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感染性内心炎的临床微生物学风险因素在病毒群中 streptococci 细菌血症
Jiyeon Bae1, Jae Hyeon Park2, Minkyeong Lee1
1Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.
The Journal of antimicrobial chemotherapy
|July 8, 2024
概括
鉴定感染性内心炎 (IE) 风险因素在病毒群链球菌 (VGS) 血流感染 (BSI) 中至关重要. 关键预测因素包括心脏膜疾病,持续性细菌病和年轻年龄,指导心声回声学决策.
科学领域:
- 传染性疾病 传染性疾病
- 心脏病学 心脏病学
- 微生物学 微生物学
背景情况:
- 对于对感染性内心炎 (IE) 患者进行回声心脏学诊断的最佳时间,病毒群链球菌 (VGS) 血流感染 (BSI) 仍然不确定.
- VGS BSIs可能会导致严重的并发症,需要清楚地了解相关风险.
研究的目的:
- 在患有VGS BSI的患者中确定IE的独立风险因素.
- 在这个患者群体中提供数据驱动的建议,以明智地使用心声回声学.
主要方法:
- 在2013年1月至2022年12月期间,在首尔国立大学医院进行了一项回顾性研究.
- 分析了患有VGS和营养变异性链球菌BSI的患者,不包括单个阳性血液培养物和多微生物感染.
- 使用多变量逻辑回归和灵敏度分析来确定独立的风险因素.
主要成果:
- 在845个VGS BSI病例中,分析了349个,揭示了86个IE病例 (24.6%).
- 对IE的独立风险因素包括心脏膜疾病 (aOR,14.14),持续性细菌病 (aOR,5.12) 和年龄较小.
- 缺乏固体癌症 (aOR,0.26) 或血液恶性瘤 (aOR,0.04) 和感染虫群细菌 (aOR,6.50) 也是显著的.
结论:
- 年龄较小,心脏膜疾病,持续性细菌病,不存在恶性瘤和VGS虫群BSI是IE的独立风险因素.
- 应考虑基于这些已识别的临床微生物学风险因素进行心声学评估.
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