机械循环支持患者的感染
Emily M Eichenberger1, Varun Phadke2, Lindsay M Busch3
1Department of Medicine, Division of Infectious Diseases, Emory University School of Medicine, 101 Woodruff Circle, WMB, Suite 5125, Atlanta, GA 30322, USA.
Infectious disease clinics of North America
|September 11, 2024
概括
使用机械循环支持装置的患者面临高感染风险. 本综述涵盖了新的感染定义,流行病学,诊断和管理,强调了多学科的方法,以获得更好的患者结果.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 移植医学 移植医学
背景情况:
- 机械循环支持 (MCS) 设备对于终期心力衰竭至关重要.
- 患有MCS的患者由于设备的侵入性,植入和生物膜形成,感染风险增加.
- 现有的感染定义缺乏标准化,使研究和临床实践复杂化.
研究的目的:
- 审查新的国际心脏和肺移植协会 (ISHLT) 机械循环支持装置感染定义.
- 描述持续性和急性MCS设备感染的流行病学,诊断和管理.
- 突出多学科方法的重要性,并解决感染患者的移植时间.
主要方法:
- 关于MCS设备感染的最新研究和指南的文献综述.
- 对新提出的ISHLT感染定义进行分析.
- 综合当前关于流行病学,诊断和管理策略的知识.
主要成果:
- 新的ISHLT定义为持久和急性MCS设备感染提供了标准化的标准.
- 感染是严重的并发症,影响患者的发病率和死亡率.
- 有效的管理需要协调,多学科的团队方法.
结论:
- 标准化定义对于一致的MCS感染诊断和管理至关重要.
- 多学科策略对于优化患者护理和结果至关重要.
- 需要进一步的研究来完善治疗方案,并解决感染患者的移植时间.
更多相关视频
相关概念视频
Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic
4.1K
Healthcare-associated infections (HAIs) occur in a healthcare facility while a person receives care for another ailment. This category also includes work-related infections among healthcare staff.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
4.1K
Healthcare Associated Infections II: Preventive Measures
2.5K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.5K
Transmission-based Precautions II: Airborne and Protective Environment
1.2K
Transmission-based precautions are for patients infected or suspected to be infected (or colonized) with organisms posing a significant risk to others. The transmission precautions include airborne and protective environment precautions.
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
1.2K
Bacterial Signaling
31.8K
Bacterial signaling can occur within bacteria (intracellular) or between bacteria (intercellular). At times, a group of bacteria behaves like a community. To achieve this, they engage in quorum sensing, the perception of higher cell density that causes changes in gene expression. Quorum sensing involves both extracellular and intracellular signaling. The signaling cascade starts with a molecule called an autoinducer (AI). Individual bacteria produce AIs that move out of the bacterial cell...
31.8K
Mechanical Ventilation II: Invasive Ventilation
115
Ventilators are essential medical equipment used to aid patients with respiratory difficulties. Their primary function is to assist or replace spontaneous breathing by providing mechanical ventilation. There are two general classes of mechanical ventilators: negative-pressure and positive-pressure ventilators.
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
115
Infection
7.8K
When a pathogen enters the body and reproduces, it can cause an infection, damage body cells, and cause illness symptoms that eventually lead to disease. Therefore, its prevention requires breaking the chain of infection.
The chain begins with pathogens: bacteria, viruses, fungi, prions, or parasites such as protozoa helminths. These can be present on the skin as transient or resident flora, or they can be acquired from the environment. Identifying and treating the type of infection and...
The chain begins with pathogens: bacteria, viruses, fungi, prions, or parasites such as protozoa helminths. These can be present on the skin as transient or resident flora, or they can be acquired from the environment. Identifying and treating the type of infection and...
7.8K


