感染性心内膜炎老年患者的临床特征及病原学分析

发布时间：2018-06-09 13:12

本文选题：感染性心内膜炎 + 病原学　；参考：《中国现代医学杂志》2017年20期

【摘要】：目的分析感染性心内膜炎(IE)老年患者的病原学和临床特征,为该病的预防和治疗提供科学依据。方法选取2015年3月-2016年2月上海市第八人民医院收治的IE老年患者96例,对其采动脉血,进行细菌培养,使用Phoenix-100全自动细菌鉴定/药敏系统进行病原学鉴定。结果 96例IE患者中,病变位置在左心者76例(79.17%);病变位置在右心者7例(7.29%);病变位置在左右心者7例(7.29%);病变位置不明确者6例(6.25%);在上述96例患者中,检出病原菌45株,以酿脓链球菌为主,有25株占55.56%;伴有心脏基础疾病者46例(47.92%)。在多因素分析中,血红蛋白90g/L和医院感染是IE老年患者的主要不安全性因素,而对其采取手术治疗是安全性因素。结论酿脓链球菌是IE老年患者的主要病菌,应预防控制其危险因素,手术治疗是保护性因素。
[Abstract]:Objective to analyze the etiological and clinical features of elderly patients with infectious endocarditis (IEE), and to provide scientific basis for the prevention and treatment of the disease. Methods 96 elderly IE patients treated in Shanghai eighth people's Hospital from March 2015 to February 2016 were selected and collected arterial blood for bacterial culture. The pathogen was identified by Phoenix-100 automatic bacterial identification / drug sensitivity system. Results in 96 patients with IE, 76 cases were located in the left heart, 7 cases were located in the right heart, 7 cases were located in the left and right heart, 6 cases had unclear lesion position, and 45 strains of pathogenic bacteria were detected. There were 25 strains of Streptococcus pyogenes (55.56%) and 46 cases of heart underlying diseases (47.92%). In multivariate analysis, hemoglobin 90g / L and nosocomial infection were the main unsafe factors in the elderly patients with IE, and surgical treatment was the safety factor. Conclusion Streptococcus pyogenes is the main bacteria in the aged patients with IE, the risk factors should be prevented and controlled, and surgical treatment is the protective factor.
【作者单位】：上海市第八人民医院;
【分类号】：R542.4

【相似文献】