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超越针头:在儿童接种疫苗后腹中揭露非典型的真菌细菌

Amar Shah¹, Devesh N Joshi¹, Anirudh Shah¹

¹Amardeep Multispeciality Children Hospital and Research Centre, Ahmedabad, Gujarat, India.

Journal of Indian Association of Pediatric Surgeons

|August 16, 2024

概括

非结核菌 (NTM) 可以导致罕见的注射,特别是在儿童中. 及时诊断和手术干预是成功治疗和预防复发的关键.

科学领域:

医学微生物学医学微生物学
传染性疾病传染性疾病
儿科手术儿科手术

背景情况:

非典型或非结核菌 (NTM) 是引起机会性感染的环境生物,快速生长的NTM经常与医院获得的感染有关.
龙头水是NTM的常见来源,涉及到影响免疫功能低下个体和医院环境的疾病,包括像*Mycobacterium kansasii*和*Mycobacterium abscessus*这样的物种.
由NTM诱导的注射是罕见的,临床数据有限,需要进一步研究和提高认识.

研究的目的:

调查和报告儿童患者中由NTM引起的注射的病例.
分析NTM注射的临床表现,管理和结果.
为未来的政策制定和临床指导提供有关这种罕见疾病的有限现有数据的贡献.

主要方法:

采用了回顾性研究设计,在6年内收集数据.
患者数据包括详细的病史和临床检查结果.
分析了注射的儿童的手术干预和随后的治疗结果.

主要成果:

在6年内治疗了13例NTM确认的注射,影响2.5个月至5.75岁的儿童 (7:6男性:女性比例).
所有患者都来自同一地理区域,以前健康,接受过BCG疫苗接种,并且有适合年龄的疫苗接种史.
疾病的平均持续时间为3个月,并且在干预后6个月的随访期间没有观察到复发.

结论:

对机会性NTM感染的高度怀疑对于那些没有响应标准治疗的患者至关重要.
预防医院获得的NTM感染需要严格遵守无菌技术,手部卫生和环境预防措施.
手术干预是NTM相关皮肤和软组织感染或的管理中的关键组成部分.

关键词:

非典型的真菌细菌感染.注射腹是一个注射.没有结核的真菌菌.儿科年龄组的儿童年龄组

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