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在接受心脏手术的婴儿中,手术前和手术后的唾液细菌计数:一项前性观察性研究
Hiromi Honda1, Madoka Funahara1, Kanako Nose2
1School of Oral Health Sciences, Faculty of Dentistry, Kyushu Dental University, Kitakyushu, JPN.
Cureus
|October 14, 2024
概括
接受心脏手术的婴儿的唾液细菌数量在手术后下降,可能是由于抗生素. 在牙喷发的老年婴儿和更长时间的手术中观察到更高的计数.
科学领域:
- 儿科外科手术 儿科外科手术
- 口腔微生物学 口腔微生物学
- 预防传染病 预防传染病
背景情况:
- 手术后的肺炎是心脏手术后婴儿的一种风险.
- 关于儿科心脏手术患者的外科手术期间口腔细菌的数据有限.
- 这项研究调查了接受心脏手术的婴儿的唾液细菌计数.
研究的目的:
- 在接受心脏手术的婴儿中评估手术前和手术后的唾液细菌计数.
- 为了确定影响唾液细菌计数变化的因素.
- 为预防手术部位感染和肺炎的策略提供信息.
主要方法:
- 在心脏手术前和之后,通过培养105名婴儿 (平均年龄20个月) 的唾液细菌计数来确定唾液细菌计数.
- 分析了与细菌数量变化相关的因素.
- 患者在手术前接受了全身性抗菌药物.
主要成果:
- 手术后的唾液细菌数量在年龄较大的婴儿,牙喷发的婴儿和手术持续时间较长的婴儿中较高.
- 平均细菌数量显著下降,从手术前的104.53 CFU/mL降至术后的103.68 CFU/mL.
- 在没有牙喷发的婴儿中,细菌减少更为明显,归因于全身抗生素.
结论:
- 接受心脏手术的婴儿的唾液细菌数量在术后降低,受到抗生素的影响.
- 需要对细菌菌群和术后口腔护理进行进一步的研究.
- 研究结果为开发新的策略提供了见解,以预防儿科手术患者的感染.
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