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炎症性肠病中手术后传染性并发症的风险和管理:系统性审查
Reshma Kureemun Mowlah1, Jonathan Soldera2
1Acute Medicine, University of South Wales, Cardiff CF37 1DL, United Kingdom.
World journal of gastrointestinal surgery
|December 19, 2023
概括
在炎症性肠病 (IBD) 手术中确定术后感染的危险因素至关重要. 减轻这些风险的策略,包括管理营养不良和肥胖,可以改善患者的治疗结果.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 传染性疾病 传染性疾病
背景情况:
- 炎症性肠病 (IBD) 的手术适用于耐火性疾病或严重并发症.
- 在接受结直肠手术的IBD患者中,术后感染性并发症是一个重大问题.
研究的目的:
- 为了确定增加IBD手术后传染性并发症的风险因素.
- 探索减少发病率和死亡率的管理策略.
主要方法:
- 按照PRISMA-P指南进行系统审查.
- 搜索了MEDLINE (PubMed) 和柯克伦图书馆的数据库.
- 分析了35篇精选的文章,研究了导致手术后感染的因素.
主要成果:
- 危险因素包括低albuminemia,营养不良,手术前,肥胖和手术前输血.
- 皮质类固醇增加了并发症风险;5-ASA和免疫调节剂没有.
- 乌斯特基努马布和维多利祖马布的感染并发症率相似.
结论:
- 为了减少IBD患者手术后传染性并发症,必须采取多学科的方法.
- 管理策略应应对已识别的风险因素.
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