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首页> 外文期刊>BMC Gastroenterology >Antibiotics for fever in patients without perforation after gastric endoscopic submucosal dissection and endoscopic submucosal excavation may be unnecessary: a propensity score-matching analysis
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Antibiotics for fever in patients without perforation after gastric endoscopic submucosal dissection and endoscopic submucosal excavation may be unnecessary: a propensity score-matching analysis

机译：胃内镜粘膜粘膜粘膜粘膜粘膜和内窥镜粘膜释放后没有穿孔的患者发烧的抗生素可能是不必要的：倾向分数分析

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Endoscopic submucosal dissection (ESD) and endoscopic submucosal excavation (ESE) have been widely used and have gradually become the main endoscopic treatment for gastrointestinal mucosal and submucosal lesions. Whether antibiotics are necessary for fever after gastric ESD and ESE remain unclear. The aim of this study was to analyse the value of using antibiotics in patients without perforation after ESD or ESE with fever. In this retrospective study, patients with fever without perforation after ESD or ESE from January 2014 to January 2019 were included and divided into 2 groups: the antibiotic group and the non-antibiotic group. Fever and hospitalization time were compared between the 2 groups after propensity score matching. Overall, 253 patients meeting the inclusion criteria were enrolled in the present study, with 186 patients in the non-antibiotic group and 67 patients in the antibiotic group before matching, 55 patients in the non-antibiotic group and 55 patients in the antibiotic group after matching with all baseline characteristics balanced (p??0.05). The duration of fever was not significantly different between the 2 groups (p?=?0.12). However, the median hospitalization stay in the antibiotic group was longer than that in the non-antibiotic group (8 vs 7, p?=?0.007). Antibiotics may be unnecessary for fever in patients without perforation and without serious co-morbidities after gastric ESD or ESE.
机译：内窥镜粘膜粘膜解剖（ESD）和内窥镜粘膜缺失性挖掘（ESE）已被广泛使用，并且逐渐成为胃肠粘膜和粘膜病变的主要内窥镜治疗。在胃ESD和ESE仍然不清楚后，抗生素是否需要发烧。本研究的目的是分析在ESD或ESE发烧后没有穿孔的患者使用抗生素的价值。在这项回顾性研究中，在2014年1月至2019年1月至2019年1月至2019年1月至2019年1月至2019年1月的发烧患者，分为2组：抗生素组和非抗生素组。在倾向分数匹配后2组之间比较发热和住院时间。总体而言，253名符合纳入标准的患者注册了本研究，186名患者在非抗生素组和67名抗生素组患者匹配前，非抗生素组55名患者和55名抗生素组患者之后与所有基线特性平衡的匹配（P？＆ 0.05）。 2组之间发烧的持续时间没有显着差异（P？= 0.12）。然而，中位的住院治疗抗生素组长于非抗生素组（8 vs 7，p？= 0.007）。没有穿孔的患者可能因患者发烧，并且在胃肠或ESE或ESE患者中没有严重的持续生命性而不必要发烧。

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