在桃切除样本中的Actinomyces发现 - 成人和儿科患者群体之间的比较
Yotam Aharon Shiner1,2, Shoham Caplan3, Ilana Doweck4,3
1Department of Otolaryngology, Head and Neck Surgery, Lady Davis Carmel Medical Center, Haifa, Israel. yotamaharon.shiner@nhs.net.
概括
在接受感染手术的老年患者的桃体中,Actinomyces细菌比睡眠呼吸暂停更常见. 这种细菌的存在没有影响手术结果,但可能具有临床意义.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 微生物学 微生物学
- 手术病理学手术病理学
背景情况:
- 桃体切除术经常用于阻塞性睡眠呼吸暂停 (OSA) 和复发性桃体炎.
- 口腔细菌Actinomyces在桃体中发现,但它们与手术指示和结果的联系尚不清楚.
研究的目的:
- 调查Actinomyces殖民和桃体切除术指示之间的关联.
- 确定Actinomyces的存在是否会影响桃体切除术后的结果,如出血和住院.
主要方法:
- 对1333名接受桃体切除术 (2011-2021) 的患者进行了回顾性队列研究.
- 分析电子医疗记录,包括人口统计数据,手术指示和病理学报告.
- 使用IBM SPSS统计数据进行统计分析 28.0.0.
主要成果:
- 在感染性征兆患者的样本中,Actinomyces在13.2%的样本中被发现,而阻塞性征兆患者的样本是4.5% (p < 0.001).
- 有Actinomyces的患者比没有Actinomyces的患者年龄大 (平均17.78岁) (平均8.55岁).
- 年龄是Actinomyces存在的最强预测因素 (OR 1.047,p < 0.0001).
结论:
- Actinomyces殖民与年龄较大和桃体切除术的传染性征兆有显著的相关性.
- 没有观察到Actinomyces对手术并发症的直接影响.
- 需要进一步的研究来了解Actinomyces在桃体病理学的临床意义.
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