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WFRF:(Wahlgren G. M)
 

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FältnamnIndikatorerMetadata
00007261naa a2200721 4500
001oai:DiVA.org:uu-488548
003SwePub
008221118s2022 | |||||||||||000 ||eng|
009oai:prod.swepub.kib.ki.se:151070544
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-4885482 URI
0247 a https://doi.org/10.1016/j.avsg.2021.06.0392 DOI
0247 a http://kipublications.ki.se/Default.aspx?queryparsed=id:1510705442 URI
040 a (SwePub)uud (SwePub)ki
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Sorelius, Karlu Uppsala universitet,Institutionen för kirurgiska vetenskaper,Rigshosp, Dept Vasc Surg, Blegdamsvej 9, DK-2100 Copenhagen, Denmark.;Univ Copenhagen, Fac Hlth & Med Sci, Copenhagen, Denmark.4 aut
2451 0a The Microbiology of Infective Native Aortic Aneurysms in a Population-Based Setting
264 1b Elsevier,c 2022
338 a print2 rdacarrier
520 a Objective: The aim was to describe the microbiology of surgically treated infective native (mycotic) aortic aneurysms (INAAs), and associated survival and development of infection-related complications (IRCs). Methods: Data were pooled from 2 nationwide studies on surgically treated patients with INAAs in Sweden, between 1994 - 2016. Patients were grouped and analyzed according to culture results: 1) Staphylococcus aureus, 2) Streptococcus species (sp.), 3) Salmonella sp., 4) Enterococcus sp., 5) Gram-negative intestinal bacteria, 6) Other sp. (all other species found in culture), and 7) Negative cultures. Results: A sum of 182 patients were included, mean age 71 years (standard deviation; SD: 8.9). The median follow-up was 50.3 months (range 0 - 360). 128 (70.3%) patients had positive blood and/or tissue culture; Staphylococcus aureus n = 38 (20.9%), Streptococcus sp. n = 37 (20.3%), Salmonella sp. n = 19 (10.4%), Enterococcus sp. n = 16 (8.8%), Gram-negative intestinal bacteria n = 6, (3.3%), Other sp. n = 12 (6.6%) and Negative cultures n = 54 (29.7%). The estimated survival for the largest groups at 2-years after surgery was: Staphylococcus aureus 62% (95% Confidence interval 53.9 - 70.1), Streptococcus sp. 74.7% (67.4 - 82.0), Salmonella sp. 73.7% (63.6 - 83.8), Enterococcus sp. 61.9% (49.6 - 74.2), and Negative cultures 89.8% (85.5 - 94.1), P =.051. There were 37 IRCs (20.3%), and 19 (51.4%) were fatal, the frequency was insignificant between the groups. The majority of IRCs, 30/37 (81%), developed during the first postoperative year. Conclusion: In this assessment of microbiological findings of INAAs in Sweden, 50% of the pathogens were Staphylococcus aureus, Streptococcus sp., or Salmonella sp.. The overall 20%-frequency of IRCs, and its association with high mortality, motivates long-term antibiotic treatment regardless of microbial findings.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kirurgi0 (SwePub)302122 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Surgery0 (SwePub)302122 hsv//eng
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Infektionsmedicin0 (SwePub)302092 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Infectious Medicine0 (SwePub)302092 hsv//eng
7001 a Wanhainen, Andersu Uppsala universitet,Kärlkirurgi4 aut0 (Swepub:uu)anwan103
7001 a Furebring, Miau Uppsala universitet,Infektionsmedicin4 aut0 (Swepub:uu)miafureb
7001 a Mani, Kevin,d 1975-u Uppsala universitet,Kärlkirurgi4 aut0 (Swepub:uu)kevma940
7001 a Resch, T.u Rigshosp, Dept Vasc Surg, Blegdamsvej 9, DK-2100 Copenhagen, Denmark.;Univ Copenhagen, Fac Hlth & Med Sci, Copenhagen, Denmark.4 aut
7001 a Hultgren, R.u Karolinska Institutet,Karolinska Hosp, Dept Vasc Surg, Stockholm, Sweden.,Sahlgrens Univ Hosp, Dept Hybrid & Intervent Surg, Unit Vasc Surg, Gothenburg, Sweden.4 aut
7001 a Wahlgren, C. M.u Karolinska Institutet,Karolinska Hosp, Dept Vasc Surg, Stockholm, Sweden.,Reg Hosp Sundsvall, Dept Surg, Sundsvall, Sweden.4 aut
7001 a Roos, H.u Sahlgrens Univ Hosp, Dept Hybrid & Intervent Surg, Unit Vasc Surg, Gothenburg, Sweden.4 aut
7001 a Ojersjo, A.u Kalmar Hosp, Dept Surg, Kalmar, Sweden.4 aut
7001 a Lindström, Davidu Uppsala universitet,Kärlkirurgi4 aut0 (Swepub:uu)davli314
7001 a Vaccarino, R.u Skane Univ Hosp, Vasc Ctr, Malmö, Sweden.4 aut
7001 a Arvidsson, B.u Linköping Univ, Dept Thorac & Vasc Surg, Linköping, Sweden.;Linköping Univ, Dept Med & Hlth Sci, Linköping, Sweden.,Västerås Hosp, Dept Vasc Surg, Västerås, Sweden.4 aut
7001 a Bilos, L.u Örebro Univ Hosp, Fac Med & Vasc Surg, Dept Cardiothorac & Vasc Surg, Örebro, Sweden.4 aut
7001 a Pirouzram, A.u Örebro Univ Hosp, Fac Med & Vasc Surg, Dept Cardiothorac & Vasc Surg, Örebro, Sweden.4 aut
7001 a Arnerlov, C.u Umeå Univ Hosp, Dept Surg & Perioperat Sci, Surg, Umeå, Sweden.4 aut
7001 a Simo, G.u Cent Hosp Karlstad, Dept Surg, Karlstad, Sweden.4 aut
7001 a Svensson, M.u Falun Cent Hosp, Dept Surg, Falun, Sweden.,NU Hospitalgrp, Dept Surg, Trollhättan Uddevalla, Sweden.4 aut
7001 a Magnusson, J.u Helsingborg Hosp, Dept Surg, Helsingborg, Sweden.4 aut
7001 a Astrand, H.u Jönköping Hosp, Dept Surg, Jönköping, Sweden.4 aut
7001 a Palm, M.u Sunderby Hosp, Dept Surg, Sunderbyn, Sweden.4 aut
7001 a Holsti, M.u Umeå Univ Hosp, Dept Surg & Perioperat Sci, Surg, Umeå, Sweden.4 aut
7001 a Mellander, S.u NU Hospitalgrp, Dept Surg, Trollhättan Uddevalla, Sweden.4 aut
7001 a Korman, D.u Östersunds Hosp, Dept Surg, Östersund, Sweden.,Gävle Cent Hosp, Dept Surg, Gävle, Sweden.4 aut
7001 a Djavani-Gidlund, K.u Gävle Cent Hosp, Dept Surg, Gävle, Sweden.4 aut
7001 a Huss, M.u Karolinska Hosp, Dept Vasc Surg, Stockholm, Sweden.4 aut
7001 a Bertszel, A.u Västerås Hosp, Dept Vasc Surg, Västerås, Sweden.4 aut
7001 a Docter, M.u Hudiksvall Hosp, Dept Surg, Hudiksvall, Sweden.4 aut
7001 a Drott, C.u Borås Hosp, Dept Surg, Borås, Sweden.4 aut
7001 a Nelzen, O.u Skaraborg Hosp, Dept Vasc Surg, Skoevde, Sweden.4 aut
7001 a Wetterling, T.u Kristianstad Hosp, Dept Surg, Kristianstad, Sweden.4 aut
7001 a Chu, M.u Reg Hosp Sundsvall, Dept Surg, Sundsvall, Sweden.4 aut
7001 a Gilgen, N-Pu Karolinska Institutet,Malar Hosp, Dept Surg, Eskilstuna, Sweden.,Soder Sjukhuset, Karolinska Inst, Dept Clin Sci & Educ, Stockholm, Sweden.;Soder Sjukhuset, Unit Vasc Surg, Dept Surg, Stockholm, Sweden.4 aut
7001 a Gillgren, P.u Soder Sjukhuset, Karolinska Inst, Dept Clin Sci & Educ, Stockholm, Sweden.;Soder Sjukhuset, Unit Vasc Surg, Dept Surg, Stockholm, Sweden.4 aut
7102 a Uppsala universitetb Institutionen för kirurgiska vetenskaper4 org
7730 t Annals of Vascular Surgeryd : Elsevierg 78, s. 112-122q 78<112-122x 0890-5096x 1615-5947
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-488548
8564 8u https://doi.org/10.1016/j.avsg.2021.06.039
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:151070544

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