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2000年至2020年感染性脊柱炎的趋势
Shinji Tanishima1, Tokumitsu Mihara2, Chikako Takeda2
1Division of Orthopedic Surgery, Department of Sensory and Motor Organs, School of Medicine, Faculty of Medicine, Tottori University, 36-1 Nishi-cho, Yonago, Tottori, 683-8504, Japan. shinjit@tottori-u.ac.jp.
概括
传染性脊髓炎的趋势显示,在过去二十年中,MRSA等耐药细菌减少,土著口腔和肠道细菌增加. 这种转变影响了脊柱感染的治疗策略.
科学领域:
- 脊髓感染 脊髓感染
- 传染病的流行病学传染病的流行病学.
- 骨感染的微生物学
背景情况:
- 传染性脊柱炎是一种严重的疾病,影响脊柱.
- 了解致病生物的趋势对于有效管理至关重要.
- 随着时间的推移,微生物耐药性和常见病原体的变化需要进行调查.
研究的目的:
- 在20年的时间内分析感染性脊髓炎的流行病学趋势.
- 为了比较两个不同的时间间隔 (2000-2009年和2010-2020年) 的致病生物,患者人口统计和感染源.
主要方法:
- 从2000年到2020年,对157例传染性脊髓炎病例进行了回顾性分析.
- 案件分为两个组:2000-2009年 (n=82) 和2010-2020年 (n=75).
- 患者年龄,性别,致病生物和感染源在不同组之间的比较.
主要成果:
- 患者的平均年龄在后一个十年 (2010-2020年) 显著增加.
- 观察到由受损宿主和耐药细菌 (例如MRSA) 引起的感染减少.
- 在过去的十年中,由于土著口腔和肠道细菌引起的感染量显著增加.
结论:
- 最近的感染性脊柱炎病例显示,由土著口腔和肠道细菌引起的感染趋势不断上升.
- 这与过去二十年中归因于耐药细菌的感染减少形成鲜明对比.
- 这些不断变化的趋势需要更新脊髓感染的诊断和治疗方法.
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