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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.

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

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