双J尿道支架患者细菌支架殖民的危险因素:一项前性研究
Prakash Mainali1, Prajjwol Luitel2, Sujan Paudel2
1Department of General Surgery, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital.
Annals of medicine and surgery (2012)
|December 9, 2024
概括
长期使用双J尿管支架 (DJS) 和白色素尿显著增加细菌殖民风险. 建议迅速切除并明智使用DJS,以减轻与支架感染相关的并发症.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 传染性疾病 传染性疾病
- 微生物学 微生物学
背景情况:
- 双J尿路支架 (DJS) 的使用越来越多,导致不耐受和并发症的风险更高.
- 支架殖民率差异很大 (19-90%),报告的细菌形状不同.
研究的目的:
- 确定DJS细菌殖民的危险因素.
- 在殖民的支架中确定常见的微生物及其药物敏感性模式.
主要方法:
- 对48名接受DJS安置的患者进行前性研究.
- 支架尖端 (脏和膀末端) 在微生物学实验室进行了切除后的处理.
- 在切除支架和样本处理过程中采用了无菌技术.
主要成果:
- 在56.25% (27/48) 的支架中检测到细菌殖民.
- 最常见的分离物包括Enterococcus物种,Pseudomonas aeruginosa和大肠杆菌.
- 殖民率与支架内存时间和白膜尿病正相关.
结论:
- 长时间的支架内置时间和白膜尿是DJS细菌殖民的风险因素.
- 建议只在必要时使用DJS,并确保及时删除.
- 快速移除DJS可以帮助预防与支架相关的感染.
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