由于澳大利亚的Pasteurella multocida引起的围透析相关的围炎
Isabelle Ingham1, Erin Jose2, James Burgess3
1School of Medicine, University of Tasmania, Hobart, TAS, Australia.
概括
像猫和狗这样的物可以在接受腹腔透析 (PD) 的患者中引起腹腔炎. 这项研究发现了与物相关的Pasteurella multocida感染,强调了对动物传播风险的患者教育的必要性.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 在澳大利亚的家庭中,物很普遍.
- 关于物对在家进行腹腔透析 (PD) 的患者造成的感染风险的研究有限.
- 猫和狗可以携带诸如Pasteurella multocida之类的病原体.
研究的目的:
- 调查澳大利亚腹腔透析患者中由Pasteurella multocida引起的腹腔炎的发生率和特征.
- 为了确定这群人群中Pasteurella multocida腹膜炎的潜在来源和危险因素.
主要方法:
- 对ANZDATA腹膜透析腹膜炎注册表的回顾性审查.
- 2011年至2023年期间收集的数据.
- 对患者人口统计,透析方式和致病生物体的分析.
主要成果:
- 鉴定了32例由于Pasteurella multocida引起的周周炎.
- 病例较年轻,比一般PD周周炎患者群体更频繁的女性.
- 75%的发作发生在使用基于葡萄糖的溶液自动化PD的患者中.
- 两个病例需要切除PD导管并转移到血液透析;没有死亡病例.
结论:
- 帕斯托雷拉多杆菌 (Pasteurella multocida) 是澳大利亚PD患者内炎的已确定的原因,通常与物有关.
- 虽然结果总体上是有利的,但预防措施至关重要.
- 对于接受PD的个人来说,建议对患者进行有关物所带来的感染风险的教育.
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