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免疫缺陷筛查在重症感染成年患者入住重症监护病房后的意义:一项回顾性和前瞻性研究:重症监护病房和原发性及继发性免疫缺陷(ICUSPID)研究。

Interest of immunodeficiency screening in adult after admission in medical intensive care unit for severe infection, a retrospective and a prospective study: the Intensive Care Unit and Primary and Secondary Immunodeficiency (ICUSPID) study.

机构信息

Department of Infectious Diseases, CHU de Caen, Avenue de la Côte de Nacre, 14000, Caen, France.

Groupe de Recherche sur l'Adaptation Microbienne (GRAM 2.0), Université Caen Normandie, 14000, Caen, France.

出版信息

Infection. 2019 Feb;47(1):87-93. doi: 10.1007/s15010-018-1215-4. Epub 2018 Sep 7.

DOI:10.1007/s15010-018-1215-4
PMID:30194635
Abstract

BACKGROUND

Primary immunodeficiency (PID) in adults is rare and mostly revealed by infections.

MATERIAL AND METHODS

Adults without predisposing factors who were admitted to an intensive care unit (ICU) for infection were screened for PID.

RESULTS

Six PID cases were diagnosed, mostly revealed by encapsulated bacterial infections.

CONCLUSION

Investigation of PID after ICU discharge should be considered to improve early detection.

摘要

背景

成人原发性免疫缺陷(PID)较为罕见,多由感染引发。

材料与方法

对入住重症监护病房(ICU)因感染而无易感因素的成年人进行 PID 筛查。

结果

诊断出 6 例 PID 病例,主要由有囊膜细菌感染引发。

结论

应考虑在 ICU 出院后对 PID 进行调查,以提高早期检出率。

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Value of the Overall Pneumococcal Polysaccharide Response in the Diagnosis of Primary Humoral Immunodeficiencies.总肺炎球菌多糖反应在原发性体液免疫缺陷诊断中的价值
Front Immunol. 2017 Dec 20;8:1862. doi: 10.3389/fimmu.2017.01862. eCollection 2017.
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法国原发性免疫缺陷病的患病率被低估了。
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Diagnosis of primary antibody and complement deficiencies in young adults after a first invasive bacterial infection.青年期初次侵袭性细菌感染后原发性抗体和补体缺陷的诊断。
Clin Microbiol Infect. 2017 Aug;23(8):576.e1-576.e5. doi: 10.1016/j.cmi.2017.02.005. Epub 2017 Feb 10.
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Infections Revealing Complement Deficiency in Adults: A French Nationwide Study Enrolling 41 Patients.成人感染揭示补体缺陷:一项纳入41例患者的法国全国性研究
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PLoS One. 2014 Sep 16;9(9):e107181. doi: 10.1371/journal.pone.0107181. eCollection 2014.
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