一个患有肠道衰竭的儿童患有与酸奶相关的血流感染
Nasiha Rahim1, Emily Keller2, Ellen Wagner3
1Section of Gastroenterology, Hepatology & Nutrition, Comer Children's Hospital, University of Chicago, Chicago, Illinois, USA.
概括
一名患有肠道衰竭的幼儿患上了中线相关血流感染 (CLABSI),该感染源自饮用酸奶中发现的乳酸菌种. 这一案例突显出乳酪消费与免疫受损儿童的CLABSI之间存在罕见的联系.
科学领域:
- 儿童传染病
- 胃肠病学
- 微生物学
背景情况:
- 中枢线相关的血流感染 (CLABSI) 是患有肠道衰竭 (IF) 的儿童的一个严重并发症.
- 由于细菌病的风险,IF患者一般应避免使用益生菌.
- 乳杆菌种类是常见的益生菌和肠道共生菌,但很少引起CLABSI.
研究的目的:
- 在一个患有FI的儿童中报告一种新的CLABSI乳杆菌病例.
- 在这个患者群体中调查酸奶消费与CLABSI之间的联系.
- 描述一个不寻常的感染在一个脆弱的儿童群体.
主要方法:
- 一个小孩患有IF, 怀疑有CLABSI的病例报告.
- 从中央静脉导管和周围获得的血液培养.
- 从血液和消费的酸奶中分离的乳杆菌的比较基因分析.
主要成果:
- 患者出现了发烧和血液感染, 通过血液培养得到证实.
- 中线和外围培养物都生长了乳酸菌种.
- 基因分析显示CLABSI分离物与希腊酸奶中的Lactobacillus具有很高的相似性 (~99%).
结论:
- 这一案例表明,儿童每天食用牛奶和乳酸菌CLABSI之间存在联系.
- 潜在的传播途径包括CVC污染或胃肠道转移.
- 这是与酸奶摄入相关的IF患者首次报告的CLABSI病例.
相关概念视频
Endocarditis IV: Nursing Management
27
Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
27
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
300
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
300
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
282
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
282
Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic
4.4K
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.
4.4K
Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications
105
Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...
105
Urinary Tract Infection IV: Nursing Management
87
In managing urinary tract infections (UTIs) in nursing, a comprehensive assessment is essential. Begin by gathering subjective data, such as the patient’s complaints of dysuria (painful urination), urinary frequency, urgency, suprapubic pain, and any lower abdominal discomfort. This information can be complemented by questions regarding previous UTIs, sexual activity, and personal hygiene practices, which can provide insight into risk factors. Objective assessment should focus on signs...
87


