2023+NICE指南:大于16岁人群疑似急性呼吸道感染的初次评估和初期管理(NG.237).pdf
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1、Suspected acute respiratory infection in over 16s:assessment at first presentation and initial management NICE guideline Published:31 October 2023 www.nice.org.uk/guidance/ng237 NICE 2023.All rights reserved.Subject to Notice of rights(https:/www.nice.org.uk/terms-and-conditions#notice-of-rights).Yo
2、ur responsibility The recommendations in this guideline represent the view of NICE,arrived at after careful consideration of the evidence available.When exercising their judgement,professionals and practitioners are expected to take this guideline fully into account,alongside the individual needs,pr
3、eferences and values of their patients or the people using their service.It is not mandatory to apply the recommendations,and the guideline does not override the responsibility to make decisions appropriate to the circumstances of the individual,in consultation with them and their families and carer
4、s or guardian.All problems(adverse events)related to a medicine or medical device used for treatment or in a procedure should be reported to the Medicines and Healthcare products Regulatory Agency using the Yellow Card Scheme.Local commissioners and providers of healthcare have a responsibility to e
5、nable the guideline to be applied when individual professionals and people using services wish to use it.They should do so in the context of local and national priorities for funding and developing services,and in light of their duties to have due regard to the need to eliminate unlawful discriminat
6、ion,to advance equality of opportunity and to reduce health inequalities.Nothing in this guideline should be interpreted in a way that would be inconsistent with complying with those duties.Commissioners and providers have a responsibility to promote an environmentally sustainable health and care sy
7、stem and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.Suspected acute respiratory infection in over 16s:assessment at first presentation andinitial management(NG237)NICE 2023.All rights reserved.Subject to Notice of rights(https:/www.nice.o
8、rg.uk/terms-and-conditions#notice-of-rights).Page 2 of20Contents Overview.4 Who is it for?.4 Recommendations.5 1.1 All first contact with NHS services.5 1.2 Remote contact with NHS services at first presentation.6 1.3 In-person contact with NHS services at first presentation.8 Terms used in this gui
9、deline.11 Recommendations for research.12 1 Early warning scores in different settings.12 2 Point-of-care microbiological tests.13 3 Costing antimicrobial stewardship.13 Rationale and impact.14 All first contact with NHS services.14 Remote contact with NHS services at first presentation.14 In-person
10、 contact with NHS services at first presentation.16 Context.19 Finding more information and committee details.20 Suspected acute respiratory infection in over 16s:assessment at first presentation andinitial management(NG237)NICE 2023.All rights reserved.Subject to Notice of rights(https:/www.nice.or
11、g.uk/terms-and-conditions#notice-of-rights).Page 3 of20This guideline partially replaces CG191.This guideline is the basis of QS210.Overview This guideline covers assessment of people aged 16 and over with symptoms and signs of acute respiratory infection(bacterial or viral)at first remote or in-per
12、son contact with NHS services.It also covers the initial management of any infections.It aims to support healthcare practitioners in making sure that peoples treatment follows the best care pathway.It forms part of a suite of work on virtual wards being undertaken by NICE.This guideline replaces rec
13、ommendation 1.1.1,and updates recommendations 1.2.1 and 1.2.2 from NICE guideline CG191(published December 2014).Who is it for?Healthcare practitioners People aged 16 and over with suspected acute respiratory infection,their families and carers Suspected acute respiratory infection in over 16s:asses
14、sment at first presentation andinitial management(NG237)NICE 2023.All rights reserved.Subject to Notice of rights(https:/www.nice.org.uk/terms-and-conditions#notice-of-rights).Page 4 of20Recommendations People have the right to be involved in discussions and make informed decisions about their care,
15、as described in NICEs information on making decisions about your care.Making decisions using NICE guidelines explains how we use words to show the strength(or certainty)of our recommendations and has information about prescribing medicines(including off-label use),professional guidelines,standards,a
16、nd laws(including on consent and mental capacity),and safeguarding.This guideline does not cover people with known COVID-19.See NICEs guidelines on COVID for advice on managing COVID-19 infection.It does not cover the ongoing management of acute respiratory infection(ARI)after first assessment and i
17、nitial management,or management of exacerbations of underlying respiratory conditions.For advice on managing:cough(acute)associated with an upper respiratory tract infection or acute bronchitis,see NICEs guideline on antimicrobial prescribing for acute cough chronic obstructive pulmonary disease(acu
18、te exacerbation),see NICEs guideline on antimicrobial prescribing for acute exacerbation of chronic obstructive pulmonary disease sinusitis(acute),see NICEs guideline on antimicrobial prescribing for acute sinusitis sore throat(acute;including pharyngitis and tonsillitis),see NICEs guideline on anti
19、microbial prescribing for acute sore throat.For advice on managing suspected tuberculosis,see NICEs guideline on tuberculosis.1.1 All first contact with NHS services These recommendations cover all people with symptoms and signs of an ARI who contact NHS services whether remotely or in person.Suspec
20、ted acute respiratory infection in over 16s:assessment at first presentation andinitial management(NG237)NICE 2023.All rights reserved.Subject to Notice of rights(https:/www.nice.org.uk/terms-and-conditions#notice-of-rights).Page 5 of201.1.1 In people with a suspected ARI,think could this be sepsis?
21、and assess in line with the section on identifying people with suspected sepsis in NICEs guideline on sepsis.1.1.2 Offer self-care advice to people whose symptoms can be managed at home.Ensure they know the likely duration of illness and when and how to seek medical help,for example,if symptoms wors
22、en rapidly or significantly,do not improve over a specified time,or they become systemically very unwell.For a short explanation of why the committee made these recommendations and how they might affect practice,see the rationale and impact section on all first contact with NHS services.Full details
23、 of the evidence and the committees discussion are in:evidence review A:signs,symptoms and early warning scores for predicting severe illness evidence review B:rapid tests to inform triage and antibiotic prescribing decisions evidence review C:diagnostic accuracy of point-of-care tests for viral ver
24、sus bacterial infection evidence summary D:acute respiratory infection.1.2 Remote contact with NHS services at first presentation These recommendations cover people with symptoms and signs of an ARI using remote means such as telephone,video call,online app,email or text message for initial assessme
25、nt by NHS services,including NHS 111,999 call centres and general practice.1.2.1 Approach all remote assessments in a holistic,person-centred way,including checking that the person is able to use any digital technology being suggested and offering alternatives,when necessary.Suspected acute respirat
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- nice 指南 大于 16 人群 疑似 急性 呼吸道 感染 沾染 初次 评估 以及 初期 早期 管理 ng
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