菌性骨髓炎:报告病例的系统审查
Erika Asperges1, Giuseppe Albi2, Francesco Truffelli1,3
1S.C. Malattie Infettive I Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy.
Microorganisms
|July 29, 2023
概括
这一系统性审查详细介绍了真菌骨髓炎,一种罕见的骨感染. 阿斯伯吉勒斯,坎迪达和粘菌物种是常见的原因,脊椎最常受到影响,突出显示需要进一步研究.
科学领域:
- 传染性疾病 传染性疾病
- 菌类学 菌类学是指菌类学.
- 整形外科 整形外科 整形外科
背景情况:
- 性骨髓炎是一种罕见的疾病,文献有限,主要是病例报告.
- 缺乏对其流行病学和治疗的全面了解.
研究的目的:
- 提供一种基于实践的全球视角,关于真菌性骨髓炎.
- 分析这一罕见疾病的流行病学数据和治疗策略.
主要方法:
- 对MEDLINE,EMBASE和Cochrane图书馆进行系统审查 (2023年3月).
- 包括2023年1月之前发表的研究,不包括评论,非英语和灰色文献.
- 从678项纳入研究中对1072名患者进行了描述性分析.
主要成果:
- 最常见的致病剂是阿斯伯吉勒斯 (26.5%),坎迪达 (20.7%),和粘菌 (16.8%).
- 脊椎是最常受到影响的骨头.
- 主要的危险因素包括糖尿病,传播的真菌感染,手术和局部病变. 治疗持续时间与结果相关.
结论:
- 本综述提供了真菌骨髓炎的概述,确定了关键的病原体和危险因素.
- 需要大量高质量的研究来改善对真菌性骨髓炎的理解和管理.
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