耐甲氧西林金黄色葡萄球菌对血管外科手术的影响。
The impact of MRSA on vascular surgery.
作者信息
Nasim A, Thompson M M, Naylor A R, Bell P R, London N J
机构信息
Department of Vascular and Endovascular Surgery, Leicester Royal Infirmary NHS Trust, Leicester, LE1 5WW, UK.
出版信息
Eur J Vasc Endovasc Surg. 2001 Sep;22(3):211-4. doi: 10.1053/ejvs.2001.1429.
OBJECTIVES
To investigate the prevalence of MRSA infection in patients treated in a major vascular unit and examine its consequences.
DESIGN AND METHODS
A retrospective case-note review was performed.
RESULTS
During the period 1993 to 2000, a total of 172 patients (4.4% of total) were positive for MRSA. Of these 97 were colonised and 75 were infected by MRSA. The proportion of wound or graft infections caused by MRSA has increased (4% in 1994 to 63% in 2000). Three patients developed native artery infection (one following aortic stent insertion and 2 following embolectomy). All patients with aortic graft infection died. All patients with infected prosthetic infrainguinal bypass ended up with an amputation.
CONCLUSION
The prevalence of MRSA infection is increasing. Infection of aortic grafts appears to be uniformly fatal and lower limb graft infection is associated with high limb loss.
目的
调查在一个主要血管科接受治疗的患者中耐甲氧西林金黄色葡萄球菌（MRSA）感染的患病率，并研究其后果。
设计与方法
进行了一项回顾性病例记录审查。
结果
在1993年至2000年期间，共有172例患者（占总数的4.4%）MRSA检测呈阳性。其中97例为定植，75例为MRSA感染。由MRSA引起的伤口或移植物感染比例有所增加（1994年为4%，2000年为63%）。3例患者发生了天然动脉感染（1例在主动脉支架置入后，2例在栓子切除术后）。所有主动脉移植物感染患者均死亡。所有感染人工腹股沟下旁路移植物的患者最终均接受了截肢手术。
结论
MRSA感染的患病率正在上升。主动脉移植物感染似乎无一幸免均会致命，下肢移植物感染与高截肢率相关。
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