1994-2019年无氧细菌病的临床和微生物特征:丹麦基于人口的队列研究
Kasper K Mortensen1, Hans Linde Nielsen2, Kirstine K Søgaard2
1Department of Clinical Microbiology, Aalborg University Hospital, Aalborg, Denmark.
Anaerobe
|August 15, 2024
概括
厌氧细菌病发病率正在上升,30天死亡率高达27%. 死亡的危险因素包括晚年,肝病,固体瘤和特定的细菌物种,如Clostridium.
科学领域:
- 传染性疾病 传染性疾病
- 流行病学 流行病学
- 临床微生物学 临床微生物学
背景情况:
- 厌氧细菌症是一种严重的疾病,但对其流行病学和结果的基于人口的数据有限.
- 了解这些趋势对于评估无氧血液感染的负担和预后至关重要.
研究的目的:
- 描述丹麦人口中厌氧细菌病的流行病学.
- 确定30天死亡率并确定相关的风险因素.
主要方法:
- 基于人口的队列研究分析了1994-2019年第一次无氧细菌病发作.
- 数据收集包括并发病,诊断和死亡率.
- 多变量逻辑回归确定了30天死亡率的风险因素.
主要成果:
- 确诊了1750个发作,发病率不断上升 (每10万居民中有12.5个).
- 常见的来源包括腹部感染 (61%); Bacteroides,Clostridium和Fusobacterium是最常见的属.
- 总体30天死亡率为27%,老年患者,肝病患者或固体瘤患者的死亡率更高.
结论:
- 厌氧细菌病发病率有所增加,死亡率仍然很高.
- 导致30天死亡的关键风险因素包括晚年,肝病,固体瘤,多微生物感染和Clostridium物种.
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