儿童内置双J支架的微生物殖民模式
Sandeep Nishanth1, Ramesh Babu1, Sathyamurthy Arunaa1
1Department of Paediatric Urology, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India.
Journal of Indian Association of Pediatric Surgeons
|October 31, 2024
概括
尿路感染 (UTI) 是双J支架在儿童中的风险. 然而,小儿病患者的支架植入通常是无症状的,不会导致活跃的尿路感染.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 传染性疾病 传染性疾病
- 微生物学 微生物学
背景情况:
- 内置双J支架 (DJ支架) 通常在泌尿器科手术后使用.
- 这些支架可以容纳多微生物生物膜,增加尿路感染 (UTI) 的风险.
研究的目的:
- 在儿科患者中调查DJ支架相关的尿路感染的发病率和微生物学特征.
- 了解这种人群中支架植入的临床意义.
主要方法:
- 从接受支架切除的儿科患者 (<18岁) 收集了尿样和DJ支架.
- 进行了支架培养,并为已识别的生物体生成了抗生素图.
- 监测了患者关于尿路感染症状的临床状况.
主要成果:
- 在29.6%的儿科患者中观察到支架植入,其中大肠杆菌是最常见的生物体.
- 大多数殖民患者无症状,殖民并没有导致活跃的尿路感染.
- 生物体对特定抗生素,如塞法拉/苏尔巴克坦和阿米卡辛,表现出敏感性.
结论:
- 在儿科患者中,DJ支架的微生物殖民是常见的,但通常是无症状的.
- 了解培养和敏感性模式对于在支架切除期间有针对性的抗生素使用至关重要.
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