尽量减少Covid相关粘菌菌病的复发率:我们在500名患者中的经验
Anchal Kumar Jain1,2, Yamini Gupta1, Jagram Verma1
1Department of Otorhinolaryngology, MGM Medical College, Madhya Pradesh Indore, India.
概括
积极的手术切除和多学科的管理,包括定期的随访,显著降低免疫功能低下的患者的粘膜菌的复发. 早期诊断和及时治疗对于这种致命的真菌感染的更好的结果至关重要.
科学领域:
- 菌类学 菌类学是指菌类学.
- 传染性疾病 传染性疾病
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 粘菌菌是一种严重的,危及生命的真菌感染.
- 免疫受损的个体对这种无处不在的病原体非常敏感.
- 有效的管理策略对于降低高死亡率和发病率至关重要.
研究的目的:
- 为了突出诊断粘膜菌病的诊断方法.
- 强调积极的手术切除和全面的医疗治疗.
- 强调手术后护理和定期患者随访的重要性,以尽量减少复发.
主要方法:
- 一项前性研究包括2021年4月至7月的500名怀疑患有粘膜菌的患者.
- 诊断方法包括鼻腔内镜,CT/MRI和湿KOH山.
- 治疗涉及手术干预,抗真菌药物 (脂质体安福特里辛B,波萨可纳) 和吸管清洗.
主要成果:
- 在91.2%的患者中,完全治愈.
- 复发发生在8.8%的人群中,主要是男性,COVID后和免疫受损的个体,通常与不规则的随访有关.
- 鼻干涉是最常见的;糖尿病在免疫功能低下的患者中普遍存在.
结论:
- 多学科管理,包括临床诊断,手术,医疗治疗和持续的随访,至关重要.
- 患者对卫生保健的教育和对随访的坚持可以最大限度地减少粘膜菌的复发.
- 准备好应对未来的粘膜菌病流行病,需要在诊断和治疗方案方面取得进展.
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