ノソコミアルシヌシチス
JAMA
|February 5, 1982
まとめ
病院で発症する感染症である鼻膜炎は,鼻管を重傷を負った重傷患者に頻繁に発生します. 早期の診断と治療は,患者の回復と合併症の予防に不可欠です.
科学分野:
- 感染症 感染症は感染症です.
- クリティカルケア・メディシン
- 耳鼻喉科 (Otorhinolaryngology) は,耳鼻喉科 (Otorhinolaryngology) を専門とする医療機関である.
背景:
- ノソコミアル感染症は,集中治療施設において重大な脅威となっている.
- 鼻管の器具は,重度のトラウマのある患者で一般的です.
- 副鼻炎は,重症患者の場合,難しい診断になる可能性があります.
研究 の 目的:
- 重度のトラウマを受けた患者におけるノソコミアル鼻炎の発生率と特徴を特定する.
- この感染症の一般的な病原体と予備因子を決定する.
- 治療結果を評価し,早期診断の重要性を強調する.
主な方法:
- 32人の重度のトラウマを患った患者で,鼻管の器具を使用した24ヶ月の遡及レビュー.
- シヌス炎と性シヌスアスピラートまたは鼻分泌のX線検査による診断.
- 副鼻腔の微生物学的分析は,原因となる病原体を特定することを目指しています.
主要な成果:
- 34例のノソコミアル鼻炎が確認され,全ノソコミアル感染症の5%を占めた.
- 誘発因子には,鼻管/鼻胃管,鼻詰め,コルチコステロイド,骨折などが含まれていた.
- グラム陰性バチリは最も一般的な病原体であり,14の感染症は多微生物でした.
- 治療とチューブ除去後に20人の患者で臨床的回復が認められ,7人は放射線異常が持続していた.
結論:
- 鼻管用器具は,トラウマ患者におけるノソコミアルシヌス炎の重要な危険因子である.
- 鼻管の内側が静止している患者の発熱と白血球症は,鼻炎の調査を正当化します.
- 早期診断と管理は,アウトカムを改善し,罹病率を減らすために不可欠です.
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