严重疾病中压力损伤引起的败血症发作:回顾性观察队列研究
Pınar Küçükdemirci Kaya1, Murad Kaya1, Nermin Kelebek Girgin1
1Bursa Uludag University Faculty of Medicine, Bursa, Turkey.
Wound management & prevention
|December 13, 2023
概括
患有压力损伤的重症患者面临高血流感染的风险. 低白蛋白,功能衰竭和长时间的ICU住院增加了这种风险,导致死亡率更高.
科学领域:
- 关键护理医学 关键护理医学
- 传染性疾病 传染性疾病
- 伤口护理 伤口护理
背景情况:
- 患有压力损伤 (PIs) 的重症患者 (CIP) 容易发展出血流感染 (BSI).
- 了解这一群体中BSI的风险因素对于及时干预至关重要.
研究的目的:
- 为了确定具有PIs的CIP中与败血症相关的BSI的诱导因素.
- 讨论这些感染的诊断和管理策略.
主要方法:
- 从2014年1月到2020年1月,对ICU中CIP的回顾性审查.
- 对PI患者,败血症诊断患者和同时呈阳性血液和部位培养物的分析.
主要成果:
- 低白蛋白水平,功能衰竭和长时间的ICU停留被确定为具有PI的CIP中BSI的显著风险因素.
- 较高的C-反应蛋白水平和PI原因 (创伤或手术) 与BSI的可能性较低有关.
- PI诱导的BSI与增加的死亡率有关.
结论:
- 严重病患者的压力损伤引起的败血症与28天死亡率的实质性风险有关.
- 患有低白蛋白,功能衰竭或在败血症发作期间长期留在ICU的PIs的CIP需要对BSI进行警监测.
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