艰难杆菌感染相关的特定原因和全因死亡率:基于人口的队列研究
Annelies Boven1, Erika Vlieghe2, Lars Engstrand3
1Centre for Translational Microbiome Research, Department of Microbiology, Tumour and Cell Biology, Karolinska Institutet, Stockholm, Sweden; Department of Family Medicine and Population Health, Antwerp University, Antwerp, Belgium.
困难杆菌感染 (CDI) 显著增加死亡风险,即使在更健康的个体. 这项研究强调了CDI对所有原因和特定原因死亡率的重大影响.
科学领域:
- 传染性疾病 传染性疾病
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 艰难菌感染 (CDI) 是全球与医疗保健相关的感染和死亡的主要原因.
- 目前关于CDI相关死亡率的数据有限,需要进一步调查.
- 了解导致CDI死亡率的因素对于公共卫生战略至关重要.
研究的目的:
- 调查CDI与全因死亡率之间的关联.
- 检查CDI患者的特定原因死亡率.
- 探索复发性CDI,收购环境,并发症和年龄对CDI相关死亡率的影响.
主要方法:
- 在瑞典 (2006-2019) 进行了一项基于全国人口的队列研究.
- 使用标准化死亡率比较,将CDI患者与瑞典普通人口进行比较.
- 匹配队列分析 (1:10) 使用多变量波桑回归来确定发病率比率 (IRR).
主要成果:
- CDI与3至7倍的死亡率增加有关 (IRR=3.5,SMR=6.8).
- 在医院获得的CDI显示出更高的死亡率 (IRR=2.4).
- 即使在调整了并发病后,死亡率仍然很高,特别是在没有慢性疾病的人群中.
结论:
- CDI与显著增加的全因和因特定死亡率有关.
- 在所有性别,年龄组和并发症水平上,死亡风险的增加仍然存在.
- CDI带来了相当大的死亡负担,而不依赖于潜在的健康状况.
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