関連する実験動画
Updated: Jun 26, 2026

07:27
Implantation of Total Artificial Heart in Congenital Heart Disease
Published on: July 18, 2014
感染症性内心炎で入院した子どもの特徴
Michael D Day1, Kimberlee Gauvreau, Stanford Shulman
1Department of Cardiology, Children's Hospital Boston and the Department of Pediatrics, Harvard Medical School, Boston, MA 02115, USA.
Circulation
|February 4, 2009
まとめ
小児感染症性内心炎 (IE) は,心疾患のない子供にシフトしています. IEの子供の死亡のリスク要因には,先天性心疾患,早産,Staphylococcus aureus感染が含まれています.
科学分野:
- ペディアトリック・カルディオロジー
- 感染症 感染症は感染症です.
- エピデミオロジー エピデミオロジー
背景:
- 子どもにおける感染症性内心炎 (IE) は,まれな疾患である.
- 小児IEに関する既存のデータのほとんどは,専門の紹介センターから得られています.
- 本研究は,広範な全国小児サンプルにおけるIEの特徴を記述することを目的としています.
研究 の 目的:
- 子どもにおける感染症性内心炎の疫学的特徴を評価する.
- 小児IEに関連する傾向とリスク要因を特定する.
- 小児IE症例におけるアウトカムと死亡率を分析する.
主な方法:
- 子どもの入院患者データベース (2000年,2003年) の退院記録の分析.
- 含有基準:IE診断コードを有する21歳未満の患者.
- 両年のデータを組み合わせた分析.
主要な成果:
- 小児IEで入院した患者数1588人を分析した.
- 年齢分布は,幼児期と青春期の終わりにピークを示した.
- Staphylococcus aureusが最も一般的な病原体であった (57%),次に viridans streptococci (20%) が続いた.
- 既存の心臓病は患者の42%に存在し,主に先天性心臓病 (81%) であった.
- 病院での死亡率は5% (84人の患者) であったが,特定の先天性心不全および人工弁内心炎ではより高い割合であった.
- 既往の心臓病のない死亡者の中で,S. aureusはより年上の子供に多く見られ,幼児では早産が要因であった.
結論:
- 小児IEの流行病学は,事前に心疾患のない症例の増加の傾向を示しています.
- 生まれながらの心臓病と人工弁内心炎は,死亡率の重要なリスク因子です.
- 非先天性心疾患の症例では,早産/新生児年齢とS. aureus感染が主要な死亡率予測要因である.
関連する概念動画
Endocarditis II: Clinical Features of Infective Endocarditis
Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
Endocarditis IV: Nursing Management
Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
Endocarditis I: Introduction
Introduction:Endocarditis is the infection of the endocardium, the inner lining of the heart and its valves. When the heart muscle is involved, the condition is termed myocarditis, while an infection of the outer lining is called pericarditis. Infective endocarditis (IE) primarily affects the endocardium, where pathogens adhere to the valves or lining, forming vegetation that can lead to severe complications. Infective endocarditis occurs when microorganisms, usually bacteria from other body...
Endocarditis III: Medical Management
Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
Myocarditis II: Clinical Features and Diagnostic Tests
Myocarditis is an inflammation of the heart muscle. The symptoms vary widely, encompassing asymptomatic presentations to severe, acute manifestations.Clinical PresentationAsymptomatic cases: In some instances, myocarditis may be asymptomatic, with the infection resolving without intervention. These cases often go undetected unless discovered incidentally through diagnostic imaging or tests conducted for other reasons.General Early Symptoms: Early symptoms of myocarditis are non-specific and can...
Myocarditis III: Medical Management
Myocarditis: Comprehensive Medical ManagementMyocarditis, the heart muscle inflammation, requires a comprehensive medical management strategy that addresses the underlying cause, provides supportive care, manages symptoms, and reduces cardiac workload.Infections and Autoimmune CausesAdminister appropriate antimicrobial therapy when an infectious agent causes myocarditis. For instance, penicillin treats infections caused by Group A Streptococcus. In cases where autoimmune processes are...