在接受乳腺切除术的儿科患者中,急性乳腺炎的微生物模式的演变
Troy Wesson1, Dhruv Sharma2, Cole Rodman2
1Indiana University School of Medicine, Indianapolis, IN, USA.
International journal of pediatric otorhinolaryngology
|August 6, 2023
概括
脊髓炎菌和肺炎菌是儿童乳腺炎需要手术的最常见细菌. 负的手术内培养与更长的住院时间和增加对中央静脉通道的需求有关.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 儿童传染病 儿童传染病
- 微生物学 微生物学
背景情况:
- 急性凝聚性乳腺炎是一种严重的中耳感染,需要手术干预.
- 了解乳腺切除术后的微生物环境和临床结果对于优化患者护理至关重要.
研究的目的:
- 分析在乳腺切除术期间发现的微生物病原体,用于儿科患者的急性凝聚性乳腺炎.
- 为了将微生物发现与临床结果相关联,包括停留时间和并发症.
- 为了确定预测长期治疗或不良结果的因素.
主要方法:
- 一项回顾性队列研究在一家三级儿科医院进行.
- 分析了46名儿童患者的数据,这些患者在2010年至2019年期间接受了急性凝聚性乳腺炎的乳腺切除术.
- 统计分析包括T测试,后勤回归和多变量分析,以确定显著的预测因素.
主要成果:
- 杆菌 pyogenes 和 Streptococcus pneumoniae 是发现的最常见的细菌.
- 很大一部分培养 (35.4%) 没有显示细菌生长.
- 阴性培养的患者在医院住院时间更长,外围插入中央导管 (PICC) 放置率更高.
- 在多变量分析中,女性性别被确定为积极文化状态的重要预测因素.
结论:
- 在需要乳腺切除术的儿科乳腺炎中,主要的病原体是S. pyogenes和S. pneumoniae.
- 负的手术内伤口培养与较差的临床结果有关,包括延长住院时间和增加对PICC线路的需求.
- 进一步的研究可能会探索负面文化的影响,以指导治疗策略.
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