甲素敏感黄金葡萄球菌在患有德尔塔变异SARS-CoV-2急性呼吸系统衰竭的青少年患者的同时感染
Courtney M Cox1, Mireille Liboiron1, Heather L Young2
1Pediatric Critical Care Medicine, University of Arkansas for Medical Sciences, Little Rock, USA.
Cureus
|February 12, 2024
概括
儿童COVID-19患者与黄金葡萄球菌 (MSSA) 联合感染经历了严重的呼吸系统疾病. 早期发现和管理MSSA对于改善这些脆弱儿童的结果至关重要.
科学领域:
- 传染性疾病 传染性疾病
- 关键护理医学 关键护理医学
- 儿科 儿科 儿科
背景情况:
- SARS-CoV-2的三角洲变种在儿童中引起了显著的呼吸系统疾病.
- 二次性细菌共同感染可以使病毒性呼吸道疾病复杂化.
研究的目的:
- 描述患有SARS-CoV-2三角变体感染和甲素敏感黄金葡萄球菌 (MSSA) 同感染的儿科患者的临床过程和结果.
- 突出MSSA联合感染对儿童COVID-19呼吸支需求和死亡率的潜在影响.
主要方法:
- 由于SARS-CoV-2三角形变体而导致急性呼吸衰竭的五名儿科患者的病例系列.
- 对临床数据的审查,包括呼吸辅助,免疫调节疗法和结果.
- 对甲素敏感的金黄色葡萄球菌 (MSSA) 联合感染的鉴定.
主要成果:
- 所有五名患者都患有SARS-CoV-2三角形变体和MSSA联合感染.
- 在所有患者中,在MSSA检测后24小时内发生了呼吸支升级.
- 四名患者需要体外膜氧化 (ECMO);一名患者死亡,四名患者存活下来.
结论:
- 二次MSSA联合感染可以显著增加患重COVID-19的儿科患者的发病率和死亡率.
- 临床医生应保持对细菌共感染的高度怀疑指数,特别是在接受免疫调节疗法的患者中.
- 迅速诊断和管理MSSA对于改善重症儿科COVID-19患者的治疗结果至关重要.
关键词:
在COVID-19中,有很多人.身体外膜氧化 (ECMO) 是一种免疫调节疗法是一种免疫调节疗法.儿科 儿科 儿科 儿科儿科重症监护室 (PICU) 儿童重症监护室这是va ecmo ecmo.在vv ecmo ecmo更多相关视频
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