与COVID-19相关的粘性菌根症
Sana Tazeem1, A Nagaraju2, Hazeera Begum3
1Osmania Medical College, Hyderabad, India.
概括
该研究发现,冠状病毒疾病-2019相关性粘性菌根症 (CAM) 是印度的流行病,在COVID-19治疗期间经常与糖尿病和类固醇使用有关. 早期诊断和多学科护理对于改善这些真菌感染的结果至关重要.
科学领域:
- 传染性疾病 传染性疾病
- 菌类学 菌类学是指菌类学.
- 流行病学 流行病学
背景情况:
- 粘菌菌是一种严重的机会性真菌感染,在免疫受损的个体中普遍存在.
- 印度的冠状病毒疾病-2019 (COVID-19) 患者中粘膜菌的发病率急剧增加,从流行病升级到流行病水平.
- 糖尿病和皮质类固醇的使用是与COVID-19相关的粘膜菌相关的显著风险因素.
研究的目的:
- 调查COVID-19相关性粘菌菌病 (CAM) 的流行病学,管理策略和患者结果.
- 确定糖尿病和皮质类固醇在CAM发展中的特定作用.
主要方法:
- 一项基于医院的观察性研究在第三级护理机构进行.
- 这项研究包括被诊断患有犀牛轨道粘膜和近期COVID-19感染史的患者.
- 收集和分析了相关疾病,治疗和结果的数据.
主要成果:
- 在205名患者中,81%患有糖尿病,36.6%在COVID-19治疗期间被诊断出糖尿病.
- 78.5%的患者服用了皮质类固醇,通常是不适当的 (26.7%).
- 糖尿病患者的死亡率更高,80%的死亡发生在这个小组中;85.4%的患者存活了12周.
结论:
- 在印度,COVID-19相关的粘性菌根症是一个重大的公共卫生挑战,其特点是糖尿病和皮质类固醇使用率高.
- 有效的管理需要提高公众意识,及时诊断,以及协作,多学科的方法来改善患者的预后.
- 解决潜在的风险因素,特别是糖尿病控制和明智的类固醇使用,对于对抗这种破坏性感染至关重要.
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