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退伍军人菌血症患者行经食管超声心动图检查的临床推理

Clinical reasoning for performance of transesophageal echocardiography in veterans with bacteremia.

作者信息

Woods Emily C, Nakasone Trisha S M, Renault Cybele A

机构信息

Stanford University School of Medicine, Stanford, CA, USA.

Veterans Affairs Palo Alto Health Care System, Palo Alto, CA, USA.

出版信息

Antimicrob Steward Healthc Epidemiol. 2023 Dec 4;3(1):e221. doi: 10.1017/ash.2023.493. eCollection 2023.

DOI:10.1017/ash.2023.493
PMID:38156239
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10753505/
Abstract

This study examined physicians' reasoning about obtaining transesophageal echocardiography (TEE) in cases of bacteremia (SAB). In 221 cases of SAB over 5 years, the most common reasons for not performing TEE were clinical response to antibiotics, negative TTE results, and the expectation that TEE would not change management.

摘要

本研究调查了医生在菌血症(SAB)病例中关于进行经食管超声心动图(TEE)检查的推理过程。在5年期间的221例SAB病例中,不进行TEE检查的最常见原因是对抗生素的临床反应、经胸超声心动图(TTE)结果为阴性以及预计TEE检查不会改变治疗方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b91/10753505/d16c1495b9c1/S2732494X2300493X_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b91/10753505/d16c1495b9c1/S2732494X2300493X_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b91/10753505/d16c1495b9c1/S2732494X2300493X_fig1.jpg

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本文引用的文献

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Clinical Practice Update on Infectious Endocarditis.临床感染性心内膜炎实践更新。
Am J Med. 2020 Jan;133(1):44-49. doi: 10.1016/j.amjmed.2019.08.022. Epub 2019 Sep 12.
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Incidence and Cost of Acute Kidney Injury in Hospitalized Patients with Infective Endocarditis.感染性心内膜炎住院患者急性肾损伤的发病率及费用
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Time to blood culture positivity: An independent predictor of infective endocarditis and mortality in patients with Staphylococcus aureus bacteraemia.
血培养阳性时间:金黄色葡萄球菌菌血症患者感染性心内膜炎和死亡的独立预测因子。
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The VIRSTA score, a prediction score to estimate risk of infective endocarditis and determine priority for echocardiography in patients with Staphylococcus aureus bacteremia.VIRSTA 评分:一种预测金黄色葡萄球菌菌血症患者感染性心内膜炎风险和确定超声心动图检查优先级的评分。
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Risk factors for failure of outpatient parenteral antibiotic therapy (OPAT) in infective endocarditis.感染性心内膜炎门诊静脉用抗生素治疗失败的危险因素。
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Clinical practice guidelines by the infectious diseases society of america for the treatment of methicillin-resistant Staphylococcus aureus infections in adults and children.美国传染病学会发布的耐甲氧西林金黄色葡萄球菌感染成人和儿童治疗临床实践指南。
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Clinical presentation, etiology, and outcome of infective endocarditis in the 21st century: the International Collaboration on Endocarditis-Prospective Cohort Study.21世纪感染性心内膜炎的临床表现、病因及转归:国际心内膜炎协作组前瞻性队列研究
Arch Intern Med. 2009 Mar 9;169(5):463-73. doi: 10.1001/archinternmed.2008.603.
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