在儿科人口中超晚期的分流感染
Redab A Alkhataybeh1, Mitul Patel1, Katie Herbert1
1Department of Neurosurgery, Birmingham Children's Hospital, Steelhouse Lane, Birmingham B4 6NH, United Kingdom.
概括
超晚期的分流感染在儿童中很少见,发生的时间不到1%. 腹部败血症是这些延迟感染的最常见原因,这些延迟的感染发生在小儿神经外科患者中.
科学领域:
- 神经外科 神经外科
- 儿童传染病 儿童传染病
- 医疗设备感染 医疗设备感染
背景情况:
- 在儿科神经外科手术中,穿感染很常见,但超晚感染 (超过一年) 是罕见的.
- 这些感染往往以发烧和未知来源的败血症的形式呈现,在转移的儿童.
- 调查超晚间分流感染的发生率和原因对于改善患者的治疗结果至关重要.
研究的目的:
- 为了确定儿科神经外科患者中超晚间分流感染的发生率.
- 确定这些罕见感染的主要原因和致病微生物.
- 分析与超晚间分流感染相关的风险因素和模式.
主要方法:
- 在一个儿科神经外科中心2010-2025年间对分流手术的回顾性研究.
- 纳入标准:儿科患者 (年龄<18岁) 确诊的先导体感染呈现发烧症,需要先导体外化/切除.
- 分析患者的人口统计,水头病因,感染间隔,危险因素和孤立的微生物.
主要成果:
- 在1670个手术中,发生了15例超晚间分流感染 (发病率为0.9%).
- 静脉插入和感染之间的平均间隔为4.74年.
- 腹部败血症是最常见的来源,其中Enterococcus物种是最常见的病原体 (33.3%).
结论:
- 超晚期的分流感染在儿科神经外科患者中非常罕见.
- 腹部病理是这些延迟感染的最常见来源.
- 及时诊断和管理涉及分流外部化,抗生素和重新内部化至关重要.
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