在大陆尿路转移后,尿路感染与由抗万科胺素耐药肠球菌引起的细菌病相关
Kai Morishita1, Soichiro Kashiwabara2, Yuki Matsumoto1
1Department of Urology National Hospital Organization, Shinshu Ueda Medical Center Nagano Japan.
Clinical case reports
|January 1, 2024
概括
对具有国际病史的患者来说,抗药性生物的预防措施至关重要. 早期查和多学科的方法对于管理感染,如菌素耐药性肠球菌是必不可少的.
科学领域:
- 传染性疾病 传染性疾病
- 临床微生物学 临床微生物学
- 在瘤学瘤学.
背景情况:
- 一名49岁的日本女性患有宫癌的病史,在美国接受治疗,返回日本接受辅助化疗.
- 患者在美国经历了全面的盆腔排骨,迈阿密囊囊形成和骨髓切除术.
研究的目的:
- 突出MDRO查在有国际医学暴露史的患者的重要性.
- 描述在返回旅行者中成功管理抗万科米肠球菌感染的情况.
- 强调需要多学科的方法来管理复杂的感染.
主要方法:
- 一个49岁的女性患有宫癌,在美国接受治疗,然后返回日本的案例报告.
- 诊断与尿相关的急性功能衰竭和发炎.
- 在尿液和血液培养物中检测出抗万科米的肠球菌.
- 实施感染控制措施和使用linezolid.
主要成果:
- 在入院5天后检测到抗万科米辛的肠球菌.
- 患者患有炎炎和细菌血症.
- 利尼佐利德治疗在控制感染方面是有效的.
- 实施了包括关闭病房在内的感染控制措施.
结论:
- 对于在国外有医疗暴露史的患者,即使在VRE罕见的地区,也需要采取防范措施.
- 在入院时进行查对于早期检测MDROs至关重要.
- 为了有效管理确诊感染,需要采用多学科的方法.
相关概念视频
Urinary Tract Infection I: Introduction
Urinary tract infections (UTIs) impact various parts of the urinary system, including the kidneys, ureters, bladder, and urethra. These infections are generally bacterial, with Escherichia coli being the most common causative agent, often originating from the gastrointestinal tract. However, other bacteria, such as Staphylococcus saprophyticus, Klebsiella pneumoniae, and Proteus mirabilis, are also known to cause UTIs. The type, location, and underlying complexity of the UTI guide both...
Urinary Tract Infection II: Pathophysiology
The pathophysiology of urinary tract infections (UTIs) encompasses several progressive stages, beginning with bacterial colonization and culminating in potential systemic complications if untreated. UTIs are primarily initiated by bacteria, such as Escherichia coli, which often originate from the gastrointestinal tract and migrate to the urinary system through the periurethral area. This migration can occur via several routes, including improper hygiene practices, sexual activity, or...
Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
Urine Studies II: Urine Culture and Sensitivity Test
A urine culture and sensitivity test is a diagnostic procedure used to identify urinary tract bacterial infections and determine the most effective antibiotics for treatment. This test is generally preferred when a patient shows manifestations of a urinary tract infection, such as frequent or painful urination, cloudy or foul-smelling urine, or lower abdominal pain.Purpose of the TestThe primary goals of a urine culture and sensitivity test are to:Determine the specific bacteria causing the...
Microbiota of the Urogenital Tract
The human urogenital system, once thought to be sterile in healthy individuals, is now recognized as a complex microbial habitat. Advancements in molecular sequencing techniques have revealed that even in healthy adults, the kidneys and bladder harbor microbial populations similar to those found in the distal urethra, albeit in much lower abundance. These resident microorganisms, while generally innocuous, can become opportunistic pathogens under conditions that alter the urogenital...
Mechanism of Antibiotic Resistance in MRSA
Antibiotic resistance in bacteria arises when microorganisms evolve the ability to withstand drugs designed to kill them or inhibit their growth, rendering once-effective treatments useless. This phenomenon, driven by genetic change and selection under antibiotic exposure, poses a profound threat to modern medicine. Mechanisms include drug-inactivating enzymes (e.g., β-lactamases), efflux pumps that eject antibiotics, mutations altering antibiotic targets, decreased drug uptake, and acquisition...


