老年癌症患者的血液感染:流行病学和死亡率的风险因素
Sabahat Çeken1, Nurhayat Yılmaz1, Can Hüseyin Hekimoğlu2
1Department of Infectious Diseases and Clinical Microbiology, Etlik City Hospital, Ankara, Turkey.
Journal of infection in developing countries
|September 8, 2025
概括
老年癌症患者面临高血流感染风险,通常在医院获得. 不适当的治疗,耐药性和败血栓休克增加死亡率,突出需要更好的感染控制和抗菌药物管理.
科学领域:
- 在瘤学瘤学.
- 传染性疾病 传染性疾病
- 老年病的医生 老年病的医生
背景情况:
- 衰老和癌症增加了对感染的易感性,例如血液感染 (BSI).
- 关于老年癌症患者的BSI流行病学,结果和死亡风险因素的研究有限.
- 这项研究通过检查老年癌症患者的BSI来弥补这一差距.
研究的目的:
- 调查65岁及以上癌症患者血液感染的流行病学.
- 确定导致这一脆弱患者群体死亡的因素.
- 为改善患者治疗结果的策略提供信息.
主要方法:
- 埃特利克市医院的回顾性队列研究 (2023年1月至12月).
- 包括65岁以上患有BSI的癌症患者,接受抗微生物药物治疗时间≥48小时.
- 收集有关人口统计,临床特征,微生物学和抗菌药物治疗的数据;将感染分类为医院或社区获得的.
主要成果:
- 分析了160个BSI发作;68.8%的实体瘤,31.3%的血液恶性瘤.
- 医院感染占病例的78.8%.
- 与不适当的初始抗菌药物治疗,卡巴胺耐药性,多药耐药性,败血症冲击和真菌感染相关的死亡率.
结论:
- 早期适当的抗微生物治疗和有效的感染控制至关重要.
- 多种药物耐药性和在医院获得的感染仍然是重大挑战.
- 量身定制的感染管理和抗菌药物管理计划对于改善结果至关重要.
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