美容手术导致的非结核分枝杆菌感染的人口统计学和临床特征：系统回顾

IF 4.8 2区医学 Q1 INFECTIOUS DISEASES

International Journal of Infectious Diseases Pub Date : 2024-10-10 DOI:10.1016/j.ijid.2024.107259

Xiao Ma, Xing-Yu Li, Jia-Wei Liu

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引用次数: 0

摘要

目的：本系统性综述旨在：(1) 总结美容手术后非结核分枝杆菌（NTM）感染患者的人口统计学和临床特征；(2) 总结致病性 NTM 物种的频率；(3) 回顾和分析抗生素的选择以及治疗结果：方法：我们对三个电子数据库（Scopus、Embase 和 PubMed）进行了系统检索，检索时间从开始到 2024 年 3 月 31 日。结果：200 名患者被纳入分析，中位发病年龄为 38.0 岁。发病前的中位潜伏期为 28 天。结节是最常见的病变类型，占病例总数的 31.0%（n=62/200）。脓肿分枝杆菌是最常见的非结核分枝杆菌（45%）。克拉霉素是最常用的药物（64.0%，n=128/200），其次是阿米卡星（31.0%，n=62/200）。中位治疗时间为 6 个月（0.25，24）。总体治疗有效率为 97.4%（n=148/152）：结论：由美容手术引起的非淋菌性皮肤感染在全球范围内迅速增加，给诊断和治疗带来了挑战。皮肤科医生和美容从业者应了解这种相对少见的疾病。需要进一步开展研究，以规范管理算法。

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Demographic and clinical features of nontuberculous mycobacteria infection resulting from cosmetic procedures: a systematic review

Objectives

This systematic review aims to (1) summarize the demographic and clinical characteristics of patients with nontuberculous mycobacterial (NTM) infections following cosmetic procedures; (2) summarize the frequency of pathogenic NTM species; and (3) review and analyze the antibiotics choice as well as treatment outcomes.

Methods

We conducted a systematic search of three electronic databases (Scopus, Embase, and PubMed) from inception to March 31, 2024. We presented demographic and clinical features and the main antibiotic strategy, along with etiological information.

Results

A total of 200 patients were included in the analysis, with a median onset age of 38.0 years. The median latency period before the illness was 28 days. Nodules were the most frequently reported type of lesion, occurring in 31.0% (n = 62/200) of cases. Mycobacterium abscessus was the most commonly found NTM (45%). Clarithromycin was the most commonly applied (64.0%, n = 128/200), followed by amikacin (31.0%, n = 62/200). The median treatment duration was 6 months (0.25, 24). The overall treatment effectiveness rate was 97.4% (n = 148/152).

Conclusion

NTM infections caused by cosmetic procedures are rapidly increasing worldwide and present diagnostic and treatment challenges. Dermatologists and aesthetic practitioners should be aware of this relatively uncommon disease. Further research is needed to standardize management algorithms.

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来源期刊

International Journal of Infectious Diseases 医学-传染病学

CiteScore

18.90

自引率

2.40%

发文量

1020

审稿时长

30 days

期刊介绍： International Journal of Infectious Diseases (IJID) Publisher: International Society for Infectious Diseases Publication Frequency: Monthly Type: Peer-reviewed, Open Access Scope: Publishes original clinical and laboratory-based research. Reports clinical trials, reviews, and some case reports. Focuses on epidemiology, clinical diagnosis, treatment, and control of infectious diseases. Emphasizes diseases common in under-resourced countries.