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在接受提取的患者中复杂的口袋感染:特征和结果
Anat Milman1,2, Anat Wieder-Finesod2,3, Guy Zahavi2,4
1Leviev Heart Institute, The Chaim Sheba Medical Center, Tel Hashomer, Ramat Gan 5262000, Israel.
Journal of clinical medicine
|July 14, 2023
概括
心脏植入式电子设备 (CIED) 感染需要移除设备. 一种新的"复杂的口袋感染"实体表现出全身症状,但其预后与孤立的口袋感染类似,与严重的全身感染不同.
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:
- 心脏植入式电子设备 (CIED) 感染存在重大风险.
- 感染可以表现为局部口袋问题或系统性传播.
- 完整的设备移除和向的抗微生物治疗对于管理至关重要.
研究的目的:
- 描述CIED感染的表现,包括口袋和全身的表现.
- 为了确定不同CIED感染类型的不同临床特征和结果.
- 评估一个新发现的预后意义的预后意义.
主要方法:
- 对300个CIED提取程序的回顾性分析.
- 患者被分为孤立口袋,复杂口袋和全身感染组.
- 分析了临床数据,病原体,程序结果和生存率.
主要成果:
- 系统性和复杂的口袋感染经常显示出白细胞症和发烧.
- 黄金葡萄球菌是系统性和复杂的口袋感染的主要病原体.
- 与口袋感染组相比,系统性感染患者的3年全因死亡率明显高于口袋感染组.
结论:
- 一个独特的实体的独立实体.
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