Title: Infectious Risks of Targeted Temperature Management
题目：目标体温管理的感染风险
Author 作者: Michael Winters
翻译：葛赟 校对：肖锋

•Targeted temperature management (TTM) is commonly used in the care of patients resuscitated from cardiac arrest.
•目标体温管理（TTM）通常用于心脏骤停复苏后患者的治疗中。
•Despite improving neurologic outcomes, TTM can increase the risk of infection, bleeding, coagulopathy, arrhythmias, and electrolyte derangements.
•尽管TTM能改善神经系统预后，但是它会增加感染、出血、凝血、心律失常、及电解质紊乱等风险。
•Infectious complications of TTM are associated with increases in ICU length of stay, along with increases in the duration of mechanical ventilation.
•TTM感染并发症与ICU住院时间延长有关，包括长时间的机械通气。
•Pneumonia and bacteremia are the two most common infectious complications of TTM, with S.aureus the most common single pathogen isolated in cases of infection.
•肺炎和菌血症是TTM的最常见的两个并发症，金黄色葡萄球菌是感染病例中分离出来最常见的单一病原体。
•Since TTM may suppress normal signs of infection, it is important to be vigilant for these two infectious complications.
•因为TTM会掩盖感染的征象，所以要警惕其以上两种感染并发症。
•At present, evidence does not support prophylactic antibiotics for all patients receiving TTM.
•目前尚无证据证实，对所有TTM的患者进行预防性抗生素治疗。

References 参考文献：
Kuchena A, et al. Postcardiac arrest temperature management: infectious risks. Curr Opin Crit Care 2014; 20:507-515.