带有格拉姆阳性细菌的细菌病 - - 什么时候以及如何检查内心炎?
Magnus Rasmussen1, Patrik Gilje2, Erika Fagman3
1Department of Clinical Sciences Lund, Division of Infection Medicine, Lund University, Lund, Sweden; Department for Infectious Diseases, Skåne University Hospital, Lund, Sweden.
概括
在患有格拉姆阳性细菌病的患者中,识别感染性内心炎 (IE) 是至关重要的. 这一审查指导了IE诊断调查的选择,平衡了诊断需求与医疗保健资源.
科学领域:
- 传染性疾病 传染性疾病
- 心脏病学 心脏病学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 患有格拉姆阳性细菌病的患者面临感染性内心炎 (IE) 的显著风险.
- 由于需要长时间的抗生素治疗和潜在的心脏门手术,早期和准确的IE诊断至关重要.
- 识别需要IE检查的患者对于适当的管理至关重要.
研究的目的:
- 审查和讨论在个体患者中检测IE的适当调查,这些患者呈现出格拉姆阳性细菌血症.
- 提供关于IE风险分层和诊断方式的指导.
- 帮助临床医生平衡IE诊断的需要与资源利用.
主要方法:
- 发表的原始研究和以前的英语评论的叙事评论.
- 在细菌病中影响IE风险的因素分析,包括细菌物种,单微生物状态和培养数.
- 对患者相关的风险因素和IE现有的风险分层系统的评估.
- 讨论IE检测的各种诊断成像方式.
主要成果:
- IE风险受到细菌物种,单微生物细菌病和阳性血液培养数量的影响.
- 呈现了Staphylococcus aureus,viridans streptococci和Enterococcus faecalis细菌病的风险分层系统.
- 心声成像是IE诊断的主要成像方式.
- 像FDG-PET/CT和心脏CT这样的先进成像可以帮助IE检测和评估栓塞现象.
结论:
- 建议制定一个流程图,以指导在患有格拉姆阳性细菌病的患者中选择IE研究.
- 该审查旨在帮助临床医生在诊断IE和避免不必要的调查之间实现最佳平衡.
- 这种方法既有利于个体患者的护理,也有利于医疗保健系统的效率.
关键词:
心声回声扫描 (Echocardiography) 是一种心声回声扫描.内心内膜炎是一种内心内膜炎.菌 (Enterococcus faecalis) 是一种菌.黄金葡萄球菌黄金葡萄球菌维里丹斯链球菌 (Viridans streptococci) 是一种细菌.更多相关视频
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