细菌病的诊断和预后影响在患有复杂的肺部感染的患者中
Chang Ho Kim1, Ji Eun Park1, Jung Guen Cha2
1Department of Internal Medicine, School of Medicine, Kyungpook National University, Daegu, Republic of Korea.
Pleura and peritoneum
|July 1, 2024
概括
细菌血症发生在7%的复杂的多叶膜感染中,但很少改变结果. 血液培养在患有洞腔病变或高RAPID分数的患者中最有用,因为死亡率与RAPID分数有关,而不是细菌病本身.
科学领域:
- 传染性疾病 传染性疾病
- 肺部病理学 肺部病理学
- 关键护理医学 关键护理医学
背景情况:
- 复杂的肺部感染,包括肺部外流和肺,存在诊断方面的挑战.
- 这些患者的细菌病的临床意义仍然不确定,影响治疗策略.
研究的目的:
- 为了确定复杂的肺部感染中细菌病的发生率.
- 评估细菌病的临床意义和对患者结局和死亡率的影响.
主要方法:
- 对341名患者进行了回顾性分析,这些患者因复杂的胸腔感染而接受了胸腔排水.
- 细菌性和非细菌性组之间的临床,实验室和放射学数据的比较.
- 多变量分析以确定与细菌病和总死亡率相关的因素.
主要成果:
- 7%的患者患有细菌病;只有2%的病例血液培养识别了在多液中未发现的病原体.
- 腔腔病变,RAPID分数≥5和阳性腹液培养与细菌病有关.
- 在患有和没有细菌病的患者之间,没有观察到在医院死亡率的显著差异. RAPID评分是整体死亡率的唯一预测指标.
结论:
- 复杂的多叶膜感染中的细菌血症的发病率很低,对临床结果的影响有限.
- 血液培养测试在大多数情况下,除了肺部液体培养之外,提供了最小的额外诊断价值.
- 血液培养可能对某些怀疑患有腔病变或高RAPID分数的肺部感染的患者有好处.
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