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影响双J尿道支架细菌殖民的因素:一个前性研究
Khaireddine Bouassida1, Manel Marzouk2, Hamda Ben Saad1
1Urology Department, Sahloul Hospital, Faculty of Medicine of Sousse.
双J支架 (DJS) 的更长的内置时间显著增加了支架殖民的风险. 建议立即去除DJS,以最大限度地降低感染风险.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 微生物学 微生物学
- 传染性疾病 传染性疾病
背景情况:
- 双J支架 (DJS) 的安置在泌尿器科手术中很常见.
- 支架植入可以导致细菌尿和其他并发症.
- 了解微生物和DJS殖民的风险因素至关重要.
研究的目的:
- 为了识别导致DJS殖民和细菌尿的微生物.
- 为了确定孤立病原体的药物易感性.
- 调查与DJS殖民相关的因素,包括居住时间,年龄,性别和并发症.
主要方法:
- 对155名接受DJS切除术的患者进行前性分析.
- 收集膀尿液和支架片段 (脏,尿道,膀) 用于细菌学检查.
- 统计分析以将患者因素与支架植入相关联.
主要成果:
- 阳性支架培养与年龄较大有关 (平均61.17岁对55.94岁,P=0.016).
- 糖尿病和细菌尿与DJS污染有显著的相关性 (P<0.001).
- 殖民型支架的平均内存时间较长 (6.45 vs 4.06 个月,P<0.001);最常见的分离物是氏阴性菌根.
结论:
- 长时间的居留时间是DJS殖民的重要风险因素.
- 建议尽量减少DJS的必要性和使用时间.
- 早期去除DJS可以帮助预防并发症.
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