根据战斗中受伤者的感染状况,与医疗保健利用相关的早期因素
Laveta Stewart1,2, Faraz Shaikh1,2, Erica Sercy1,2
1Infectious Disease Clinical Research Program, Preventive Medicine and Biostatistics Department, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, United States.
Military medicine
|August 28, 2025
概括
在受伤的军人中,抗多种药物菌感染显著增加了住院时间和医疗资源利用率. 应对这些感染对于管理战斗伤员护理费用和优化军事卫生系统的资源配置至关重要.
科学领域:
- 医学研究
- 传染性疾病
- 军事医学
背景情况:
- 战斗伤亡人员的医疗费用很高.
- 战场相关感染对医疗保健利用的影响尚不完全理解.
- 根据感染结果评估与住院相关的因素对于资源管理至关重要.
研究的目的:
- 评估受伤军人住院的因素.
- 根据感染状况,比较医疗保健利用率,特别是多抗药格拉姆阴性细菌 (MDR-GNB) 感染与其他病原体和无感染.
- 确定战斗伤亡者长期住院的预测因素.
主要方法:
- 在2009年6月至2014年12月期间受伤的部署军人电子病历的回顾性分析.
- 其中包括入住兰德斯图尔地区医疗中心并转移到美国军事医院的患者.
- 基于感染的分类:MDR-GNB,其他病原体,或没有感染;伤害后两周内医疗利用率的评估.
主要成果:
- 与其他感染 (42天) 和没有感染 (22天) 相比,患有MDR- GNB感染的患者住院时间明显长 (中位数为59. 5天).
- MDR-GNB感染与急症护理增加,临床培养更频繁,抗菌药物使用时间更长 (中位数为51天).
- 在对共变量进行调整后,与其他感染相比,MDR-GNB感染每30天增加5天的住院时间.
结论:
- 由多抗药格兰氏阴性细菌引起的感染大大增加了战斗伤亡人员的医疗负担.
- 这些发现凸显了军事卫生系统中与MDR-GNB感染相关的大量资源利用.
- 需要对增加的医疗费用进行进一步的研究,以便为治疗这些复杂的感染分配资源.
相关概念视频
01:26Factors Affecting the Risk of Infection
12.3K
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
12.3K
01:22Healthcare Associated Infections II: Preventive Measures
2.8K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.8K
01:26Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic
4.4K
Healthcare-associated infections (HAIs) occur in a healthcare facility while a person receives care for another ailment. This category also includes work-related infections among healthcare staff.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
4.4K
01:18Factors Affecting Illness
4.4K
When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
For instance, risk factors are connected to illness,...
For instance, risk factors are connected to illness,...
4.4K
01:20Infection
8.7K
When a pathogen enters the body and reproduces, it can cause an infection, damage body cells, and cause illness symptoms that eventually lead to disease. Therefore, its prevention requires breaking the chain of infection.
The chain begins with pathogens: bacteria, viruses, fungi, prions, or parasites such as protozoa helminths. These can be present on the skin as transient or resident flora, or they can be acquired from the environment. Identifying and treating the type of infection and...
The chain begins with pathogens: bacteria, viruses, fungi, prions, or parasites such as protozoa helminths. These can be present on the skin as transient or resident flora, or they can be acquired from the environment. Identifying and treating the type of infection and...
8.7K
01:26Standard Precaution
2.2K
Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
2.2K