在土耳其感染性内心炎的流行病学,临床和微生物学方面
Elif M Saricaoglu1, Seniha Basaran2, Derya Seyman3
1Department of Infectious Disease and Clinical Microbiology, Ankara University Faculty of Medicine, Ankara, Turkey. elifmozturk@gmail.com.
概括
传染性内心炎 (IE) 流行病学正在转变,随着年龄的增长和葡萄球菌感染的增加. 管理需要与临床指南一起更新数据,以获得更好的患者结果.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 传染性内心炎 (IE) 呈现出不断变化的流行病学趋势和疾病负担.
- 了解这些转变对于有效的临床管理至关重要.
研究的目的:
- 为了比较IE的流行病学和临床特征在三个不同的时间跨越11年的时间段.
- 分析患者人口统计,致病原体和结果的变化.
主要方法:
- 在土耳其进行了一项回顾性,多中心的队列研究.
- 从1044名IE患者的数据分析了三个时期的数据:2013-2016年,2017-2020年和2021-2023年.
- 流行病学,微生物学和临床结果数据进行了比较.
主要成果:
- 患者的中位数年龄显著增加 (p < 0.001).
- 内心器械的患病率上升,而退行性和先天性心脏病的患病率下降.
- 葡萄球菌,特别是金黄色菌,成为主要的病原体;住院死亡率为22.5%.
结论:
- IE流行病学是动态的,影响微生物学概况和临床表现.
- 有效的IE管理需要将当前的流行病学见解与既定的临床指南相结合.
- 这种方法确保了全面和基于证据的患者护理.
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