脑性衰竭患者中心电图的实用性 带有格兰阳性细菌病的患者中心电图的实用性:一项回顾性研究
Neta Sternbach1,2, Haim Ben-Zvi3, Ofir Wolach1,2
1Institute of Hematology, Davidoff Cancer Center, Rabin Medical Center, Petah Tikva, Israel.
Acta haematologica
|March 25, 2024
概括
感染性内心炎 (IE) 很少发生在中性贫血血瘤学患者中,这些患者患有格拉姆阳性细菌血症. 心声图的产量很低,在这个人群中可能可以避免.
科学领域:
- 血液学 血液学 血液学
- 在瘤学瘤学.
- 传染性疾病 传染性疾病
背景情况:
- 血液瘤学患者容易感染血液感染,这是由于他们的免疫功能受损状态和使用血管内导管.
- 有限的数据存在于感染性内心炎 (IE) 的风险,在这个群体中,带有格拉姆阳性 bacteremia.
研究的目的:
- 评估中性贫血血瘤病患者中IE的发生率.
- 为了确定心声回声学在确定IE的诊断收益率在这个患者群体.
主要方法:
- 从2007年到2021年,对住院的中性贫血血瘤病患者进行了一项回顾性研究,这些患者的血液培养具有阳性血型.
- 收集的数据包括患者特征,血液培养结果和心声回声图的发现.
主要成果:
- 这项研究包括241名患者和283个分离物;凝聚酶阴性葡萄球菌和毒杆菌是最常见的病原体.
- 感染性内心炎仅在一个患者身上被发现,该患者患有多发性骨髓瘤,中性衰竭发烧,S. viridans细菌病和中风.
- 在这种情况下,跨胸腔心声学 (TTE) 和跨食道心声学 (TEE) 没有显示与IE一致的膜病理.
结论:
- 患有细菌病的中性贫血血瘤患者中IE的发病率非常低.
- 心声扫描在这个人群中具有较低的诊断收益率,在大多数情况下可能不需要.
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