将抗菌剂耐药性概况与儿科穿孔尾炎的临床结果联系起来
Korry T Wirth1,2, Abigail F Loszko1, Matthew M Byrne1
1Division of Pediatric Surgery, Department of Surgery, University of Rochester Medical Center, Rochester, New York, USA.
Surgical infections
|February 26, 2026
概括
儿童复杂性尾炎与特定的细菌感染有关. 识别多微生物感染和Bacteroides fragilis可以预测器官空间感染,指导更好的抗生素管理.
科学领域:
- 儿科手术 儿科手术
- 传染性疾病 传染性疾病
- 微生物学 微生物学
背景情况:
- 复杂尾炎是儿童手术后并发症的主要原因.
- 微生物耐药性模式与临床结果之间的联系尚不清楚.
研究的目的:
- 调查微生物耐药性概况与儿科复杂尾炎的术后结果之间的关联.
- 确定特定的微生物特征,预测诸如器官空间感染 (OSI) 等并发症.
主要方法:
- 对为复杂尾炎进行尾切除的儿科患者 (<18岁) 的回顾性队列研究.
- 对细菌物种和抗生素耐药性的手术内培养的分析.
- 根据耐药性得分对微生物进行分类分类.
- 主要结局:手术后器官空间感染 (OSI);次要结局:停留时间 (LOS) 和30天再入院.
主要成果:
- 多微生物感染 (≥3种) 和 Bacteroides fragilis 的存在显著增加了OSI的几率.
- 基于耐药性的微生物集群与更长的住院时间和增加的30天再入院有关.
- 特定的微生物群体,包括肠杆菌群和"难以治疗"的群体,与不良结果相关.
结论:
- 显著的微生物特征,包括多微生物感染和B. fragilis,与儿科尾炎的OSI有关.
- 耐药性加权的微生物集群为术后管理提供了预后价值.
- 术内培养可以为抗生素管理提供信息并改善患者的治疗结果.
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