心脏起器口袋感染的发生率和危险因素 - 一项观察性研究
Manish Kapoor1, Arun Kumar Gunasekaran1, Valerie Lyngdoh2
1Department of Cardiology, North Eastern Indira Gandhi Regional Institute of Health And Medical Sciences, Mawdiangdiang, Shillong, Meghalaya, India.
Indian heart journal
|May 27, 2025
概括
这项研究调查了716名患者的心脏起器感染 (PPMI),发现感染率为2.09%. 常见的并发病包括糖尿病和高血压,培养负感染和MRSA是普遍存在的.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 医疗器械研究 医疗器械研究
背景情况:
- 心脏植入式电子设备 (CIED),包括永久起器 (PPM),对于治疗心律失常至关重要.
- PPM感染 (PPMI) 是一个严重的并发症,需要对相关的危险因素和致病剂有充分的了解.
- 识别PPM植入和感染概况的趋势对于改善患者治疗结果和设备管理策略至关重要.
研究的目的:
- 为了分析PPM植入的指示.
- 确定与PPM感染 (PPMI) 相关的风险因素,人口特征和微生物特征.
- 确定PPMI在医院基队列中的发病率和特征.
主要方法:
- 追溯性,基于医院的观察性研究设计.
- 包括716名接受CIED植入的患者,重点关注那些呈现局部炎症征兆的患者.
- 不包括18岁以下的患者.
主要成果:
- 共有716名患者接受了CIED植入;37.7%接受了单腔装置,52.8%接受了双腔装置.
- 在15名患者中诊断出PPMI (2.09%),在12个月前植入的设备中患病率更高.
- 常见的并发症是糖尿病 (36.11%) 和高血压 (32.56%). 培养负感染 (53.33%) 和抗甲素黄金葡萄球菌 (MRSA) (33.33%) 是主要的微生物发现.
结论:
- PPM感染是一个显著的并发症,特别是在植入时间较长的设备中.
- 糖尿病和高血压是与PPMI相关的重要并发症.
- PPMI的微生物景观的特点是培养负性感染的高率和MRSA的存在,指导实证治疗策略.
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