微型棒状杆菌血管移植感染:281例假体相关棒状杆菌感染病例报告及回顾性分析。

Rebecca M Reece, Cheston B Cunha, Josiah D Rich
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引用次数: 12

摘要

棒状杆菌已经证明了它们在引起感染方面的致病潜力,特别是在免疫抑制和假体装置的设置中。我们对截至2013年12月以英语发表的杆状杆菌假体装置感染的所有病例进行了PubMed文献综述。大多数病例涉及腹膜透析和中心静脉导管,但假体关节和中枢神经系统分流管也涉及。这些病例在保留或移除器械方面的管理并不统一;然而,两组的总体死亡率保持不变。当假体装置不能安全地为患者移除时,所有这些假体装置感染都会给管理带来潜在的问题,特别是在棒状杆菌种类致病性数据缺乏的情况下。然而,有了更好的物种识别和敏感性,即使保留设备,成功的治疗也是可能的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Corynebacterium minutissimum vascular graft infection: case report and review of 281 cases of prosthetic device-related Corynebacterium infection.
Abstract Corynebacterium spp. have proven their pathogenic potential in causing infections, particularly in the setting of immunosuppression and prosthetic devices. We conducted a PubMed literature review of all cases of Corynebacterium prosthetic device infections published in the English language through December 2013. The majority of cases involved peritoneal dialysis and central venous catheters, but prosthetic joints and central nervous system shunts/drains were also involved. The management of these cases in terms of retention or removal of the device was not uniform; however, the overall mortality remained the same among both groups. All of these prosthetic device infections pose potential problems in management when the device cannot be removed safely for the patient, especially with the lack of data on the pathogenicity of Corynebacterium species. However with better identification of species and sensitivities, successful treatment is possible even with retention of the device.
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