患有支气管炎的住院儿童中细菌感染的患病率和风险
Noelle Cadotte1,2, Hannah Moore3, Bryan L Stone4
1Divisions of Critical Care.
Hospital pediatrics
|July 8, 2024
概括
在患有支气管炎住院的儿童中,严重的细菌感染 (cSBI) 不常见. 关键的危险因素包括机械通风,高C反应蛋白,慢性疾病和PICU入院.
科学领域:
- 儿科 儿科 儿科
- 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:
- 病毒性支气管炎是儿童常见的住院诊断.
- 同时严重的细菌感染 (cSBI) 是可能的,但难以确定.
- 准确识别cSBI对于指导适当使用抗生素至关重要.
研究的目的:
- 为了确定cSBI在住院儿科支气管炎病例中的患病率.
- 在这个人群中识别与cSBI相关的风险因素.
主要方法:
- 对患有支气管炎住院的2岁以下儿童进行了回顾性队列研究 (2012-2019).
- cSBI被定义为细菌病,尿路感染,脑膜炎或肺炎.
- 后勤回归用于识别风险因素.
主要成果:
- 确定了7871个招生;4.2%的人至少有一个cSBI.
- 细菌性肺炎是最常见的cSBI (3.5%).
- 与侵入性机械通风,高C反应蛋白 (≥4 mg/dL),复杂慢性疾病和PICU入院相关的cSBI风险增加.
结论:
- 在儿科支气管炎住院治疗中,cSBI 是不常见的.
- 肺炎是最常见的cSBI.肺炎是最常见的cSBI.
- 机械通风和PICU入院等特定因素表明cSBI风险较高.
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