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下胃肠道手术后尿路感染的预测因素
Gianluca Buzzi1, Maria Antonello2, Federico Scognamiglio1
1Chirurgia Generale 3, Padua University Hospital, Via Giustiniani 2, 35128, Padova, Italy.
Langenbeck's archives of surgery
|August 29, 2023
概括
一种新的诺米图可以预测下胃肠道手术后患有术后发烧的患者的尿路感染 (UTI). 这种工具有助于临床医生在等待尿液培养结果的同时管理潜在的尿路感染.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术感染 手术感染
- 医疗信息学 医疗信息学
背景情况:
- 尿路感染 (UTI) 是手术后发病率和经过下胃肠道 (GI) 手术的患者长期住院的重要原因.
- 在等待尿液培养结果时,临床医生在管理源不明发烧 (FUO) 时面临不确定性.
研究的目的:
- 开发和验证在下肠道手术后患有未知来源的术后发烧 (FUO) 的患者尿道感染 (UTIs) 的预测性名录.
主要方法:
- 在接受下肠道外科手术的患者中进行了一项观察性回顾性研究.
- 使用109名患者的数据开发了一个名图,并对90名FUO患者进行了外部验证.
主要成果:
- 诺米图表显示出良好的预测准确性,在开发队列中C指数为0.76,在验证队列中为0.71.
- 尿路感染的关键预测因素包括女性性别,年龄较大和导管治疗的持续时间.
结论:
- 开发的诺米图有效预测术后FUO手术患者的尿路感染.
- 这种工具可能有助于减少在等待最终尿液培养结果时不适当使用抗生素.
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