鼻腔内膜炎是指鼻腔内膜炎
JAMA
|February 5, 1982
概括
鼻腔鼻炎是一种在医院获得的感染,经常发生在严重受伤的鼻管患者中. 及时诊断和治疗对于患者的康复和预防并发症至关重要.
科学领域:
- 传染性疾病 传染性疾病
- 关键护理医学 关键护理医学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 鼻腔感染在重症监护机构中构成重大威胁.
- 鼻仪器在严重创伤的患者中很常见.
- 鼻炎在重症患者中可能是一个具有挑战性的诊断.
研究的目的:
- 在严重创伤的患者中确定医院性鼻炎的发病率和特征.
- 为了确定这种感染的常见病原体和易感因素.
- 评估治疗结果,并强调早期诊断的重要性.
主要方法:
- 对32名严重创伤的患者进行了24个月的回顾,这些患者使用了鼻喉仪器.
- 诊断基于鼻炎和性鼻吸血或鼻的放射证据.
- 鼻的微生物学分析旨在识别引起的病原体.
主要成果:
- 确定了34例医院性鼻炎病例,占所有医院性感染病例的5%.
- 诱导因素包括鼻/鼻胃管,鼻塞,皮质类固醇和骨折.
- 最常见的病原体是グラム阴性细菌;14种感染是多微生物.
- 在治疗和管切除后的20名患者出现了临床缓解;7人患有持续的放射性异常.
结论:
- 鼻仪器是创伤患者医院性鼻炎的重要危险因素.
- 患有内置鼻管患者的发烧和白细胞症需要对鼻炎进行检查.
- 早期诊断和管理对于改善结果和减少发病率至关重要.
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