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传染病咨询中的非传染病:在第三级护理教学医院的描述性研究
Yoshiro Hadano1,2, Takanori Matsumoto3
1Division of Infection Control and Prevention, Shimane University Hospital, Izumo Shimane, Japan.
在9%的传染病 (ID) 咨询中诊断出非传染病 (非ID). 瘤和炎症状况是常见的非ID诊断,突出了ID咨询中需要更广泛的诊断考虑的需要.
科学领域:
- 内部医学 内部医学
- 传染性疾病 传染性疾病
- 医院流行病学 医院流行病学
背景情况:
- 传染病 (ID) 咨询对于诊断复杂病例至关重要.
- 非传染性疾病 (非感染性疾病) 可能出现模仿感染的症状,使咨询复杂化.
研究的目的:
- 确定在日本急症医院的ID咨询期间诊断的非ID的频率,趋势和性质.
- 在这种情况下,确定与非ID诊断相关的因素.
主要方法:
- 从2016年10月到2018年3月,对成人住院患者进行ID咨询的回顾性研究.
- 对人口统计数据,临床表现和最终诊断的分析.
- 后勤回归用于识别非ID诊断的独立预测因素.
主要成果:
- 在502名患者中,45名 (9.0%) 获得了最终的非ID诊断.
- 常见的非ID包括瘤 (22.2%),结缔组织疾病 (13.3%),其他炎症性疾病 (8.9%) 和药物发烧 (8.9%).
- 诊断咨询,内科转诊和非细菌病例与非ID诊断独立相关.
结论:
- 非ID,特别是瘤和炎症状况,占ID咨询中所见病例的很大一部分.
- 该研究强调了在传染病评估期间考虑非ID差异诊断的重要性.
- 建议进行进一步的研究,以完善诊断策略并提高ID咨询的质量.
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