感染性心内膜炎在医院的家庭设置:回顾性分析在外围西班牙医院

IF 0.8 Q4 NURSING
R. García-Carretero, Óscar Vázquez-Gómez, Belen Rodriguez-Maya, Gema Naranjo-Mansilla, Esther Luna-Heredia
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引用次数: 1

摘要

感染性心内膜炎(IE)是一种严重的疾病,发病率和死亡率高,需要长期抑制抗生素治疗。30多年来,门诊肠外抗菌素治疗(OPAT)一直用于治疗一系列传染病,在西班牙,它被用于家庭医院(HaH)环境。我们的目的是描述和描述住院患者的人口学、临床和微生物学特征,并评估OPAT的安全性和有效性。我们进行了一项回顾性研究,纳入了8年(2011-2018年)诊断为IE的患者。我们收集了人口统计学和临床特征、住院时间、抗菌治疗、微生物学概况和结果。我们在观察期间纳入26例患者。平均年龄66.5岁,男性占88.5%。平均住院时间为10.5天,平均住院时间为31天。6例患者因病情恶化需要再次入院,其中3例有严重的二尖瓣功能不全。8例患者均有心衰症状,但均在家中接受治疗,无需再入院。最终,12名患者康复,并被转介到外科单位进行瓣膜修复和置换。OPAT是一种有用和有效的工具,用于管理在医院环境中诊断为IE的患者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Infective Endocarditis in a Hospital-at-Home Setting: A Retrospective Analysis in a Peripheral Spanish Hospital
Infective endocarditis (IE) is a severe condition with high morbidity and mortality, and it requires long-term suppressive antibiotic therapy. Outpatient parenteral antimicrobial therapy (OPAT) has been used for a range of infectious diseases for more than 30 years, and in Spain it is used in hospital-at-home (HaH) settings. Our objectives were to describe and characterize the demographic, clinical, and microbiological features of patients admitted to an HaH setting and to assess the safety and effectiveness of OPAT. We conducted a retrospective study that included patients diagnosed with IE over a period of 8 years (2011-2018). We collected demographic and clinical features, length of hospital stay, antimicrobial treatment, microbiological profiles, and outcomes. We included 26 patients during the observation period. Their mean age was 66.5 years, and 88.5% were male. The mean hospital stay was 10.5 days, and the mean stay in the HaH setting was 31 days. A total of 6 patients required readmission due to deterioration, of whom 3 had severe mitral insufficiency. The 8 patients had symptoms of heart failure, but they were treated at home and did not require readmission. Ultimately, 12 patients recovered and were referred to a surgical unit for valvular repair and replacement on a scheduled basis. OPAT is a useful and effective tool for the management of patients diagnosed with IE in HaH settings.
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来源期刊
CiteScore
2.30
自引率
18.20%
发文量
29
期刊介绍: Home Health Care Management & Practice is a comprehensive resource for clinicians, case managers, and administrators providing home and community based health care. Articles address diverse issues, ranging from individual patient care and case management to the human resource management and organizational operations management and administration of organizations and agencies. Regular columns focus on research, legal issues, psychosocial perspectives, accreditation and licensing, compliance, management, and cultural diversity. Specific topics include treatment, care and therapeutic techniques, cultural competence, family caregivers, equipment management, human resources, home health center.
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