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细菌殖民是否会影响尿路支架相关的发病率? 一个前性研究研究
Mohamed Samir1, Mahmoud Ahmed Mahmoud1, Ahmed Tawfick1
1Urology, Ain Shams University Hospitals, Cairo, Egypt.
Arab journal of urology
|July 31, 2023
概括
尿道支架的细菌殖民导致支架相关的发病率,随着更长的内置时间而增加. 常规支架培养是不必要的,因为尿液培养检测到相同的微生物.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 传染性疾病 传染性疾病
- 医学微生物学 医学微生物学
背景情况:
- 尿道支架通常用于泌尿器科手术.
- 与支架相关的发病率可以显著影响患者的生活质量.
- 细菌殖民在支架发病率中的作用需要进一步阐明.
研究的目的:
- 评估细菌殖民对尿道支架相关疾病的影响.
- 确定支架内置时间和细菌殖民之间的关系.
- 评估支架培养与尿液培养的实用性.
主要方法:
- 115名接受尿路支架安置的患者的前性研究 (2019年2月 - 2022年3月).
- 评估与支架相关的发病率,使用尿道支架症状问卷 (USSQ) 的阿拉伯版本进行支架切除.
- 用于细菌检测的支架和中流尿液培养物的比较.
主要成果:
- 在15.6%的患者中发生了支架殖民,其中大肠杆菌是最常见的生物体.
- 阳性支架培养与显著更长的支架内置时间有关.
- 殖民式支架与较高的USSQ分数相关,包括疼痛,尿道症状,工作表现和其他问题.
结论:
- 尿道支架的细菌殖民是支架相关发病的一个因素.
- 支架植入率随着支架保留时间的长度而增加.
- 支架培养在临床上是不必要的,因为尿液培养可以识别相同的病原体.
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