与真菌阳性血培相关的流行病学和预后因素:来自法国前性监测计划 (2012-2022) 的10年数据 (2012-2022)
Thiziri Tala-Ighil1, Dea Garcia-Hermoso2, Frédéric Dalle3
1Infectious Disease Department, Assistance-Publique Hôpitaux de Paris (AP-HP), Hôpital Necker-Enfants Malades.
概括
与菌相关的真菌病,特别是菌菌,罗门菌和阿斯伯吉洛菌,显著影响患有血液性恶性瘤的患者. 早期识别特定的菌属和风险因素,如皮质类固醇的使用,对于管理90天的死亡率在菌真菌病至关重要.
科学领域:
- 医学真菌学 医学真菌学
- 传染性疾病 传染性疾病
- 血液学 血液学 血液学
背景情况:
- 关于与菌有关的真菌病的数据有限,这阻碍了及时的临床管理.
- 侵袭性菌症和隆门菌症是已知的原因,但需要更广泛的流行病学概述.
研究的目的:
- 描述真菌阳性血液培养的流行病学.
- 为了确定与菌菌病死亡率相关的因素.
主要方法:
- 从2012-2022年使用RESSIF数据库对菌阳性血液培养物的回顾性分析.
- 使用修改的Duthie和Denning标准排除伪真菌病.
- 应用Firth逻辑回归来确定90天死亡率的预测因素.
主要成果:
- 虫 (Fusarium spp.) 是一种植物. (67.5%) 是最常见的原因,其次是Lomentospora prolificans (10%).
- 血液性恶性瘤 (70%) 是一个常见的潜在疾病,与不同菌种类的特定关联.
- 90天死亡率为53%,其中包括L. prolificans,Aspergillus spp. 菌病和皮质类固醇暴露被确定为独立的预测因素.
结论:
- 基本条件和临床表现在各种模具种类之间存在差异.
- 识别这些变异可以帮助指导模具真菌病的早期管理策略.
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