腹腔关节通道感染:沙特阿拉伯多家医院的致病原体和相关结果
Mohammed Alqasmi1, Yousif A Kariri1, Rawaf Alenazy1
1Department of Medical Laboratory Sciences, College of Applied Medical Sciences-Shaqra, Shaqra University, Shaqra 11961, Saudi Arabia.
Journal of clinical medicine
|March 27, 2025
概括
腹腔关 (VPS) 感染发生在7.26%的脑水症患者中,主要是由阳性细菌引起的. 这些感染大大增加了住院时间和医院费用,突出了改善感染控制的必要性.
科学领域:
- 神经外科 神经外科
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 腹腔关节切换 (VPS) 是水头的一个关键干预措施.
- VPS感染是导致分流系统故障的主要原因,增加了患者的发病率和医疗保健费用.
研究的目的:
- 评估沙特阿拉伯VPS感染的发病率,致病原体,抗菌素耐药性模式和临床结果.
- 识别导致VPS感染的因素,并为预防策略提供信息.
主要方法:
- 从多个沙特阿拉伯医院接受VPS的水头发病患者的数据的回顾性分析.
- 纳入标准侧重于具有阳性CSF或分流尖培养的患者,不包括那些有先前感染或替代治疗的患者.
主要成果:
- VPS感染率为7.26% (23/317名患者),大多数感染发生在手术后两周内.
- 格拉姆阳性细菌,特别是凝血酶阴性葡萄球菌和金黄色葡萄球菌是主要的病原体 (58.08%).
- 感染患者的住院时间增加了十倍 (70.84天 vs 7.69天),这表明患病率和成本影响显著.
结论:
- VPS感染构成重大挑战,需要加强感染控制措施.
- 标准化的医院协议对于减少沙特阿拉伯和全球VPS相关感染至关重要.
- 解决VPS感染中的抗菌素耐药性对于有效的患者管理至关重要.
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