临床特征和感染性休克患者的危险因素:一项回顾性多中心队列研究
Sukbin Jang1, Minji Jeon2, Seok Jun Mun3
1Division of Infectious Diseases, Department of Medicine, Dankook University School of Medicine, Cheonan, Republic of Korea.
Journal of infection and public health
|March 30, 2024
概括
宫炎是一种子宫感染,主要影响绝经后的个体,并与尿路感染共享常见的病原体. 认知障碍可能会推迟诊断,增加败血症休克风险.
科学领域:
- 妇科 妇科 妇科 妇科
- 传染性疾病 传染性疾病
- 关键护理医学 关键护理医学
背景情况:
- 皮奥美特,以子宫内积累为特征,缺乏全面的临床和病因学描述.
- 这项研究调查了皮奥美特患者的临床特征,流行病学,结果和败血症休克风险因素.
研究的目的:
- 为了阐明临床特征,流行病学,和 pyometra 的结果.
- 为了确定与 pyometra 患者的败血性休克相关的危险因素.
主要方法:
- 在四所大学医院 (2010年1月至2022年8月) 的192名pyometra患者进行了回顾性研究.
- 排除周周和手术部位感染.
- 在有和没有败血症休克的患者之间比较临床数据和结局.
主要成果:
- 该研究包括192名患者;28天死亡率为5.0%,一年复发率为6.3%.
- 常见的症状包括腹痛和阴道泄漏. 确定的病原体包括大肠杆菌,肺炎的克莱布塞拉菌,菌株菌株菌株菌株菌株菌株菌株和Ureaplasma spp.
- 感染性休克与发烧,子宫穿孔和痴呆症有关,但与阴道泄漏相反.
结论:
- 阴影是绝经后妇女的一个明显的妇科感染,其病原体类似于尿路感染的病原体.
- 由于认知能力下降而延迟诊断可能导致严重的结果,如败血症休克和增加死亡率.
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