日本老年人血流感染:当前现实和对策
Keiji Nakamura1,2, Kayoko Hayakawa1,3, Shinya Tsuzuki1,3,4
1Department of Infectious Diseases, Disease Control and Prevention Center, National Center for Global Health and Medicine, Tokyo, Japan.
Global health & medicine
|March 7, 2024
概括
日本老年患者的血液感染因年龄和位置而异. 医院发病的感染在年轻的老年人中更为常见,而与医疗保健相关的感染随着年龄的增长而增加,特别是在老年人群中.
科学领域:
- 老年学是一门学科.
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 血流感染 (BSI) 对老年人群构成重大威胁.
- 老年人生活的不同情况 (医院,医疗机构,社区) 影响了BSI的起源.
- 在不同年龄层的老年人中,潜在的健康状况和一般健康状况在很大程度上存在差异.
研究的目的:
- 分析日本老年人血液感染的特征.
- 为了比较老年人群中不同年龄组的BSI:年龄前 (65-74岁),年龄前 (75-89岁) 和超级年龄 (≥90岁).
- 研究BSI位置 (入院,医疗保健相关,社区获得) 对老年患者的影响.
主要方法:
- 来自东京国家全球健康与医学中心的血液感染数据的回顾性审查.
- 医院发病 (HO),医疗保健相关 (HCA) 和社区获得 (CA) 的BSI分类.
- 老年患者的分层分为三个年龄组:65-74岁,75-89岁和≥90岁.
主要成果:
- 在老年人 (65-74岁) 组中,医院发病的细菌病最常见.
- 与医疗保健相关的血流感染随着年龄的增长趋势,在超级老年人 (≥90岁) 群体中达到顶峰.
- 在超级老年人群中,传染病 (ID) 咨询率较低,这表明有针对性的干预的潜在领域.
结论:
- 65岁以上个体的血液感染不是一个统一的实体,并且根据年龄和获得来源有很大的差异.
- 早期传染病咨询可以改善BSI的老年患者的治疗结果.
- 超级老年人群代表了加强BSI预防和管理策略的关键目标人群.
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