Analysis of Clinical Features and Risk Factors for Oral Ulcers and Bloodstream Infection in Patients with Hematopoietic Stem Cell Transplantation.
10.19746/j.cnki.issn.1009-2137.2023.03.037
- Author:
Ke WU
1
;
Li-Na GUAN
1
;
Jie-Yong ZHANG
1
;
Ran ZHANG
1
;
Zhi-Lei BIAN
1
;
Chong WANG
1
;
Ding-Ming WAN
1
;
Wei-Jie CAO
2
Author Information
1. Department of Hematology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, Henan Province, China.
2. Department of Hematology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, Henan Province, China,E-mail: caoweijie2003@126.com.
- Publication Type:Journal Article
- Keywords:
hematopoietic stem cell transplantation;
bloodstream infection;
oral ulcers;
risk factor
- MeSH:
Humans;
Adolescent;
Retrospective Studies;
Oral Ulcer/etiology*;
Bacteremia/microbiology*;
Hematopoietic Stem Cell Transplantation/adverse effects*;
Sepsis;
Risk Factors;
Leukemia
- From:
Journal of Experimental Hematology
2023;31(3):866-870
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To investigate the risk factors of oral ulcers and bloodstream infection in patients with hematopoietic stem cell transplantation.
METHODS:The clinical data of 401 hematopoietic stem cell transplant patients in the First Affiliated Hospital of Zhengzhou University from January 2020 to December 2021 were retrospective analyzed, and the risk factors of oral ulcers and bloodstream infection statistical and analyzed.
RESULTS:Among the 401 patients, the incidence of oral ulcers was 61.3% (246/401), and the incidence of bloodstream infection was 9.0% (36/401). A total of 40 strains of pathogenic bacteria were isolated from 36 patients, including 26 strains of Gram negative strains (65%), 13 strains of Gram positive strains (32.5%), and 1 strain of fungi (2.5%). Single-factor analysis showed that oral hygiene was associated with the occurrence of bloodstream infection, and the Multi-factor analysis showed that age ≥14 years old, disease diagnosis of leukemia, and allogeneic hematopoietic stem cell transplantation were risk factors for oral ulcers.
CONCLUSION:The incidence of oral ulcers in patients with hematopoietic stem cell transplantation is high. The age ≥14 years, disease diagnosis of leukemia, and allogeneic hematopoietic stem cell transplantation were risk factors for oral ulcers in patients, and oral hygiene was associated with the occurrence of bloodstream infection.
