在COVID-19大流行期间感染性内心炎的表现:它们是否付出了难以言喻的代价?
Ahmed Elamragy1, Ahmad Samir1, Ahmed Maher1
1Kasralainy Medical School, Faculty of Medicine, Cairo University, Cairo, Egypt.
Global cardiology science & practice
|May 15, 2024
概括
在COVID-19期间,感染性内心炎 (IE) 诊断下降,延迟较长但结果更好,这表明转诊偏差和IE患者的自然选择.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 由于COVID-19的流行,导致资源重新分配,这可能会影响诊断其他关键条件.
- 具有非特异性症状的传染性内心炎 (IE) 可能被误诊为COVID-19.
- 疫情期间的限制可能影响了IE患者的表现和寻求医疗保健的行为.
研究的目的:
- 调查COVID-19大流行对传染性内心炎 (IE) 的发生率,表现和结果的影响.
- 为了比较流行病峰值期间的IE病例与历史对照.
- 探索IE流行病学和临床过程中观察到的变化的潜在原因.
主要方法:
- 在COVID-19高峰期 (2021年6月至2022年6月) 中对IE病例的回顾性观察研究.
- 30个IE病例 (A组) 与398个历史IE病例 (B组) 的比较,来自大流行前的数据库.
- 分析患者的特征,症状持续时间,治疗反应和并发症.
主要成果:
- 在大流行的高峰期,IE呈现率在通常的速度相比下降了25%.
- 在A组 (60天) 和B组 (28天) 中,从症状发作到表现的间隔显著更长.
- 组A显示动脉栓塞较少,手术指示较少,整体并发症较少,但急性损伤增加.
结论:
- 在COVID-19大流行期间,感染性内心炎的诊断和检查受到显著阻碍.
- 在IE转诊的下降和看似有利的结果表明转诊偏差和患者的自然选择.
- 医疗保健系统必须对像IE这样的关键条件保持警,即使是在公共卫生危机期间.
相关概念视频
01:26Factors Affecting the Risk of Infection
11.8K
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
11.8K
01:26Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic
4.2K
Healthcare-associated infections (HAIs) occur in a healthcare facility while a person receives care for another ailment. This category also includes work-related infections among healthcare staff.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
4.2K
01:22Healthcare Associated Infections II: Preventive Measures
2.6K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.6K
01:17Ischemic Heart Disease: Overview
1.3K
Ischemic heart disease occurs when the heart's blood supply dwindles, causing an ominous lack of oxygen and nutrients. This deficiency, stemming from reduced or obstructed blood flow, spells danger, leading to heart muscle damage and dysfunction.
Atherosclerosis, the primary malefactor, orchestrates this dangerous condition. It manifests as the accumulation of fatty deposits, akin to insidious plaques, within arterial walls. As time elapses, these plaques metamorphose, hardening and...
Atherosclerosis, the primary malefactor, orchestrates this dangerous condition. It manifests as the accumulation of fatty deposits, akin to insidious plaques, within arterial walls. As time elapses, these plaques metamorphose, hardening and...
1.3K
01:28Esophageal Perforation-II: Clinical Manifestations and Management
56
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
56
01:30Pneumonia III: Complications and Assessment
203
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
203