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Toshihiro Nakamura¹, Yoko Sumita², Koshiro Kanaoka³

¹Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Suita, Japan.

|November 12, 2025

概括

在日本,用于心脏植入式电子设备 (CIED) 感染的输血提取 (TLE) 正在增加,但遵守指南仍然不够理想. 许多患者,特别是非认证医院的患者,没有接受TLE,这表明潜在的治疗不足.

科学领域:

心脏病学心脏病学
传染性疾病传染性疾病
医疗器械技术医疗器械技术

背景情况:

心脏植入式电子设备 (CIED) 感染具有显著的发病率和死亡率风险.
国际指南主张在CIED感染中使用完整的设备和提取.
在日本,人们对CIED感染治疗指南的实际遵守,特别是通过静脉取 (TLE),并不明白.

研究的目的:

评估日本对CIED感染的TLE的实际使用情况.
分析2015年至2021年CIED感染中TLE使用趋势.
确定影响TLE可能性和相关程序并发症的因素.

主要方法:

使用日本所有心血管疾病登记处 (JROAD-DPC) 数据库进行的回顾性观察研究.
分析了2015年至2021年期间的7434份住院记录.
使用国际疾病分类,第十次修订代码识别CIED感染.

主要成果:

对CIED感染的整体TLE使用率为38%,但在经过认证的TLE医院显著增加 (54.0%至70.8%).
较低的体重指数,女性性别,脑血管疾病和痴呆症与TLE可能性降低有关.
在非认证医院的高百分比 (65.5%) 的患者没有TLE退院,这表明治疗不足.

结论:

虽然TLE的发病率正在上升,但大量患有CIED感染的患者没有接受该程序.
对TLE的障碍包括医生教育,推系统和遵守指南,特别是在未经认证的中心.
优化TLE发病率需要有针对性的干预措施,以改善CIED感染的指导方针导向管理.

关键词:

抗生素抗生素是一种抗生素.一个心脏植入式电子设备.这是一个复杂的并发症.感染的感染感染.的提取的提取的提取

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