沙特阿拉伯心脏植入式电子设备感染:发生率,时间,致病生物和结果 - 一项多中心研究
Saad Albogami1, Wael Alqarawi2, Ahmed Alfagih3
1King Saud Medical City, Riyadh, Saudi Arabia.
Journal of the Saudi Heart Association
|March 2, 2026
概括
心脏植入式电子设备感染发生在2.8%的患者中,特别是在修订后. 及时移除设备对于降低这些严重心脏设备感染的死亡率至关重要.
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:
- 心脏植入式电子设备 (CIED) 改善了心脏病患者的治疗结果.
- 与设备相关的感染构成重大风险,抵消了CIED的好处.
- 沙特阿拉伯关于CIED感染的流行病学数据有限.
研究的目的:
- 调查沙特阿拉伯CIED感染的流行病学.
- 为了确定与CIED感染相关的风险因素和常见病原体.
- 评估CIED感染的不同管理策略的结果.
主要方法:
- 在2017-2021年期间,对4080名CIED接受者 (心脏起器,ICD,CRT) 进行了多中心回顾性队列研究.
- 植入后至少一年的随访.
- 数据收集包括人口统计,设备类型,感染细节,管理和结果.
主要成果:
- CIED感染发生率为2.8% (98.8每1万人年).
- 心脏再同步治疗心脏起器 (CRT-P) 的感染率最高 (7.7%). 修订程序显著增加了感染风险 (10.0%).
- 金黄色葡萄球菌是最常见的病原体. 系统性感染 (32.3%) 和没有设备提取 (48.4%) 的死亡率更高.
结论:
- 在沙特阿拉伯,CIED感染是一个重大问题,影响2.8%的患者.
- 修订程序和CRT-P接收者面临更高的风险.
- 培养负感染和非提取管理与死亡率增加有关,强调需要严格预防和及时干预.
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