在ICU的青少年结核病
Pooja R Murthy1, Ajith Kumar A K1, Nikhil N1
1Department of Critical Care Medicine, Aster Whitefield Hospital, Bengaluru, (560 066), Karnataka, India.
The Indian journal of tuberculosis
|December 18, 2023
概括
结核病 (TB) 严重影响印度的儿童,青少年结核病研究不足. 关键病情的青少年结核病患者面临高死亡风险,通常是由于ARDS和败血症等并发症.
科学领域:
- 儿科 儿科 儿科
- 传染性疾病 传染性疾病
- 关键护理医学 关键护理医学
背景情况:
- 结核病 (TB) 在儿童群体中构成重大健康负担,特别是在印度.
- 青少年结核病是一个被忽视的领域,导致每年大量结核病例.
- 关于青少年结核病患者需要进入重症监护室 (ICU) 的数据有限.
研究的目的:
- 突出青少年结核病患者在ICU中的挑战和表现.
- 为了比较青少年结核病患者的ICU入院和结核病成年患者的结果.
- 确定导致严重病情严重的青少年结核病患者死亡的因素.
主要方法:
- 这项研究回顾了现有的文献和关于青少年结核病患者进入ICU的临床数据.
- 分析侧重于ICU入院的原因,常见的并发症和治疗挑战.
- 讨论了青少年和成人结核病患者之间的结局结果的比较.
主要成果:
- 急性呼吸困扰综合征 (ARDS),多器官功能障碍和脑膜炎是青少年结核病患者入院ICU的主要原因.
- 包括青少年在内的重症结核病患者面临高死亡率.
- 诸如多器官功能障碍,医院感染,败血症和营养不良等因素有助于增加死亡率.
结论:
- 青少年结核病患者入院于ICU的情况和挑战与成年人相似,但由于伴随性疾病较少,他们的治疗结果通常更好.
- 重症结核病患者的高死亡率与严重并发症和社会经济因素有关.
- 对有不良预后的结核病患者的ICU护理的财务负担是一个重大问题,特别是在低收入人群中.
相关概念视频
01:26Pulmonary Tuberculosis IV
143
Tuberculosis, more commonly referred to as TB, is an infectious disease stemming from Mycobacterium tuberculosis. While it primarily impacts the lungs, TB can also affect other body areas. Given its severity and global impact, timely and accurate diagnosis is crucial for controlling its spread and improving patient outcomes.
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
143
01:28Pulmonary Tuberculosis II
240
Tuberculosis, or TB, is a bacterial infectious disease caused by Mycobacterium tuberculosis. While its primary impact is on the lungs, leading to pulmonary tuberculosis, it can also affect various other organs, a condition referred to as extrapulmonary tuberculosis.
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
240
01:31Pulmonary Tuberculosis III
334
Tuberculosis (TB) is a contagious infection primarily affecting the lung parenchyma but which can also affect other body parts. TB can be classified based on disease development, presentation, and the affected anatomical site.
The first classification is based on the development of the disease, and it includes the following categories:
The first classification is based on the development of the disease, and it includes the following categories:
334
01:29Pulmonary Tuberculosis I
244
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
244
01:28Pulmonary Tuberculosis V
180
Medical management of tuberculosis (TB) patients involves a comprehensive approach that includes diagnosis, treatment, and monitoring. The specific strategies can vary depending on the type of tuberculosis (latent or active), the patient's overall health status, and other considerations.
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
180
01:30Pneumonia III: Complications and Assessment
239
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
239