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在静脉注射药物使用者和非使用者中,与发烧性脊髓感染相关的危险因素
Vivek K Bilolikar1, Brendan Gleason1, Lee Kripke1
1Thomas Jefferson University Jefferson Einstein Hospital, Philadelphia, PA, USA.
Advances in orthopedics
|August 6, 2024
概括
与非使用者相比,静脉注射药物使用者 (IVDA) 患有脊髓感染的年龄更小,精神疾病的发病率更高. IVDA患者需要更好的退院后成治疗.
科学领域:
- 传染性疾病 传染性疾病
- 脊柱感染 脊柱感染
- 公共卫生 公共卫生
背景情况:
- 发烧性脊柱感染在患者管理中存在独特的挑战.
- 了解人口统计和并发症差异对于优化护理至关重要.
- 静脉药物滥用 (IVDA) 是医疗保健机构日益关注的问题.
研究的目的:
- 为了比较静脉注射药物使用者 (IVDA) 和非使用者 (非IVDA) 之间的患者因子,表现,治疗和皮原性脊髓感染的结果.
- 确定这两个患者群体的不同特征和医疗保健需求.
主要方法:
- 对患有原发性脊髓感染的患者进行了回顾性病例系列分析.
- 排除手术后感染的可能性.
- 使用RStudio.com进行IVDA和非IVDA组之间的人口统计,临床和结果数据的统计比较.
主要成果:
- 该研究包括50名患者;14%是IVDA.
- IVDA患者显著年轻 (平均年龄为50.6岁而不是61.9岁),吸烟和精神疾病的发病率更高.
- 非IVDA患者更有可能患上糖尿病,慢性病和恶性瘤等并发症.
结论:
- 两个不同的患者群体出现了:年轻的IVDA患者患有精神问题和年长的非IVDA患者患有医疗并发症.
- IVDA患者在退院后继续接受精神病和成治疗时遇到了挑战.
- 需要进一步研究更大的样本大小,以探索医疗保健资源消耗差异.
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