在患有永久起器或可植入心脏转换器-除器的患者中患有黄金葡萄球菌菌病
A L Chamis1, G E Peterson, C H Cabell
1Department of Medicine, Duke University Medical Center, Durham, NC 27710, USA.
Circulation
|August 29, 2001
概括
心脏器件感染 (CDI) 在患有黄金菌杆菌菌病 (SAB) 的患者中很常见,影响了总体45.4%的病例. 早期SAB显示出更高的感染率,通常具有临床症状,而晚期SAB的感染率较低,但仍有显著的设备参与.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 医疗器械技术 医疗器械技术
背景情况:
- 心脏器官感染 (CDI) 是一种严重的并发症.
- 细菌病患者中CDI的发病率尚不清楚.
- 这项研究侧重于心脏器械患者的黄金杆菌菌菌病 (SAB).
研究的目的:
- 为了确定患有心脏起器或植入式心脏转换器-除器的患者中CDI的发病率,这些患者会发展SAB.
- 分析SAB和CDI开发时间之间的关系.
- 评估这些患者中CDI的临床表现.
主要方法:
- 长达6年的SAB和心脏器械成年患者的前性队列研究.
- 确认和可能的CDI病例的评估.
- 分析早期 (<1年) 与晚期 (>=1年) 的SAB.
主要成果:
- 总体确认的CDI发生率为45.4% (15/33).
- 早期SAB (<1年) 的CDI率为75% (9/12).
- 晚期SAB (>=1年) 的确诊CDI率为28.5% (6/21) 和可能CDI率为43% (9/21).
- 60%的确诊的CDI病例没有表现出局部感染迹象.
结论:
- 在SAB和心脏器械患者中,CDI的发病率很高.
- 身体检查和心声回声不能排除CDI.
- 早期SAB通常涉及具有临床症状的设备;晚期SAB具有较不明显的局部症状,但仍有显著的设备参与 (>28%).
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