Department of Internal Medicine, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, No. 2, Min-Sheng Road, Dalin Town, Chiayi 62247, Taiwan.
Department of Nursing, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, No. 2, Min-Sheng Road, Dalin Town, Chiayi 62247, Taiwan.
Medicina (Kaunas). 2024 Sep 19;60(9):1529. doi: 10.3390/medicina60091529.
: Patients with infections caused by species require prompt identification and effective antibiotic treatment since these spp. are typically resistant to multiple antibiotics and variable susceptibility patterns. Understanding the mortality risk of this disease is difficult because of the relatively low incidence of infections caused by spp. and the lack of published systematic evaluations of the risk factors for mortality. The aim of the present study was to investigate risk factors for mortality in patients with infections caused by spp. by conducting a meta-analysis of existing studies on these infections. : Studies comparing patients who died from infections caused by spp. with patients who survived were considered for inclusion. Studies that reported one or more risk factors for mortality were considered. Clinical predisposing variables, predisposing comorbidities, and clinical outcomes of antibiotic treatment were among the risk factors for mortality. : The meta-analysis included twenty studies with 990 patients, and 298 patients (30.1%) died. The following risk factors for mortality were identified: intensive care unit admission, the need for mechanical ventilation, immunosuppressive or steroid therapy use, pneumonia, comorbid liver disease, and the use of inappropriate antimicrobial therapy. : The use of appropriate antimicrobial therapy is critical for the effective management of infections caused by spp. Antimicrobial susceptibility testing would be a more reliable means of guiding treatment. The identification of the best antimicrobial drugs is needed to ensure optimal treatment recommendations for treating -related infections.
: 由 spp. 引起的感染的患者需要及时识别和有效的抗生素治疗,因为这些 spp. 通常对多种抗生素具有耐药性,且药敏模式存在差异。由于由 spp. 引起的感染发病率相对较低,并且缺乏对死亡率危险因素的已发表系统评估,因此理解这种疾病的死亡风险具有一定难度。本研究旨在通过对这些感染的现有研究进行荟萃分析,探讨由 spp. 引起的感染患者死亡的危险因素。 : 纳入比较由 spp. 引起的感染导致死亡的患者与存活的患者的研究。考虑了报告一个或多个死亡率危险因素的研究。临床易患因素、易患合并症以及抗生素治疗的临床结局均是死亡的危险因素。 : 荟萃分析纳入了 20 项包含 990 例患者的研究,其中 298 例(30.1%)患者死亡。确定的死亡危险因素包括:入住重症监护病房、需要机械通气、免疫抑制或类固醇治疗、肺炎、合并肝脏疾病以及使用不适当的抗菌治疗。 : 适当的抗菌治疗对 spp. 引起的感染的有效管理至关重要。抗菌药物敏感性测试将是指导治疗的更可靠手段。需要确定最佳的抗菌药物,以确保为治疗 spp. 相关感染提供最佳的治疗建议。