在心脏左侧门手术后的细菌病和传染性内心炎
Christine Holgersson1, Lauge Østergaard1, Eva Havers-Borgersen1
1Rigshospitalet, Copenhagen University Hospital, Department of Cardiology, Denmark.
European heart journal. Quality of care & clinical outcomes
|September 15, 2024
概括
在心脏左侧门手术后,细菌病发生在6.1%,感染性内心炎发生在1.5%的患者中. 凝聚酶阴性葡萄球菌是细菌病的最常见原因,通常在手术后30天内发生.
科学领域:
- 心血管外科心血管外科
- 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:
- 细菌病和传染性内心炎是心脏门手术后的重大风险.
- 关于左侧门手术后这些术后并发症的发生率和特定细菌原因的数据有限.
研究的目的:
- 在左心手术后一年内确定细菌病和传染性内心炎的发病率和微生物病因.
- 确定与这些术后感染相关的风险因素和时间模式.
主要方法:
- 分析2010-2021年期间接受左侧门手术的丹麦全国性患者登记册.
- 对细菌病和传染性内心炎的一年累积发病率的评估.
- 数据按细菌物种,手术类型,年龄和性别分层.
主要成果:
- 包括14,935名患者;在一年内,6.1%的患者患有细菌病,1.5%患有传染性内心炎.
- 凝聚酶阴性葡萄球菌是最常见的细菌病 (27%),超过一半发生在30天内.
- 肠球菌导致23%的传染性内心炎病例;22%的血液培养阴性.
结论:
- 左侧心脏门手术带有随后细菌病和传染性内心炎的显著风险.
- 了解常见的病原体及其时间对于改善患者的治疗结果至关重要.
- 需要优化预防策略,以减轻这些术后感染风险.
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