在患有恶性瘤的患者中检测和危险因子分析
Limin Guo1, Zhen Zhang1, Xianqin Cao1
1Department of Clinical Laboratory, Xinxiang Central Hospital, The Fourth Clinical College of Xinxiang Medical College, Xinxiang, Henan, 453000, China; Xinxiang Key Laboratory of Respiratory Diseases, Xinxiang, Henan, 453000, China.
Anaerobe
|September 5, 2025
概括
患有癌症的患者有较高的Clostridioides difficile感染 (CDI) 风险. 主要危险因素包括多种抗生素,免疫抑制剂,低蛋白和高C反应蛋白 (CRP).
科学领域:
- 癌症学
- 传染性疾病
- 临床医学
背景情况:
- 对于患有恶性瘤的患者来说,困难杆菌感染 (CDI) 是一个严重的威胁.
- 确定特定的风险因素对于及时干预和改善患者结果至关重要.
研究的目的:
- 在癌症患者中确定与CDI相关的危险因素.
- 开发一个预测模型,以便在这个脆弱群体中早期发现和预防CDI.
主要方法:
- 对92名癌症患者 (46名CDI阳性,46名CDI阴性) 的回顾性分析.
- 人口,临床,实验室和治疗数据的评估.
- 应用单变量和多变量逻辑回归和ROC曲线分析用于模型验证.
主要成果:
- 在CDI阳性患者中观察到较低的血清白蛋白和较高的C反应蛋白 (CRP) 水平.
- 在CDI组中使用多种抗生素和皮质类固醇/免疫抑制剂的发病率增加.
- 确定了独立的危险因素:多次使用抗生素 (OR=7. 56),使用免疫抑制剂 (OR=2. 81),血清白蛋白低,CRP升高.
- 一个预测模型显示出优异的分辨能力 (AUC=0.907).
结论:
- 多种抗生素,免疫抑制剂,低蛋白血症和CRP升高是癌症患者中CDI的重要危险因素.
- 开发的预测模型可以帮助识别针对性预防策略的高风险个体.
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