固体器官移植接受者的脆弱性和感染
Sarah Taimur1, Michael G Ison2, John W Baddley3
1Department of medicine Division of Infectious Diseases, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
概括
很少有移植传染病临床医生经常评估脆弱性,尽管它与感染风险有关. 需要更多的研究来了解脆弱性.
科学领域:
- 移植 传染病 移植 传染病
- 老年医学 老年医学
- 免疫学 免疫学 免疫学
背景情况:
- 移植受体的脆弱性和感染风险之间的关系尚未得到充分理解.
- 初步证据表明,移植时的脆弱性与肝脏和脏接受者感染率较高的相关性.
研究的目的:
- 评估目前的临床实践与移植传染病 (TID) 临床医生之间的脆弱性评估.
- 为了衡量TID临床医生的参与和兴趣与虚弱相关的临床决策和研究.
主要方法:
- 一个简短的电子调查分发给移植传染病临床医生.
- 该调查侧重于脆弱性评估和临床决策的当前趋势.
主要成果:
- 只有40%的受访TID临床医生报告了对移植候选人和接受者的常规脆弱性评估.
- 大多数 (77%) 没有经常参与使用脆弱性数据的临床决策.
- 71%的人对移植患者的脆弱性和感染研究表示兴趣.
结论:
- 根据接受调查的TID临床医生,正式的脆弱性评估在移植候选人和接受者中并不常见.
- TID临床医生在很大程度上不参与基于脆弱性的临床决策,但对相关研究表现出很大的兴趣.
- 进一步的研究是必不可少的,以澄清移植受体的脆弱性和感染风险之间的关联.
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