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在儿科复发性急性鼻炎的内镜引导培养
Rana K Almazrou1, Nourah A Alkhudiri1, Hassan M Meashi2
1Department of Otolaryngology-Head & Neck Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
International journal of pediatric otorhinolaryngology
|July 11, 2025
概括
儿科复发性急性鼻炎 (PRARS) 通常是由莫拉塞拉物种,海莫菲勒斯流感和金黄色葡萄球菌引起的. 内镜导向培养有助于识别这些细菌,并指导有效的抗生素治疗,以获得更好的结果.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 微生物学 微生物学
- 传染性疾病 传染性疾病
背景情况:
- 鼻炎在儿童中很常见,但导致儿科复发性急性鼻炎 (PRARS) 的特定病原体尚未得到充分记录.
- 识别致病细菌及其抗微生物敏感性对于有效治疗至关重要.
研究的目的:
- 为了确定负责PRARS的常见细菌生物.
- 确定这些已识别的生物体的抗微生物敏感性模式.
- 在PRARS诊断中评估内镜导向中肉培养的有用性.
主要方法:
- 在2017年至2023年期间诊断出PRARS的109名儿科患者的回顾性分析.
- 在全身麻醉下进行了内镜引导的中间肉体培养.
- 收集和分析了人口统计和临床数据.
主要成果:
- 细菌培养在51.4%的患者中呈阳性,在Covid-19后的发病率更高.
- 最常见的分离物种是莫拉塞拉 (31.8%),海莫菲勒斯流感 (21.2%),金黄色葡萄球菌 (18.2%).
- 对莫拉塞拉 (阿莫西西林 - 克拉夫兰酸,类,塞福洛キシ姆),黑莫菲勒斯 (塞夫特里亚克松,莱沃素) 和肺炎菌株杆菌 (青素,莱沃素) 观察到高抗菌敏感性.
结论:
- 用内镜引导的中间肉质培养精确地识别了PRARS.中的致病生物.
- 建议在PRARS.中进行培养导向的抗生素选择,以改善患者的治疗结果.
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