最少侵入性手术后的持久性病原体:是时候重新考虑基于的消毒吗?
Kshitija Nalawade1, Vishakha Kalikar1, Avinash Supe2
1Department of Digestive Diseases, Zen Multispeciality Hospital, Mumbai, IND.
Cureus
|November 3, 2025
概括
非典型的真菌细菌感染在微创手术后越来越令人担忧. 化物消毒与这些感染有关,而自封具有保护性作用,强调需要更好的灭菌协议.
科学领域:
- 传染性疾病 传染性疾病
- 手术部位感染 手术部位感染
- 微生物学 微生物学
背景情况:
- 非典型的真菌细菌 (ATM) 感染在微创手术 (MIS) 中构成了挑战,导致延迟的手术部位感染 (SSI).
- 这些感染往往难以诊断和治疗,影响患者的治疗结果.
- 了解绝育实践与ATM感染之间的联系对于预防至关重要.
研究的目的:
- 研究非典型的真菌细菌感染与医院使用的绝育方法之间的关联.
- 评估腹腔镜手术后的ATM感染的临床表现,结果和预防策略.
主要方法:
- laparoscopic手术后延迟端口部位并发症的47名患者的回顾性审查.
- 对临床表现,微生物学数据和绝育实践的分析.
- ATM感染与特定的消毒方法的相关性,如谷氨基和自闭塞.
主要成果:
- 在ATM感染和在没有标准化协议的情况下使用2.45%的甲之间发现了强烈的关联.
- 自动化作为一种保护性灭菌方法,以防止ATM感染.
- 常见的表现包括端口鼻,结节和,感染的原因是 * Mycobacterium abscessus * * M. fortuitum * 和 * M. avium * 综合体.
结论:
- 非典型的真菌细菌感染是未被认可的后镜性SSI的原因.
- 基于的消毒对于防止ATM感染是不够的;自动是最好的.
- 迫切需要标准化绝育协议,改进早期诊断和优化管理准则.
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