治療が難しい病原体による超感染の発生率と危険因子
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PubMedで要約を見る
まとめ
この要約は機械生成です。治療困難の病原体 (DTT) に起因する近義肢関節感染症 (PJIs) は一般的であり,CRPの上昇と股関節関節の関節損傷のリスクが増加します. DTT PJIの管理には,早期に特定し,それに合わせた戦略が不可欠です.
科学分野
- 整形外科
- 感染症
- 外科 感染症
背景
- 整体関節整形手術後の重症合併症である.
- 治療が難しい病原体 (DTT) は,PJIの管理に重大な課題をもたらします.
- DTT PJIと超感染の流行と危険因子を理解することは極めて重要です.
研究 の 目的
- DTT病原体によるPJIの流行を評価する.
- DTT病原体超感染によるPJIの発生率を評価する.
- DTT PJIと超感染に関連する危険因子を特定する.
主な方法
- PJI患者169人を対象とした後見観察単一センター研究.
- PJIをDTT,DTT超感染,非DTT,超感染グループに分類する.
- 患者の人口統計,臨床パラメータ (BMI,CRP,ASA,CCI),および感染症の特徴の分析
主要な成果
- PJIの46. 2%はDTT病原体によって引き起こされ,30. 8%は超感染でした.
- 増加したCRP (≥92.1 mg/ L) は,DTT PJIの確率を有意に増加させた (OR 6. 981).
- 股関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節関節
結論
- PJI症例におけるDTT病原体と超感染の高い流行
- CRPの上昇,股関節の関わり,多発性再検査,慢性感染症は主要な危険因子です.
- 高リスクの患者の早期発見と,DTT PJIに合わせた管理戦略の必要性を強調する.
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