胰腺切除术后血液培养检测的重要性
Tsukasa Aritake1, Seiji Natsume1, Tomonari Asano1
1Department of Gastroenterological Surgery Aichi Cancer Center Hospital Nagoya Japan.
Annals of gastroenterological surgery
|September 4, 2024
概括
在胰腺切除术 (PD) 后的血液培养检测具有显著的阳性率. 使用血液培养结果,可以将胰腺相关的发烧与其他感染区分开来.
科学领域:
- 手术瘤学手术瘤学
- 传染性疾病 传染性疾病
- 临床微生物学 临床微生物学
背景情况:
- 胰腺二管切除术 (PD) 是一种复杂的手术程序,可能会出现术后并发症.
- 发烧发作 (FE) 是PD后常见的,需要准确的诊断.
- 血液培养检测是识别血液感染的关键诊断工具.
研究的目的:
- 为了评估血液培养测试在经过胰腺切除术后的术后期的意义.
- 为了确定血液培养采样和阳性率在经历PD后发烧发作的患者.
- 探索与血培养阳性相关的因素,并区分发烧源.
主要方法:
- 在2016-2021年期间接受PD的患者的回顾性分析.
- 对发烧发作 (从术后第四天起的温度≥38.0°C) 的调查.
- 将FE分类为与胰腺 (PF) 相关的或与PF无关的,并对血培养阳性进行相关性分析.
主要成果:
- 在339名PD患者中,99人经历了202个FE;160个FE接受了血液培养测试.
- 血培养阳性率为每次发作17.5%和每位患者28.1%.
- 与PF无关的FE显示出明显更高的阳性率 (27/124) 比PF相关的FE (1/36).
- 阳性血培养与胆管炎,导管相关的血液感染,尿路感染,发,皮特细菌病评分和手术前胆道排水有关.
结论:
- 接受PD的患者在术后期表现出显著的血液培养阳性率.
- 血液培养结果可以帮助区分胰腺抽相关和无关的发烧发作.
- 对特定感染标志物的进一步调查可能会完善PD后的差异诊断.
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