泌尿病学中肠球菌细菌病的危险因素:一个多中心队列研究
Pierre-Marie Roger1,2, Agnès Ferre3, Bruno Abram3
1Infectiologie, Clinique Les Fleurs, 332, Ave Frédéric Mistral, Ollioules, 83190, France. roger@elsan.care.
概括
肠球菌性细菌病 (EB) 是泌尿病学中的一个重大风险,主要影响男性. 通过尿道切除前列腺已经成为发展EB的关键风险因素.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 传染性疾病 传染性疾病
- 医学微生物学 医学微生物学
背景情况:
- 肠球菌性细菌病 (EB) 在医疗保健环境中构成了重大挑战.
- 识别EB的风险因素对于有效的预防和管理策略至关重要.
研究的目的:
- 在泌尿器科患者队列中调查与肠球菌细菌病 (EB) 相关的风险因素.
- 在泌尿病学中确定EB和其他血液感染的发病率.
主要方法:
- 在五个机构进行了长达18个月的前性研究.
- 在泌尿器科部门内分析所有阳性血液培养物 (PBC).
- 后勤回归分析以确定EB的独立风险因素.
主要成果:
- 在176个阳性血液培养物中,32个 (18%) 被确定为EB.
- 菌细菌血症仅在男性患者中发生.
- 经尿道切除前列腺与EB显著相关 (AOR [95% CI]: 3.75 [1.30-10.78]).
结论:
- 通过尿道切除前列腺是尿道学中肠球菌病的显著危险因素.
- 由于EB仅在男性中发生,因此需要进一步调查.
- 研究结果强调,在接受特定手术的男性泌尿病患者中,需要采取有针对性的预防措施.
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