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常规血液培养对于上肢的有用性

Etka Kurucan¹, Nicolas J Echeverria¹, Evan Jacquez²

¹Temple University Hospital, Philadelphia, PA, USA.

Hand (New York, N.Y.)

|December 6, 2023

概括

常规抽取血液培养物用于上肢,可能没有好处. 虽然与更多的手术或再入院无关,但血液培养会增加住院时间,无论结果如何.

科学领域:

传染性疾病传染性疾病
手术感染手术感染
诊断实用工具诊断实用工具诊断实用工具

背景情况:

患有皮肤和软组织感染 (SSTI) 的患者通常需要住院接受静脉注射抗生素和手术排水.
血液培养物通常在急诊室收集给患有SSTI的患者.
在上肢中血液培养的实用性需要进一步调查.

研究的目的:

为了确定患有上肢的患者血培养的价值.
评估血液培养物与切口和排水 (I&D) 程序之间的关联.
评估血液培养对再入院率和住院时间的影响.

主要方法:

对314名患者 (18-89岁) 的回顾性图表审查,他们接受了上肢的I&D.
对人口统计数据,并发症,实验室值和培养结果的分析.
评估I&D手术数量,住院时间和再接收率.

主要成果:

增加年龄和白细胞计数与更多的I&D程序相关联.
血培养,阳性或阴性,与更长的住院时间有关.
在多变量分析中,血液培养和I&D程序数量之间没有发现任何关联.
阳性血液培养与更高的再入院率有关.

结论:

对上肢的常规血液培养可能没有好处.
血液培养不会增加I&D程序的数量或再接收率.
血液培养物,无论阳性程度如何,都与住院时间的增加有关.

关键词:

诊断诊断诊断诊断诊断诊断评价评价评价评价感染感染的感染.医学医学医学医学医学结果就是结果.研究和健康成果.专业的专业专业的专业.治疗治疗治疗治疗治疗治疗

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