心脏植入式电子设备的退伍军人中的血液感染:来源识别和干预策略
Dipandita Basnet1,2, Samuel Golenbock1, Judith M Strymish3,4
1Center for Health Optimization and Implementation Research (CHOIR), VA Boston Healthcare System, Boston, Massachusetts, USA.
Open forum infectious diseases
|February 25, 2026
概括
患有心血管植入式电子设备 (CIED) 的患者常有血流感染. 其他设备感染和内心炎等因素会增加CIED的风险,而尿路感染则会降低.
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 医疗器械
背景情况:
- 血流感染是心血管植入式电子设备 (CIED) 患者的一个重大问题.
- 了解CIED参与细菌病的发生率和风险因素对于患者管理至关重要.
研究的目的:
- 为了确定使用CIED的退伍军人中细菌病的发生率.
- 为了确定与CIED参与细菌病例相关的因素.
主要方法:
- 从2018年到2023年的退伍军人数据的回顾性分析.
- 识别患有血液感染的患者和CIEDs.
- 统计分析以确定CIED参与的风险因素.
主要成果:
- 有CIED的退伍军人中有4.7%患有细菌病 (1893/40,243).
- 在305名患者中确定了CIED的参与.
- 增加CIED参与的风险与之前的设备感染和内心炎有关.
- 尿路感染与CIED参与风险降低有关.
结论:
- 细菌病是CIEDs的退伍军人中一个显著的并发症.
- 特定的并发症,如内心炎,增加了CIED感染的风险.
- 尿路感染可能有保护作用,防止CIED在细菌血症期间发生.
相关概念视频
Cardiomyopathy V: Interprofessional Care
520
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
520
Endocarditis III: Medical Management
291
Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
291
Heart Failure VI: Adjunct Therapies
442
Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
442
Cardiomyopathy II: Dilated Cardiomyopathy
649
Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
649
Cardiac Catheterization IV: Nursing Management
876
Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
876
Endocarditis IV: Nursing Management
438
Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
438


