Graft infections

  • 文章类型: Journal Article
    在过去的十年中,弯曲杆菌病的发病率大幅增加,尤其是在法国。合并侵袭性感染的继发性定位描述不佳。我们旨在描述由弯曲杆菌引起的血管感染或心内膜炎。我们纳入了一项为期5年的全国弯曲杆菌回顾性研究的57名患者。在法国进行的菌血症;44例患者有血管感染,12人心内膜炎,1有两个条件。胎儿弯曲杆菌是最常见的物种(83%)。抗生素治疗包括β-内酰胺单一疗法(54%)或与氟喹诺酮或氨基糖苷(44%)联合使用。死亡率为25%。8%的病例出现复发,并与首次出现症状后延迟开始有效的抗菌治疗有关。糖尿病,与骨关节位置共存。心血管弯曲杆菌属。感染与高死亡率相关。在C.胎儿菌血症的情况下,系统搜索这些定位可能是必要的。
    The incidence of campylobacteriosis has substantially increased over the past decade, notably in France. Secondary localizations complicating invasive infections are poorly described. We aimed to describe vascular infection or endocarditis caused by Campylobacter spp. We included 57 patients from a nationwide 5-year retrospective study on Campylobacter spp. bacteremia conducted in France; 44 patients had vascular infections, 12 had endocarditis, and 1 had both conditions. Campylobacter fetus was the most frequently involved species (83%). Antibiotic treatment involved a β-lactam monotherapy (54%) or was combined with a fluoroquinolone or an aminoglycoside (44%). The mortality rate was 25%. Relapse occurred in 8% of cases and was associated with delayed initiation of an efficient antimicrobial therapy after the first symptoms, diabetes, and coexistence of an osteoarticular location. Cardiovascular Campylobacter spp. infections are associated with a high mortality rate. Systematically searching for those localizations in cases of C. fetus bacteremia may be warranted.
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