对复杂的凝结酶负型葡萄球菌细菌病的拟议定义的验证
Matthaios Papadimitriou-Olivgeris1,2, Laurence Senn1,3, Benoit Guery1
1Infectious Diseases Service, Lausanne University Hospital, Lausanne, Switzerland.
概括
对复杂凝结酶阴性葡萄球菌 (CoNS) 细菌病的新定义无法预测瑞士医院队列中的死亡率. 早期传染病咨询和源控制改善了患者的治疗结果.
科学领域:
- 传染性疾病 传染性疾病
- 临床微生物学 临床微生物学
- 流行病学 流行病学
背景情况:
- 凝聚酶阴性葡萄球菌 (CoNS) 细菌病是与医疗保健相关的重要感染.
- 已经提出了对复杂的CONS细菌病的新定义.
- 死亡率的预测因素和这个新定义的有效性需要评估.
研究的目的:
- 为了确定CONS细菌病患者30天死亡率的预测因素.
- 评估最近提出的复杂的CONS细菌病的定义.
- 评估传染病 (ID) 咨询和源控制对结果的影响.
主要方法:
- 在洛桑大学医院 (2015-2023) 的回顾性研究.
- 包括患有 CoNS 细菌病的成年患者.
- 分析了326个发作,重点关注死亡率,复杂疾病定义,ID咨询和源控制.
主要成果:
- 根据新的定义,60%的CoNS细菌病发作被归类为复杂的.
- 总体30天死亡率为9%;复杂与非复杂的疾病没有显著差异 (10%与7%).
- 较高的查尔森并发症指数 (>4) 预测死亡率;早期的ID咨询和源控制与改善的生存率有关.
结论:
- 对于复杂的CONS细菌病的拟议定义并没有有效地确定患有较高死亡风险的患者.
- 早期传染病咨询对于指导抗微生物治疗至关重要.
- 及时的源控制干预对于改善CoNS bacteremia的结果至关重要.
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