在COVID-19大流行之前,期间和之后接受内镜鼻手术的患者中,最常见的病原体引起鼻炎
Hamad Almhanedi1, Ahmad Aldajani1,2, Emily Steinberg3
1Department of Otolaryngology-Head and Neck Surgery, McGill University, Montreal, QC, Canada.
概括
随着COVID-19大流行,慢性鼻炎 (CRS) 的常见病原体发生了变化. 黄金葡萄球菌在大流行期间增加,在大流行后观察到的Serratia marcescens和Achromobacter denitrificans的新增.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 传染性疾病 传染性疾病
- 微生物学 微生物学
背景情况:
- 慢性鼻炎 (CRS) 显著影响患者的生活质量和医疗保健系统.
- 了解病原体动态对于有效的CRS管理和治疗策略至关重要.
研究的目的:
- 为了识别与CRS相关的常见病原体.
- 为了比较病原体在流行前,流行期间和流行后的流行率.
主要方法:
- 147名接受内镜外科手术的成年患者的回顾性图表审查.
- 分析了鼻培养微生物学的数据,分析了病原体在三个时期的分布:大流行前 (2018年1月至2019年11月),大流行期间 (2020年1月至12月) 和大流行后 (2022年2月至2023年9月).
主要成果:
- 确定了46种不同的生物体. 在大流行期间,黄金葡萄球菌的患病率增加了 (24.7%),与大流行前 (17.9%) 和后 (21.5%) 期间相比.
- 在大流行期间,发现了Aspergillus fumigatus,Enterobacter cloacae和Cutibacterium acnes的显著增加.
- 在疫情后,Serratia marcescens和Achromobacter denitrificans的数量显著增加.
结论:
- 在COVID-19大流行时期,CRS相关的病原体发生了显著的变化.
- 在大流行期间S. aureus,A. fumigatus,E. cloacae和C. acnes的流行率的变化,以及大流行后的S. marcescens和A. denitrificans,表明微生物病因发生了变化.
- 流行病相关的医疗保健和环境因素可能影响了这些微生物的变化,需要进一步调查对CRS管理的长期影响.
更多相关视频
09:02Infection of Primary Nasal Epithelial Cells Grown at an Air-Liquid Interface to Characterize Human Coronavirus-Host Interactions
Published on: September 22, 2023
1.3K
07:36Contact-Free Co-Culture Model for the Study of Innate Immune Cell Activation During Respiratory Virus Infection
Published on: February 28, 2021
2.8K
相关概念视频
Epistaxis
136
Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
136
Suctioning the Nasopharyngeal Airway
294
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
294
Acute Pharyngitis
454
Introduction
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
454
Chronic Pharyngitis
1.3K
Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
1.3K
Pneumonia I: Introduction
211
Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
211
Tonsillitis II: Management
103
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
103
