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可修改的手术前风险因素,以缓解儿科胃口术后的手术后部位感染
Shelby R Sferra1, Sara Donnelly1, Sandra Kabagambe1
1Division of General Pediatric Surgery, Morgan Stanley Children's Hospital, Columbia University Irving Medical Center, 3959 Broadway New York, NY, 10032, United States.
Journal of pediatric surgery
|February 24, 2024
概括
以前的葡萄球菌殖民显著增加了儿童胃口管安置后表面感染的风险. 在手术前的脱殖可能会降低这种常见手术中的感染率.
科学领域:
- 儿科外科手术 儿科外科手术
- 传染性疾病传染性疾病.
- 胃肠病学 胃肠病学
背景情况:
- 关于儿科胃口管 (GT) 感染的可修改的手术前风险因素的数据有限.
- 表面感染是GT安置后的常见并发症.
研究的目的:
- 评估人口统计,外科病史和传染病史对儿科腹腔镜胃口管 (LGT) 和皮肤内镜胃口管 (PEG) 放置后表面感染率的影响.
主要方法:
- 一个单一机构的回顾性队列研究包括382名儿科患者,他们在2015年至2021年期间接受了LGT或PEG安置.
- 主要结局是术后30天和90天内的表面感染 (细胞炎或).
- 统计分析包括t测试,奇平方和后勤回归.
主要成果:
- 腹腔镜胃口管患者年轻,在30天内表面感染率更高 (12%vs6%).
- 之前的葡萄球菌殖民是显著的风险因素,增加了感染的几率 (OR 2.35).
- 患有葡萄球菌殖民的患者感染率为21%,而非殖民患者的感染率为9%.
结论:
- 之前的葡萄球菌殖民是表面感染的关键风险因素.
- 研究手术前去殖民化策略可能有助于降低这种手术的感染率.
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