透析方式和感染性内心炎的风险在末期脏病患者
Chun-Yu Chen1, Feng-Cheng Chang1, Chia-Pin Lin2
1Department of Anesthesiology, Chang Gung Memorial Hospital, Linkou Medical Center, Chang Gung University.
概括
腹腔透析 (PD) 和动脉静脉 (AVF) 访问可以降低末期病 (ESRD) 患者感染性内心炎 (IE) 的风险. 优先考虑PD和AVF接入可以改善患者的治疗结果和降低IE发病率.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 传染性疾病 传染性疾病
- 心血管医学 心血管医学
背景情况:
- 血液透析 (HD) 是已知的感染性内心炎 (IE) 的风险因素.
- 与腹膜透析 (PD) 和不同类型的HD接入相关的IE风险尚不清楚.
- 了解这些风险对于管理ESRD患者至关重要.
研究的目的:
- 为了比较经过PD和HD的患者中IE的发病率.
- 根据不同HD接入类型 (AVF,导管,移植) 来评估IE的风险.
- 确定减少ESRD患者IE风险的策略.
主要方法:
- 追溯的队列研究.
- 对215,965名末期病患者 (ESRD) 和1,076,532名匹配对照的分析.
- 根据透析方式 (PD与HD) 和HD接入类型对ESRD患者的分层.
主要成果:
- 与HD组相比,在PD组中IE的发病率较低.
- 在HD患者中,动脉静脉 (AVF) 接触患者的IE发病率最低.
- 导管和移植接入与HD组中比AVF更高的IE率有关.
结论:
- 腹腔透析 (PD) 与血液透析 (HD) 相比,与IE风险较低有关.
- 动脉静脉塞 (AVF) 接入是关于IE风险的HD患者最安全的选择.
- 建议对PD和AVF接入进行临床优先考虑,以减少ESRD患者的IE发生率.
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