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血管移植物和血管内移植物感染的诊断和治疗:一种结构化的临床方法。

Diagnosis and treatment of vascular graft and endograft infections: a structured clinical approach.

机构信息

Department of Medical Microbiology and Infection Prevention, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.

Department of Medical Microbiology and Infection Prevention, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.

出版信息

Int J Infect Dis. 2023 Jan;126:22-27. doi: 10.1016/j.ijid.2022.11.011. Epub 2022 Nov 11.

Abstract

A vascular graft or endograft infection (VGEI) is a severe complication that can occur after vascular graft or endograft surgery and is associated with high morbidity and mortality rates. A multidisciplinary approach, consisting of a team of vascular surgeons, infectious diseases specialists, medical microbiologists, radiologists, nuclear medicine specialists, and hospital pharmacists, is needed to adequately diagnose and treat VGEI. A structured diagnostic, antibiotic, and surgical treatment algorithm helps clinical decision making and ultimately aims to improve the clinical outcome of patients with a VGEI.

摘要

血管移植物或血管内移植物感染(VGEI)是一种严重的并发症,可在血管移植物或血管内移植物手术后发生,与高发病率和死亡率相关。需要多学科方法,由血管外科医生、传染病专家、医学微生物学家、放射科医生、核医学专家和医院药剂师组成的团队,来充分诊断和治疗 VGEI。结构化的诊断、抗生素和手术治疗算法有助于临床决策,并最终旨在改善 VGEI 患者的临床结局。

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