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心脏直视手术的感染性并发症及通过硝基蓝四氮唑试验监测感染情况

Infective complications of open-heart surgery and the monitoring of infections by the NBT test.

作者信息

Freeman R, King B, Hambling M H

出版信息

Thorax. 1973 Sep;28(5):617-21. doi: 10.1136/thx.28.5.617.

DOI:10.1136/thx.28.5.617
PMID:4784386
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC470090/
Abstract

, , 617-621. Seventy-four consecutive patients undergoing open-heart surgery were extensively investigated, preoperatively and postoperatively, for evidence of infection. The incidence of the infective complications encountered is presented, together with discussion on the aetiology of these complications. A previously unrecognized infective complication is described, this being a high incidence of infection with The series also reports an assessment of the nitroblue tetrazolium (NBT) test in these patients, and it is concluded that the system evolved in this series, of minimal chemoprophylaxis and constant monitoring of infection, affords a logical alternative to conventional methods using massive prophylaxis.

摘要

对74例连续接受心脏直视手术的患者在术前和术后进行了广泛的感染证据调查。文中呈现了所遇到的感染性并发症的发生率,并对这些并发症的病因进行了讨论。描述了一种先前未被认识到的感染性并发症,即感染发生率较高。该系列还报告了对这些患者进行的硝基蓝四氮唑(NBT)试验的评估,并得出结论,该系列所采用的最小化学预防和持续感染监测系统,为使用大规模预防的传统方法提供了一种合理的替代方案。

相似文献

1
Infective complications of open-heart surgery and the monitoring of infections by the NBT test.心脏直视手术的感染性并发症及通过硝基蓝四氮唑试验监测感染情况
Thorax. 1973 Sep;28(5):617-21. doi: 10.1136/thx.28.5.617.
2
Letter: Nitroblue-tetrazolium test.信函:硝基蓝四氮唑试验
Lancet. 1975 Jan 11;1(7898):104-6. doi: 10.1016/s0140-6736(75)91113-7.
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Infection with Mycoplasma pneumoniae after open-heart surgery.心脏直视手术后肺炎支原体感染。
J Thorac Cardiovasc Surg. 1973 Oct;66(4):642-4.
4
[Clinical use of the nitroblue tetrazolium reduction test performed with a quantitative method].
Minerva Pediatr. 1977 Apr 7;29(12):833-5.
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[Nitroblue tetrazolium test in sepsis of the urinary tract in infancy].[婴儿期尿路感染败血症中的硝基蓝四氮唑试验]
Minerva Pediatr. 1976 Feb 18;28(5):304-11.
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Nitro blue tetrazolium dye reduction test in children after cardiac surgery.心脏手术后儿童的硝基蓝四氮唑染料还原试验
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Value of the nitroblue tetrazolium dye test in surgical patients.硝基四氮唑蓝染料试验在外科手术患者中的价值。
Am J Surg. 1974 May;127(5):560-3. doi: 10.1016/0002-9610(74)90317-1.
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The nitroblue tetrazolium (NBT) test in evaluation of postoperative fever.硝基蓝四氮唑(NBT)试验在术后发热评估中的应用
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[NBT test use in the differential diagnosis of urinary tract infections].[中性粒细胞碱性磷酸酶染色在尿路感染鉴别诊断中的应用]
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[NBT test (nitroblue tetrazolium test)].
Nihon Rinsho. 1978 May;Suppl:1282-3.

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Species of coagulase-negative staphylococci isolated from catheter tips from open-heart surgery patients.从心脏直视手术患者导管尖端分离出的凝固酶阴性葡萄球菌菌种。
Thorax. 1980 May;35(5):359-62. doi: 10.1136/thx.35.5.359.
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Prevention and treatment of central venous catheter sepsis by exchange via a guidewire. A prospective controlled trial.经导丝更换预防和治疗中心静脉导管败血症。一项前瞻性对照试验。
Ann Surg. 1983 Jul;198(1):48-52. doi: 10.1097/00000658-198307000-00009.
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Isolations of aerobic sporing bacilli from the tips of indwelling intravascular catheters.从留置血管内导管尖端分离出需氧芽孢杆菌。
J Clin Pathol. 1975 Feb;28(2):146-8. doi: 10.1136/jcp.28.2.146.
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An antibiotic policy for bacterial infections after thoracic and other injuries.胸部及其他损伤后细菌感染的抗生素使用策略
Thorax. 1977 Oct;32(5):596-600. doi: 10.1136/thx.32.5.596.
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[Effect of open heart surgery on the defense mechanisms against bacterial infections].[心脏直视手术对细菌感染防御机制的影响]
Can Med Assoc J. 1977 Feb 5;116(3):279-81.
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Analysis of results of catheter tip cultures in open-heart surgery patients.心脏直视手术患者导管尖端培养结果分析
Thorax. 1975 Feb;30(1):26-30. doi: 10.1136/thx.30.1.26.

本文引用的文献

1
Prophylactic antibiotics in intensive therapy: experience in a cardiac surgical unit.重症治疗中的预防性抗生素:心脏外科病房的经验
Br J Surg. 1970 Oct;57(10):722-4. doi: 10.1002/bjs.1800571005.
2
Infection and nitroblue-tetrazolium reduction by neutrophils. A diagnostic acid.中性粒细胞的感染与硝基蓝四氮唑还原反应。一种诊断性酸。
Lancet. 1968 Sep 7;2(7567):532-4. doi: 10.1016/s0140-6736(68)92406-9.
3
A modification to the N.B.T. test.对硝基蓝四氮唑试验的一种改进。
Lancet. 1971 Nov 20;2(7734):1154. doi: 10.1016/s0140-6736(71)91312-2.
4
Cytomegalovirus infections after open heart surgery. A prospective study.心脏直视手术后的巨细胞病毒感染。一项前瞻性研究。
Lancet. 1971 Apr 17;1(7703):777-80. doi: 10.1016/s0140-6736(71)91216-5.
5
Control of infection due to Klebsiella aerogenes in a neurosurgical unit by withdrawal of all antibiotics.通过停用所有抗生素控制神经外科病房中产气克雷伯菌引起的感染。
Lancet. 1970 Dec 12;2(7685):1213-5. doi: 10.1016/s0140-6736(70)92179-3.