患有心血管植入式电子设备的患者的淋病症:基于当前国际指南的管理不确定性
Supavit Chesdachai1, Larry M Baddour1,2, M Rizwan Sohail1,3
1Division of Public Health, Infectious Diseases and Occupational Medicine, Department of Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Open forum infectious diseases
|July 10, 2023
概括
有限的数据存在于候选症 (真菌血流感染) 和心血管植入式电子设备 (CIED) 感染. 许多患有CIED和候选血症的患者死亡,最佳管理仍然不清楚.
科学领域:
- 传染性疾病 传染性疾病
- 心脏病学 心脏病学
- 医疗器械 医疗器械
背景情况:
- 关于心血管植入式电子设备 (CIED) 患者的候选血症 (真菌血流感染) 的数据有限.
- 了解候选血症中CIED感染的风险对于患者的治疗结果至关重要.
研究的目的:
- 调查CIED患者候选血病的发生率和结果.
- 在候选血症的背景下,评估CIED感染的诊断标准和管理策略.
主要方法:
- 梅奥诊所罗切斯特 (2012-2019) 候选血病和CIED患者的回顾性审查.
- CIED感染是由口袋感染或心声学植被的临床症状定义的.
主要成果:
- 在23名患者中,39.1%患有社区发病的候选血病;没有人患有口袋感染.
- 只有28.6%的接受心声回声检查的人有质;只有这两个接受了CIED提取.
- 17.4%的患者确诊患有CIED感染,52.2%的患者未确定状态,73.9%的患者在90天内死亡.
结论:
- 目前的指导方针建议在候选血症的情况下切除CIED,但没有定义最佳管理.
- 不适当的设备管理 (移除或保留) 可以增加发病率和死亡率.
- 单独的淋病症与CIED患者的显著死亡率有关.
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