患有Streptococcus suis bacteremia的患者的感染性内心炎:流行率和结果的回顾性研究
Pongsira Kedsawadevong1, Sirichai Jamnongprasatporn2, Nithima Ratanasit3
1Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
BMC infectious diseases
|November 15, 2024
概括
感染性Streptococcus suis内心炎 (IE) 影响近27%的S. suis细菌病患者,经常导致严重的膜损伤. 建议进行心声扫描,以早期诊断和管理这种新出现的动物性传染病.
科学领域:
- 传染性疾病 传染性疾病
- 心脏病学 心脏病学
- 动物传播疾病 动物传播疾病
背景情况:
- 杆菌 suis (S. suis) 是一种动物感染的病原体,主要引起脑膜炎.
- 感染性内心炎 (IE) 是一种新出现的临床表现.
- 在评估S. suis bacteremia时,心声学可能未得到充分利用.
研究的目的:
- 估计S. suis IE在S. suis bacteremia患者中的患病率.
- 调查S. suis IE的预测因素,心声学特征和临床结果.
- 确定心声回声学在S. suis bacteremia中的作用.
主要方法:
- 单中心回顾性研究 (西里拉吉医院,2007年1月至2023年9月).
- 包括已成年患者,有确定的S. suis bacteremia.
- 与IE和非IE组进行比较;用于预测器的二进制后勤回归.
主要成果:
- 在S. suis IE的患病率为26.8% (95%CI:17.85-38.05).
- 周膜并发症 (52.6%) 和膜反 (80.0%) 的高率.
- 呼吸不良,新的声,免疫学现象和心力衰竭预测S. suis IE.
结论:
- S. suis IE 的流行率很高,导致严重的膜损伤.
- 强烈建议对S. suis bacteremia患者进行心声检查.
- 考虑将S. suis重新归类为一个典型的生物体.
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