文章摘要
秦泽辉,叶莉萍,田行瀚.金黄色葡萄球菌血流感染预后的研究进展[J].安徽医药,2026,30(2):236-241.
金黄色葡萄球菌血流感染预后的研究进展
Research progress on prognosis of staphylococcus aureus bloodstream infection
  
DOI:10.3969/j.issn.1009-6469.2026.02.005
中文关键词: 金黄色葡萄球菌  血流感染  医院内感染  预后  预测模型
英文关键词: Staphylococcus aureus  Bloodstream infection  Hospital infection  Prognostic factors  Predictive model
基金项目:山东省医药卫生科技发展计划项目( 2019WS281)
作者单位E-mail
秦泽辉 山东第二医科大学临床医学院,山东潍坊 261000  
叶莉萍 烟台毓璜顶医院重症监护室,山东烟台 264000  
田行瀚 烟台毓璜顶医院重症监护室,山东烟台 264000 tianfenger987@sina.com 
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中文摘要:
      金黄色葡萄球菌是院内获得性感染的主要病原体之一,当它侵入血液系统时,就会导致金黄色葡萄球菌血流感染(SABI)。 SABI常见的预后相关因素包括性别、是否有基础疾病,与 SABI的预后关系密切;年龄也是影响预后的独立危险因素;感染耐甲氧西林金黄色葡萄球菌( MRSA)病人预后差,而且不同感染部位导致的血流感染预后情况也不同; SABI病人血清白细胞介素 -10值越高病人预后越差;最后病人接受治疗情况等都对病人预后有影响。分析 SABI预后相关因素并建立评估预后的预测模型,可以帮助临床医生制定最佳的治疗方案和监护措施。
英文摘要:
      Staphylococcus aureus, especially the methicillin-resistant strain (MRSA), is a leading cause of hospital-acquired infec-tions. When it enters the bloodstream, it leads to Staphylococcus aureus bloodstream infection (SABI), a condition with significant clini-cal implications. Key prognostic factors for SABI include gender, underlying medical conditions, and age, with the latter being an inde-pendent risk factor that significantly affects outcomes. Patients suffering from MRSA-associated SABI typically have a poorer prognosis.Additionally, the site of infection can lead to different prognostic outcomes in SABI cases. Higher serum levels of interleukin-10 in pa-tients are associated with worsening prognoses. The treatment protocols applied are crucial in influencing the overall prognostic out-comes. A thorough analysis of these prognostic factors and the development of predictive models are essential for enabling clinicians todevise optimal treatment strategies and monitoring protocols.
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