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微生物在使用药物的患者中引起脊髓外周感染.
Alexander Pralea1, Phinnara Has2, Dianne Auld3
1Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.
Open forum infectious diseases
|October 17, 2024
概括
由于阿片类药物危机,脊柱感染正在增加. 脊髓感染时注射药物 (PWUD) 的人更有可能患有耐甲基金色葡萄球菌 (MRSA) 和グラム阴性细菌.
科学领域:
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
- 微生物学 微生物学
背景情况:
- 阿片类药物流行导致注射药物使用和相关的脊柱感染的增加.
- 与一般人群相比,在注射药物 (PWUD) 的人群中,脊髓外周感染的特定微生物学研究有限.
研究的目的:
- 为了比较脊髓外围注射管感染的微生物学,在有和没有药物使用障碍病史的患者.
- 为了确定与脊髓感染中活性注射药物使用相关的特定病原体.
主要方法:
- 在2015年至2023年期间被诊断患有脊髓外周或的患者的回顾性图表审查.
- 根据药物使用史,将患者分为非PWUD,非活性PWUD和活性PWUD.
- 分析微生物学数据以确定致病生物.
主要成果:
- 39%的脊柱外围外注感染患者患有物质使用障碍.
- 活跃的PWUD显示,与非PWUD (13%) 相比,甲素耐药黄金葡萄球菌 (MRSA) 感染的发病率更高 (36%).
- 非活跃的PWUD比非活跃的PWUD更有可能发生グラム阴性细菌感染 (不包括大肠杆菌).
结论:
- 超过三分之一的患有非外科手术脊髓外周周感染的患者患有物质使用障碍.
- 这些患者面临着由MRSA和特定的グラム阴性细菌 (如Serratia marcescens) 引起的感染的风险增加.
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