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肥胖对耐甲氧西林金黄色葡萄球菌血流感染临床结局的影响。

Impact of obesity on clinical outcomes of methicillin-susceptible bloodstream infections.

机构信息

UF Health Jacksonville Department of Pharmacy, Jacksonville, Florida, USA.

UF College of Pharmacy, Jacksonville, Florida, USA.

出版信息

Antimicrob Agents Chemother. 2024 Nov 6;68(11):e0075224. doi: 10.1128/aac.00752-24. Epub 2024 Sep 26.

DOI:10.1128/aac.00752-24
PMID:39324801
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11539207/
Abstract

Obesity affects over one-third of U.S. adults and complicates the treatment of methicillin-susceptible (MSSA) bloodstream infections (BSI). A study at the University of Florida Health Centers compared clinical outcomes between 233 obese and non-obese patients receiving cefazolin for MSSA BSI. No significant differences were found in clinical success (81.9% vs 82.7%), mortality (7.2% vs 5.3%), or adverse events (3.6% vs 3.3%). However, obese patients took longer to clear blood cultures (4.62 vs 4.01 days, = 0.017).

摘要

肥胖影响了超过三分之一的美国成年人,并使耐甲氧西林金黄色葡萄球菌(MSSA)血流感染(BSI)的治疗复杂化。佛罗里达大学健康中心的一项研究比较了 233 名肥胖和非肥胖患者接受头孢唑林治疗 MSSA BSI 的临床结果。在临床成功率(81.9%对 82.7%)、死亡率(7.2%对 5.3%)或不良事件(3.6%对 3.3%)方面均无显著差异。然而,肥胖患者清除血培养的时间更长(4.62 对 4.01 天,P=0.017)。

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本文引用的文献

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Weighing the Odds: Novel β-Lactam/β-Lactamase Inhibitor Use in Hospital-Acquired and Ventilator-Associated Pneumonia for Patients Who Are Morbidly Obese.权衡利弊:新型β-内酰胺/β-内酰胺酶抑制剂在肥胖患者医院获得性肺炎和呼吸机相关性肺炎中的应用
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