[医院性鼻炎的病因特征]
A I Kryukov1,2, A V Gurov1,2, D S Cherkasov1,3
1Pirogov Russian National Research Medical University, Moscow, Russia.
Vestnik otorinolaringologii
|November 15, 2024
概括
鼻腔膜炎通常是由多药耐药细菌引起的,例如Klebsiella pneumoniae和Acinetobacter baumannii. 个性化治疗调整经验性抗生素治疗对于有效的患者结果至关重要.
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
- 医院流行病学 医院流行病学
背景情况:
- 鼻腔鼻炎是与医疗保健相关的重要感染,特别是在重症监护病房 (ICU).
- 了解病因因子及其抗菌素耐药性模式对于有效管理至关重要.
研究的目的:
- 评估病房性鼻炎的致病原体的定性和定量组成.
- 在当前的临床环境中,评估这些微生物对抗菌化疗药物的敏感性.
主要方法:
- 从2022-2023年进行了一项研究,涉及56名在多学科和传染病医院重症监护室诊断出患有医院性鼻炎的患者.
- 使用定性和定量方法分析了上鼻腔排泄中的微生物组成.
主要成果:
- 在这两种医院类型中,常见的细菌包括Klebsiella pneumoniae,Acinetobacter baumannii和Pseudomonas aeruginosa.
- 观察到高水平的多药性耐药性,89%的多学科医院和91%的传染病医院的菌株表现出耐药性.
- 菌 (Candida albicans) 是唯一被发现的真菌物种,比细菌更少发生.
结论:
- 临床鼻炎的经验性抗生素治疗需要根据个体细菌学发现进行调整.
- 用菌体制剂进行个性化生物疗法可以被视为抗菌化疗的辅助,以增强抗菌作用.
更多相关视频
07:30Design of Cecal Ligation and Puncture and Intranasal Infection Dual Model of Sepsis-Induced Immunosuppression
Published on: June 15, 2019
10.0K
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
相关概念视频
01:30Pneumonia 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
01:30Tonsillitis I: Introduction
208
Tonsillitis is inflammation of the tonsils, which are two lymphoid tissue masses at the back of the throat. This condition can cause discomfort and irritation in the throat.
Etiology
Three primary contributing factors have been identified.
Etiology
Three primary contributing factors have been identified.
208
01:26Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic
4.0K
Healthcare-associated infections (HAIs) occur in a healthcare facility while a person receives care for another ailment. This category also includes work-related infections among healthcare staff.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
4.0K
01:29Suctioning the Nasopharyngeal Airway
285
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
285
01:29Pneumonia II: Pathophysiology
217
The pathophysiology of pneumonia involves the following steps:
217
01:23Chronic Pharyngitis
1.2K
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,...
1.2K