主要与初级的模式,结果和经济负担. 二次性血液感染:一个单一的中心,横截面研究
Ioannis Chandroulis1, Georgios Schinas2, Anne-Lise de Lastic2
1School of Social Sciences, Hellenic Open University, 263 35 Patras, Greece.
Pathogens (Basel, Switzerland)
|August 29, 2024
概括
初级血流感染 (BSI) 比二级BSI更严重和更昂贵,尽管它们没有明确的起源. 及时诊断和量身定制的治疗对于更好的患者结果和减少医疗保健费用至关重要.
科学领域:
- 传染性疾病 传染性疾病
- 临床医学 临床医学
- 卫生经济学 卫生经济学
背景情况:
- 血流感染 (BSI) 具有显著的发病率和死亡率,被分类为初级 (未确定的来源) 或二级 (局部来源).
- 了解初级和二级BSI之间的模式,结果和成本的差异对于有效管理至关重要.
研究的目的:
- 为了比较临床模式,患者的结果,以及主要和次要血液感染的相关医疗费用.
- 确定与初级和二级BSI相关的因素.
主要方法:
- 希腊帕特拉斯大学医院 (2016年5月至2018年5月) 的201名已确诊的BSI患者的单中心回顾性队列研究.
- 分析患者人口统计,临床数据,严重程度得分 (SOFA,APACHE II,SAPS,qPitt),住院时间,死亡率和总护理费用.
主要成果:
- 主要BSI占病例的22.89%,与年轻患者有关,主要是医院获得,临床严重程度得分更高.
- 初级BSI患者的住院时间更长 (21天而不是12天),总护理费用明显增加 (4388.3欧元而不是2530.25欧元).
- 在初级BSI中,死亡率更高 (43.24%对26.09%),但在统计学上并不显著.
结论:
- 与二次性BSI相比,初级BSI存在不同的临床和经济挑战,需要及时诊断和有针对性的抗菌战略.
- 调查结果强调,需要为初级BSI和干预措施制定具体的管理指南,以减轻血液感染的整体负担.
关键词:
抗生素治疗是一种抗生素治疗.细菌病的细菌病是什么意思血液感染 血液感染临床结果的临床结果.社区感染 社区感染住院费用 住院费用 住院费用死亡率 死亡率医院内感染 医院内感染原发性细菌病的发生.二次性细菌病的发生.更多相关视频
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