在社区环境中识别慢性伤口的感染:对诊断测试准确性研究的系统审查
George Edwards1, Adam Carter1, Chloe Wallis1
1Nuffield Department of Primary Care Health Sciences, Radcliffe Observatory Quarter, Oxford, UK.
Journal of advanced nursing
|August 14, 2023
概括
目前用于慢性伤口感染的诊断方法缺乏足够的证据用于社区使用. 需要进一步的研究来开发可靠的伤口诊断,以获得更好的患者结果和优化抗生素使用.
科学领域:
- 医学诊断 医学诊断 医学诊断
- 伤口护理 伤口护理
- 传染性疾病 传染性疾病
背景情况:
- 慢性伤害影响了许多成年患者,通常会对感染提出诊断挑战.
- 准确识别感染对于有效治疗和预防并发症至关重要.
研究的目的:
- 评估可用的诊断方法的诊断准确性,以识别社区环境中的慢性伤口感染.
- 评估当前诊断工具对患有慢性伤口的成年患者的适用性.
主要方法:
- 对诊断测试准确性研究的系统审查.
- 从2011年到2022年4月搜索了CINAHL,Embase和Medline数据库.
- 包括的研究比较了指数测试与显微镜和深层组织活检或伤口拭子的培养.
主要成果:
- 包括四项研究,主要来自二级护理伤口诊所.
- 评估的方法包括细菌光成像,伤口流体酶升高和细菌蛋白酶活性.
- 敏感度在50-75%之间,特异性在47-100%之间.
结论:
- 只有少数研究符合严格的纳入标准.
- 目前没有一种诊断方法显示出足够的证据证明在社区环境中可靠使用.
- 进一步的研究对于开发和验证社区护理有效的伤口感染诊断是必不可少的.
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