手术后感染了耐美西林的金黄色葡萄球菌和社会经济背景
Jens Peder Bagger1, Dlear Zindrou, Kenneth M Taylor
1Imperial College London, London, UK, and Cardiothoracic Directorate, Hammersmith Hospital, London W12 0HS, UK. p.bagger@ic.ac.uk
Lancet (London, England)
|March 6, 2004
概括
社会剥夺与心脏手术后手术后耐美西林黄金葡萄球菌 (MRSA) 感染率较高有关. 来自贫困地区的患者面临7倍的风险,这表明他们的易感性更高.
科学领域:
- 医学微生物学 医学微生物学
- 公共卫生 公共卫生
- 外科手术的结果
背景情况:
- 传染病往往与社会和经济因素有关.
- 社会经济地位可能会影响患者对MRSA等特定病原体的敏感性.
研究的目的:
- 调查社会经济背景与术后耐美西林黄金葡萄球菌 (MRSA) 感染之间的关系.
- 为了确定社会贫困是否是冠状动脉旁路移植后MRSA感染的风险因素.
主要方法:
- 基于社会贫困的患者分层使用邮政编码数据.
- 分析了一系列连续的1739名英国居民,他们接受了孤立的冠状动脉旁路移植.
- 不同社会经济群体之间的MRSA感染率的比较.
主要成果:
- 在社会剥夺和MRSA感染发病率之间观察到分级关系.
- 来自最贫困地区的患者与来自最贫困地区的患者相比,MRSA感染率高出七倍 (2.2%对0.3%).
- MRSA 感染与六倍高的死亡率和更长的住院时间有关.
结论:
- 来自社会贫困地区的患者对术后MRSA感染的易感性增加.
- 社会经济因素在手术部位感染的风险中起着重要作用.
- 针对高风险人群的有针对性的干预措施可能是必要的,以减少MRSA手术后并发症.
相关概念视频
Factors Affecting the Risk of Infection
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin create...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin create...
Sexually Transmitted Infections
Sexually transmitted infections (STIs) are diseases transmitted primarily through unsafe sexual interactions. Bacteria, viruses, or parasites cause them and can result in severe health complications if untreated.ChlamydiaThe bacterium Chlamydia trachomatis is responsible for the disease Chlamydia, the most common STI in the United States. This peculiar pathogen requires human cells to reproduce, residing intracellularly. The initial infection often goes unnoticed because it typically does not...
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...

