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1、耐万古霉素肠球菌感染防治专家共识（Expertconsensusonpreventionandtreatmentofvancomycinresistantenterococci）ExpertconsensusonpreventionandtreatmentofvancomycinresistantenterococciCommitteeofexpertsonthepreventionandtreatmentofvancomycinresistantenterococciEnterococciarewidelydistribut
2、edinnature,oftenlivingintheintestinesofpeople,animalsandthefemaleurogenitalsystem,andarehumanbeingsOneofthenormalfloraoftheclass.Inrecentyears,duetothewidespreaduseofantibacterialdrugs,ithasoriginallybeenonbetalactamAminoglycosideantibiotics,whichareresistanttoenter
3、ococci,arefurtherexpandedandgraduallyformedMultidrug-resistantbacteria.Vancomycinresistantenterococci(vancomycin,resistant,enterococc)arepresentinChinaVRE)theincidenceofinfectionisincreasingyearbyyear,andVREhasbecomeanimportantpathogenofnosocomialinfectionTheemergen
4、ceofa[1,2],posesnewchallengestoclinicalmicrobiologyandepidemiology.InordertofurtherstandardizeAndoptimizethepreventionandtreatmentofVREinfectedpatients,JournalofChineseclinicalandinfectiousdiseases(electronicversion)Editedbytheeditorialdepartmentofthemedicalreferenc
5、eandinfectiousdiseaseschannelandorganizedsomeexpertsinChina,wehavecombinedmanyyearsofexperienceThecollationandanalysisofrelevantdataformsanexpertconsensusonthepreventionandtreatmentofvancomycinresistantenterococciAbbreviation"consensus".Thelevelofevidencebasedeviden
6、ceforthisconsensusisshownintable1.Table1levelofevidencebasedevidenceforrecommendedprogrammesLevelofevidencedatatypeClassIevidencewasobtainedinatleastonewell-designedrandomizedcontrolledclinicaltrialClassII-1levelevidencewaswelldesignedtoobtainevidenceinanonrandomize
7、dcontrolledtrialII.Class-2evidencedesignevidenceforgoodcohortstudiesorcasecontrolstudies(preferablymulticenterstudies)Evidenceofaclass-3evidenceofmultipletimeserieswithorwithoutintervention.Averyobviousdifferenceintheresultsofanoncontrolledtrial,sometimesasevidenceo
8、farank.Authoritativeevidencefromclinicalexperience,descriptivestudies,orexpertcommitteereports.I.relevantconcepts1.Enterococcus(Enterococc
