Guyane University, Guadeloupe, French West Indies.
Emerg Infect Dis. 2010 Feb;16(2):331-4. doi: 10.3201/eid1602.090139.
We evaluated prognostic factors for leptospirosis in 168 consecutive hospitalized patients in Guadeloupe. Factors independently associated with severity included chronic hypertension or chronic alcoholism, late initiation of antibacterial therapy, abnormal chest auscultation results, icterus, oligoanuria, disorders of consciousness, elevated aspartate aminotransferase levels, hyperamylasemia, and Leptospira interrogans serovar Icterohemorrhagiae.
我们评估了瓜德罗普岛 168 例连续住院的钩端螺旋体病患者的预后因素。与严重程度相关的独立因素包括慢性高血压或慢性酒精中毒、抗菌治疗开始较晚、异常的胸部听诊结果、黄疸、少尿、意识障碍、天门冬氨酸氨基转移酶水平升高、高淀粉酶血症和问号钩端螺旋体血清型 Icterohemorrhagiae。
