4\uff1b\u73fe\u5728\uff0c\u66f4\u591a\u7684\u5be6\u9a57\u5ba4\u5df2\u7d93\u9a57\u8b49\u4e86\u53ef\u7528\u65bc\u8a3a\u65b7\u6557\u8840\u75c7\u7684IL-6\u6e2c\u5b9a\u3002\u540c\u6642\uff0cCRP\u70ba\u5c0d\u65e9\u671f\u8a3a\u65b7\u5e6b\u52a9\u6700\u5c0f\u7684\u751f\u7269\u6a19\u8a8c\u7269\uff0c\u56e0\u70ba\u5176\u8981\u5230\u767c\u75c5\u5f8c12-48\u5c0f\u6642\u624d\u80fd\u6aa2\u6e2c\u5230\u3002<\/p>\n<p class=\"text-align-justify\">\u5982\u679c\u60a8\u662f\u6cbb\u7642\u6557\u8840\u75c7\u60a3\u8005\u7684\u81e8\u5e8a\u91ab\u5e2b\uff0c\u8acb\u8003\u616e\u64f4\u5927PCT\u7684\u4f7f\u7528\uff0c\u4ee5\u652f\u6301\u6297\u751f\u7d20\u6cbb\u7642\u6301\u7e8c\u6642\u9593\u7684\u81e8\u5e8a\u6c7a\u7b56\u3002\u9019\u6709\u52a9\u65bc\u964d\u4f4eAMR\u7684\u98a8\u96aa\u548c\u767c\u751f\u7387\u3002<\/p>\n<p class=\"text-align-justify\">\u5982\u679c\u60a8\u5728\u81e8\u5e8a\u5be6\u9a57\u5ba4\u5de5\u4f5c\uff0c\u6709\u5f88\u591a\u65b9\u6cd5\u53ef\u4ee5\u5e6b\u52a9\u63d0\u9ad8\u6557\u8840\u75c7\u7684\u610f\u8b58\uff0c\u8b93\u60a3\u8005\u6709\u66f4\u597d\u7684\u5b58\u6d3b\u6a5f\u6703\u3002\u4ee5\u4e0b\u662f\u4e00\u4e9b\u4f8b\u5b50\uff1a<\/p>\n<ul>\n<li class=\"text-align-justify\">\u5728\u8207\u60a8\u7684\u81e8\u5e8a\u540c\u4e8b\u6703\u9762\u6642\u63d0\u51fa\u8a72\u4e3b\u984c\uff0c\u4ee5\u78ba\u4fdd\u91ab\u5e2b\u77e5\u9053\u4f55\u6642\u8a02\u8cfc\u6557\u8840\u75c7\u751f\u7269\u6a19\u7c64\u6aa2\u6e2c<\/li>\n<li class=\"text-align-justify\">\u5728\u60a8\u7684\u91ab\u7642\u4fdd\u5065\u7cfb\u7d71\u4e2d\u88fd\u4f5c\u4e26\u5206\u767c\u7c21\u77ed\u7684\u6559\u5c0e\u6750\u6599\uff0c\u8b93\u81e8\u5e8a\u91ab\u5e2b\u77e5\u9053\u60a8\u63d0\u4f9b\u54ea\u4e9b\u6557\u8840\u75c7\u751f\u7269\u6a19\u7c64\u6aa2\u6e2c\uff0c\u4ee5\u53ca\u4f55\u6642\u61c9\u4f7f\u7528\u9019\u4e9b\u6aa2\u6e2c<\/li>\n<li class=\"text-align-justify\">\u5728\u60a8\u7684\u793e\u7fa4\u4e2d\u5c0b\u627e\u5fd7\u5de5\u7684\u6a5f\u6703\uff0c\u5c31\u6557\u8840\u75c7\u7684\u5371\u96aa\u548c\u5982\u4f55\u767c\u73fe\u75c7\u72c0\u9032\u884c\u6f14\u8b1b\u6216\u63d0\u4f9b\u6559\u80b2\u6750\u6599<\/li>\n<\/ul>\n<p class=\"text-align-justify\"><em>9\u6708\u88ab\u5b9a\u70ba\u6557\u8840\u75c7\u610f\u8b58\u6708\uff0c\u76ee\u7684\u5728\u65bc\u63d0\u9ad8\u4eba\u5011\u5c0d\u751f\u7269\u6a19\u8a8c\u7269\u50f9\u503c\u7684\u8a8d\u77e5\uff0c\u9032\u800c\u512a\u5316\u6557\u8840\u75c7\u7ba1\u7406\uff0c\u7f85\u6c0f\u8a3a\u65b7\u4e9e\u592a\u5340\u5c07\u65bc9\u670828\u65e5\u8209\u8fa6\u7db2\u8def\u7814\u8a0e\u6703\uff0c\u5373\u57fa\u65bc\u964d\u9223\u7d20\u539f(PCT)\u7684\u6297\u5fae\u751f\u7269\u7ba1\u7406\u3002\u6309\u4e00\u4e0b <a href=\"https:\/\/dianews.roche.com\/Sepsis-Webinar-Sept-2023.html?utm_source=Linkedin&amp;utm_medium=Linkedin&amp;utm_campaign=campaign\" target=\"_blank\" rel=\"noopener\">\u6b64\u8655<\/a> \u8a3b\u518a\u4e26\u77ad\u89e3\u66f4\u591a\u8cc7\u8a0a\u3002<\/em><\/p>\n<p class=\"text-align-justify\"><em>\u82e5\u8981\u9032\u4e00\u6b65\u77ad\u89e3\u6211\u5011\u5982\u4f55\u63a8\u52d5\u8a72\u5340\u57df\u7684\u6557\u8840\u75c7\u7167\u8b77\u6a19\u6e96\uff0c\u8acb\u806f\u7d61\u6557\u8840\u75c7\u5546\u696d\u8207\u75be\u75c5\u90e8\u9580\u7d93\u7406Stijn Vullinghs\uff0c(stijn.vullinghs@roche.com)\u3002<\/em><\/p>\n<p class=\"text-align-justify\">\u53c3\u8003\u6587\u737b<\/p>\n<p><a href=\"https:\/\/www.asiapacificsepsisalliance.org\/sepsis\" target=\"_blank\" rel=\"noopener\">[1]<\/a>\u00a0\u00a0\u4e9e\u592a\u6557\u8840\u75c7\u806f\u76df\u3002<em>\u8acb\u9020\u8a2a\uff1ahttps:\/\/www.asiapacificsepsisalliance.org\/sepsis\u3002<\/em><br \/>\n<a href=\"https:\/\/www.hindustantimes.com\/lifestyle\/health\/sepsis-claims-more-lives-in-india-than-in-other-south-asian-countries-here-s-all-you-need-to-know-about-the-disease-101673665488600.html\" target=\"_blank\" rel=\"noopener\">[2]<\/a>\u00a0\u6557\u8840\u75c7\u5728\u5370\u5ea6\u596a\u8d70\u7684\u751f\u547d\u6bd4\u5728\u5176\u4ed6\u5357\u4e9e\u570b\u5bb6\u9084\u591a\u3002\u4ee5\u4e0b\u662f\u60a8\u9700\u8981\u77e5\u9053\u7684\u95dc\u65bc\u9019\u7a2e\u75be\u75c5\u7684\u6240\u6709\u8cc7\u8a0a(2023) \u300a\u5370\u5ea6\u53f2\u5766\u6642\u5831\u300b\u3002<em>\u8acb\u9020\u8a2a\uff1ahttps:\/\/www.hindustantimes.com\/lifestyle\/health\/sepsis-claims-more-lives-in-india-than-in-other-south-asian-countries-here-s-all-you-need-to-know-about-the-disease-101673665488600.html\u3002<\/em><br \/>\n<a href=\"https:\/\/www.criticalcare.theclinics.com\/article\/S0749-0704(10)00070-9\/fulltext\" target=\"_blank\" rel=\"noopener\">[3]<\/a>\u00a0Funk\uff0cD.J.\u548cKumar\uff0cA.(2011) \u300c\u7528\u65bc\u5371\u53ca\u751f\u547d\u611f\u67d3\u7684\u6297\u5fae\u751f\u7269\u6cbb\u7642\uff1a\u6642\u9593\u5c31\u662f\u751f\u547d\u300d\uff0c\u91cd\u75c7\u52a0\u8b77\u9580\u8a3a\uff0c27(1)\uff0c\u7b2c53-76\u9801\u3002 doi\uff1a10.1016\/j.ccc.2010.09.008\u3002<br \/>\n<a href=\"https:\/\/amr-review.org\/sites\/default\/files\/AMR%20Review%20Paper%20-%20Tackling%20a%20crisis%20for%20the%20health%20and%20wealth%20of%20nations_1.pdf\" target=\"_blank\" rel=\"noopener\">[4]<\/a>\u00a0\u6297\u5fae\u751f\u7269\u85e5\u7269\u8010\u85e5\u6027\uff1a\u61c9\u5c0d\u570b\u5bb6\u5065\u5eb7\u548c\u8ca1\u5bcc\u7684\u5371\u6a5f\u3002<em>\u8acb\u9020\u8a2a\uff1ahttps:\/\/amr-review.org\/sites\/default\/files\/AMR%20Review%20Paper%20-%20Tackling%20a%20crisis%20for%20the%20health%20and%20wealth%20of%20nations_1.pdf\u00a0<\/em><br \/>\n<a href=\"https:\/\/www.criticalcare.theclinics.com\/article\/S0749-0704(11)00003-0\/fulltext\" target=\"_blank\" rel=\"noopener\">[5]<\/a>\u00a0Reinhart\uff0cK.\u4ee5\u53caMeisner\uff0cM.(2011) \u300c\u5371\u91cd\u75c7\u60a3\u8005\u9ad4\u5167\u7684\u751f\u7269\u6a19\u8a8c\u7269\uff1a\u964d\u9223\u7d20\u539f\u300d\uff0c <i>\u91cd\u75c7\u52a0\u8b77\u9580\u8a3a<\/i>\uff0c27(2)\uff0c\u7b2c253-263\u9801\u3002 doi\uff1a10.1016\/j.ccc.2011.01.002\u3002<br \/>\n<a href=\"https:\/\/lableaders.roche.com\/global\/en\/articles\/how-laboratory-leaders-are-leveraging-pct-to-optimize-antibiotic-utilization-2036.html\" target=\"_blank\" rel=\"noopener\">[6]<\/a>\u00a0LabLeaders\u5229\u7528PCT\u6700\u4f73\u5316\u6297\u751f\u7d20\u5229\u7528\u7387\u3002Available at\uff1ahttps:\/\/lableaders.roche.com\/global\/en\/articles\/how-laboratory-leaders-are-leveraging-pct-to-optimize-antibiotic-utilization-2036.html<br \/>\n<a href=\"https:\/\/lableaders.roche.com\/global\/en\/articles\/antibiotics-convincing-infectious-disease-physicians-that-less-is-more-2113.html\" target=\"_blank\" rel=\"noopener\">[7]<\/a>\u00a0\u6297\u751f\u7d20\u7ba1\u7406\uff1a\u8aaa\u670d\u91ab\u8b77\u4eba\u54e1 \uff0c\u6cbb\u7642\u61c9\u9075\u5faa\u3002\u5c11\u5373\u662f\u591a\u539f\u5247\uff0c\u5be6\u9a57\u5ba4\u9818\u5c0e\u8005.\u8acb\u9020\u8a2a\uff1ahttps:\/\/lableaders.roche.com\/global\/en\/articles\/antibiotics-convincing-infectious-disease-physicians-that-less-is-more-2113.html<\/p>\n","protected":false},"excerpt":{"rendered":"<p>9\u670813\u65e5\u662f\u4e16\u754c\u6557\u8840\u75c7\u65e5\uff0c\u9019\u662f\u4e00\u500b\u5168\u7403\u6027\u7684\u6d3b\u52d5\uff0c\u65e8\u5728\u5e6b\u52a9\u63d0\u9ad8\u4eba\u5011\u5c0d\u4e00\u7a2e\u5371\u96aa\u4e14\u5f80\u5f80\u81f4\u547d\u7684\u72c0\u6cc1\u7684\u8a8d\u8b58\u3002\u5728\u4e9e\u592a\u5730\u5340\uff0c\u5c0d\u66f4\u4f73\u6557\u8840\u75c7\u7167\u8b77\uff08\u5305\u62ec\u9ad8\u54c1\u8cea\u8a3a\u65b7\u4ee5\u5e6b\u52a9\u8fa8\u8b58\u548c\u7ba1\u7406\u75c5\u75c7\uff09\u7684\u9700\u6c42\u5c24\u70ba\u7dca\u8feb\u3002 \u5168\u7403\u6bcf\u5e74\u6709\u591a\u90545000\u842c\u4eba\u7f79\u60a3\u6557\u8840\u75c7\uff0c\u6b7b\u4ea1\u4eba\u6578\u8d85\u904e1100\u842c\u3002\u5728\u4e9e\u592a\u5730\u5340\uff0c\u6b7b\u4ea1\u7387\u9ad8\u905435%\u2014\u986f\u8457\u9ad8\u65bc\u5927\u591a\u6578\u9ad8\u6536\u5165\u570b\u5bb6[1]\u3002\u9019\u4f34\u96a8\u8457\u66f4\u96e3\u7372\u5f97\u9ad8\u54c1\u8cea\u7684\u91ab\u7642\u4fdd\u5065\uff0c\u5305\u62ec\u65e9\u671f\u6aa2\u6e2c\u6240\u9700\u7684\u53ef\u9760\u8a3a\u65b7\uff0c\u4ee5\u53ca\u5c0d\u6557\u8840\u75c7\u53ca\u5176\u5371\u96aa\u7684\u8a8d\u8b58\u4e0d\u8db3\u3002 \u4e9e\u6d32\u90e8\u5206\u5730\u5340\u53d7\u6b64\u75be\u75c5\u5f71\u97ff\u7279\u5225\u56b4\u91cd\u3002\u4f8b\u5982\uff0c\u5728\u5370\u5ea6\uff0c\u4e00\u9805\u7814\u7a76\u767c\u73fe\uff0c\u5728\u52a0\u8b77\u75c5\u623f\u4e2d\u63a5\u53d7\u6cbb\u7642\u7684\u6240\u6709\u60a3\u8005\u4e2d\uff0c\u8d85\u904e\u4e00\u534a\u60a3\u6709\u6557\u8840\u75c7[2]\u3002\u5176\u4ed6\u4f4e\u8cc7\u6e90\u570b\u5bb6\u7121\u7591\u4e5f\u9762\u81e8\u985e\u4f3c\u7684\u6311\u6230\u3002\u90a3\u9ebc\uff0c\u6211\u5011\u80fd\u505a\u4e9b\u4ec0\u9ebc\u5462\uff1f \u6bcf\u4e00\u5206\u9418\u90fd\u5f88\u91cd\u8981 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[3]\u3002\u9019\u8868\u793a\u77ad\u89e3\u6557\u8840\u75c7\u4e0d\u50c5\u5c0d\u91ab\u5e2b\u548c\u81e8\u5e8a\u5be6\u9a57\u5ba4\u5718\u968a\u5f88\u91cd\u8981\uff0c\u5c0d\u63d0\u9ad8\u4e00\u822c\u5927\u773e\u7684\u8a8d\u8b58\u4e5f\u5f88\u91cd\u8981\u3002 \u4e0d\u5e78\u7684\u662f\uff0c\u65e9\u671f\u6aa2\u6e2c\u56e0\u6557\u8840\u75c7\u5f15\u8d77\u7684\u975e\u7279\u7570\u6027\u75c7\u72c0\u800c\u8b8a\u5f97\u8907\u96dc\u3002\u60a3\u8005\u53ef\u80fd\u8868\u73fe\u51fa\uff1a\u7121\u660e\u986f\u539f\u56e0\u7684\u9ad8\u6eab\u6216\u4f4e\u6eab\uff1b\u8a00\u8a9e\u4e0d\u6e05\u6216\u610f\u8b58\u6a21\u7cca\uff1b\u56b4\u91cd\u75bc\u75db\u6216\u4e0d\u9069\uff1b\u4ee5\u53ca\u5c3f\u91cf\u4f4e\u6216\u7121\u5c3f\u91cf\uff0c\u4ee5\u53ca\u5176\u4ed6\u75c7\u72c0\u3002\u7531\u65bc\u6557\u8840\u75c7\u6e90\u65bc\u5c0d\u73fe\u6709\u611f\u67d3\u7684\u53cd\u61c9\uff0c\u56e0\u6b64\u91ab\u5e2b\u5f88\u5bb9\u6613\u5c07\u9019\u4e9b\u75c7\u72c0\u8aa4\u8a8d\u70ba\u8207\u611f\u67d3\u6709\u95dc\uff0c\u6216\u5c07\u5176\u8207\u5176\u4ed6\u53ef\u80fd\u7684\u8a3a\u65b7\u6df7\u6dc6\u3002 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