烧伤患者的病:对病例报告的系统审查
Paola Piccoli1, Fabíola Lucini1, Abdullah M S Al-Hatmi2
1Federal University of Grande Dourados (UFGD), Faculdade de Ciências da Saúde-FCS, Brazil.
Medical mycology
|February 21, 2024
概括
烧伤患者容易感染Fusarium真菌感染,经常出现非特异性症状. 早期,有效的治疗对于减少与这些严重烧伤感染相关的高死亡率至关重要.
科学领域:
- 医学真菌学 医学真菌学
- 传染性疾病 传染性疾病
- 烧伤护理 烧伤护理
背景情况:
- 烧伤损害了皮肤的完整性,增加了对机会性真菌感染的易感性,如菌病.
- 烧伤患者的膜感染由于非特异性的临床表现,造成了诊断和治疗方面的挑战.
研究的目的:
- 审查病例报告和Fusarium感染在烧伤患者的系列.
- 分析治疗策略,临床结果和死亡率.
- 为改善烧伤护理中的化病管理提供建议.
主要方法:
- 在PubMed,科学网,ScienceDirect和Medline的系统文献搜索.
- 包括病例报告和燃烧患者与Fusarium感染 (1974-2023) 的系列.
- 对人口,临床和治疗数据的回顾性分析.
主要成果:
- 分析了24份病例报告,其中87名烧伤患者患有Fusarium感染.
- 通常受影响的部位包括脸部,上肢和下肢;感染发生在烧伤后的10天.
- Fusarium dimerum是最常见的物种复合物;安福特里辛B和沃里可纳是常见的治疗方法;死亡率为37%.
结论:
- 针对Fusarium spp.的早期和有针对性的治疗方案 在燃烧单位可以降低死亡率.
- 更好地了解炎流行病学和高临床怀疑对于治疗烧伤患者至关重要.
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