与肠球菌相关的血管移植感染:一个病例系列
Jules Bauer1, Olivier Robineau2, Jonathan Sobocinski3
1Service Universitaire des Maladies Infectieuses et du Voyageur, CH Dron, 59200 Tourcoing, France.
Infectious diseases now
|June 21, 2024
概括
肠球菌血管移植感染,通常是多微生物感染,发生在手术后的早期,影响患有并发症的患者. 治疗涉及抗生素,观察到显著的死亡率和复发率.
科学领域:
- 血管外科 血管外科
- 传染性疾病 传染性疾病
- 微生物学 微生物学
背景情况:
- 血管移植感染在患者管理中带来了重大挑战.
- 菌种在医疗保健相关感染中越来越多地被认为是病原体.
研究的目的:
- 确定与肠球菌相关的血管移植感染的发病率,临床特征和结果.
- 分析这些感染的管理策略和相关负担.
主要方法:
- 从2008年到2021年进行了一项前性队列研究.
- 收集了在转诊中心管理的血管移植感染的数据.
- 分析了感染史,管理,假肢类型和结果.
主要成果:
- 肠球菌血管移植感染占12%的病例 (29/249).
- 大多数感染是早期发病 (76%) 和多微生物 (90%),经常涉及肠杆菌.
- 死亡率为28%,复发发生在7%的病例中.
结论:
- 肠球菌血管移植感染与并发症和腔内假肢有关.
- 这些感染通常发生在手术后的早期,并以多微生物的形式出现.
- 在这些环境中,肠球菌的毒性需要仔细考虑.
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