在患有妇科癌症的患者中,皮肤内修复导管相关的感染:多学科算法方法
A D Szvalb1, C Marten2, K Cain2
1Department of Infectious Diseases, Infection Control, and Employee Health, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
The Journal of hospital infection
|September 11, 2023
概括
一个新的算法准确地诊断和治疗妇科癌症患者的皮肤性瘤导管感染 (PCNI). 重复感染的关键风险因素包括盆腔辐射和,指导未来的预防策略.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 妇科瘤学 妇科瘤学
- 传染性疾病 传染性疾病
背景情况:
- 穿皮瘤导管 (PCN) 对于治疗妇科癌症患者的尿道阻塞至关重要.
- PCN可以导致严重的感染,如肺炎,脏,细菌病,可能延迟癌症治疗.
研究的目的:
- 评估用于诊断和治疗PCN相关感染 (PCNI) 的多学科算法.
- 在这个患者群体中确定与复发的设备相关感染相关的风险因素.
主要方法:
- 从2019年7月到2021年9月,对100名患有PCNI的妇科癌症患者进行前性评估.
- 管理遵循标准化算法,随访直到再感染或常规导管更换.
主要成果:
- 分析了74名患者,51%的患者没有再次感染,26%的患者再次感染了相同的生物体,23%的患者感染了不同的生物体.
- 常见的病原体包括Pseudomonas,Enterococcus和Escherichia物种.
- 同一个生物体的复发PCNI的危险因素是盆腔放射治疗,盆腔,以及一年内之前的PCNI.
结论:
- 开发的算法能够准确诊断,分期和治疗PCNI.
- 识别关键的风险因素可以为针对反复感染的有针对性的预防措施的制定提供信息.
相关概念视频
Urinary Tract Infection IV: Nursing Management
20
In managing urinary tract infections (UTIs) in nursing, a comprehensive assessment is essential. Begin by gathering subjective data, such as the patient’s complaints of dysuria (painful urination), urinary frequency, urgency, suprapubic pain, and any lower abdominal discomfort. This information can be complemented by questions regarding previous UTIs, sexual activity, and personal hygiene practices, which can provide insight into risk factors. Objective assessment should focus on signs...
20
Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
14
A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
14
Acute Pyelonephritis II: Diagnostic Studies and Management
15
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
15
Urinary Tract Calculi V: Nursing Management
13
AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
13
Acute Pyelonephritis I: Introduction
20
Pyelonephritis is a bacterial infection that primarily affects the renal parenchyma and collecting system, including the renal pelvis, tubules, and interstitial tissue of one or both kidneys. It can be classified as either acute—a sudden, severe infection—or chronic, which refers to long-term or recurrent kidney infections.The primary cause of acute pyelonephritis (APN) is bacterial infection, with Escherichia coli accounting for approximately 70-80% of cases. Other bacteria, such...
20
Urinary Tract Calculi VI: Surgical Management
10
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
10


