每日监测 支持体外膜氧化的儿童的血液培养:单中心,回顾性队列研究,2021-2023年
Nicholas Schmoke1, Eunice Clark2, Christopher Nemeh1
1Division of Pediatric Surgery, Department of Surgery, Columbia University Vagelos College of Physicians and Surgeons/NewYork-Presbyterian Morgan Stanley Children's Hospital, New York, NY.
在儿科和新生儿体外膜氧化 (ECMO) 患者的血液感染 (BSI) 每日血液培养的产量低. 临床迹象和症状,而不是常规培养,有效地诊断这些关键患者的BSI.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 传染病诊断 传染病诊断 传染病诊断
- 支持体外膜氧化 (ECMO) 的支持.
背景情况:
- 在体外膜氧化 (ECMO) 患者中诊断血流感染 (BSI) 是具有挑战性的,因为生理学变化和不可靠的炎症标志物.
- 关于在ECMO中心进行BSI监测的常规血液培养,实践存在差异.
研究的目的:
- 评估日常监测血液培养在儿科和新生儿ECMO患者中诊断BSI的有用性.
- 确定临床症状和实验室发现是否可以有效指导该群体的BSI诊断.
主要方法:
- 从2021年1月到2023年7月的每日监测血液培养的回顾性审查.
- 对具有阳性血液培养的患者的临床迹象,症状和实验室结果的分析.
- 包括所有支持ECMO的儿科和新生儿患者.
主要成果:
- 分析了一组111名ECMO患者 (39名新生儿,72名儿童) 的队列.
- 每天3%的血液培养是阳性的,影响了6%的患者.
- 所有阳性菌种在采集当天与新的临床感染迹象或炎症标志物升高相关.
结论:
- 每日监测血液培养在儿科和新生儿ECMO患者中显示出低产量.
- 临床状态的变化 (例如低血压,低热,呼吸能力下降) 和实验室发现是BSI的关键指标.
- 根据临床标准建议根据需要进行血培养,以减少不必要的抽取和成本.
更多相关视频
07:38Design and Development of a Model to Study the Effect of Supplemental Oxygen on the Cystic Fibrosis Airway Microbiome
Published on: August 3, 2021
03:40Point-of-Care Ultrasound for Peripheral Veno-Arterial Extracorporeal Membrane Oxygenation Without Left Ventricular Venting
Published on: January 17, 2025
相关概念视频
Acute Respiratory Failure-II
The underlying physiological abnormalities that contribute to hypoxemic respiratory failure include:
Acute Respiratory Failure-III
Sputum Studies II: Culture and Sensitivity
Sputum culture and sensitivity is a medical procedure used to diagnose bacterial infections in the respiratory tract and select the most appropriate antibiotics for treatment. This process involves analyzing sputum samples of thick and opaque secretions produced in the lungs and airways. These samples are collected from patients and then sent to the laboratory for analysis.
The test can identify various pathogens responsible for respiratory infections, including Streptococcus,...
Extracorporeal Removal of Drugs: Continuous Renal Replacement Therapy
Acute Kidney Injury IV: Diagnostic Studies and Prevention
Respiratory Syncytial Virus Disease
