对心室关节导管感染和儿童风险因素的评估
Rahmet Anar Akbaş1, Özlem Özgür Gündeşlioğlu2, Asena Ünal3
1Faculty of Medicine, Department of Pediatrics, Çukurova University, Adana, Turkey.
概括
儿科腹腔皮质突变感染在手术后的早期是常见的. 在分流装置安置前,高C反应蛋白和脑脊液蛋白是感染和复发的关键风险因素.
科学领域:
- 儿科神经外科 儿科神经外科
- 传染性疾病 传染性疾病
背景情况:
- 腹腔关节突变对于儿童的水头管理至关重要.
- 旁路感染是一种严重的并发症,导致患病率和治疗挑战.
研究的目的:
- 分析患有腹腔关节导管感染的儿科患者的人口统计,临床,诊断和治疗数据.
- 确定与这些感染的发展和复发相关的风险因素.
主要方法:
- 对85名患有心室皮管外送感染的儿科患者 (0-18岁) 的回顾性分析 (2016-2021年).
- 与48名患者的对照组进行比较,这些患者接受了无感染的分流放置.
- 评估临床,实验室和治疗数据,包括先导前C反应蛋白和脑脊液蛋白水平.
主要成果:
- 发烧,厌食症,吐和意识改变是常见的症状.
- 与对照组相比,患有分流感染的患者的分流修订次数显著增加 (p < 0.001).
- 在先导前的C-反应蛋白和脑脊液蛋白水平在感染患者中显著升高 (p < 0.001).
结论:
- 腹腔皮质突变感染主要发生在手术后的最初几个月内.
- 预防手术场所污染对于减少感染发生率至关重要.
- 偏移前C反应蛋白和脑脊液蛋白的升高是心室皮管偏移感染和复发的显著预测因素.
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