Titre : Biguanides

Biguanides : Questions médicales fréquentes

Termes MeSH sélectionnés :

Enterococcus faecium
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"https://questionsmedicales.fr/mesh/D001645?mesh_terms=Enterococcus+faecium&page=4#section-prévention" }, { "@type": "MedicalWebPage", "name": "Traitements", "headline": "Traitements sur Biguanides", "description": "Comment les biguanides agissent-ils ?\nQuels sont les principaux biguanides utilisés ?\nQuand commencer un traitement par biguanides ?\nQuels sont les dosages habituels de metformine ?\nLes biguanides peuvent-ils être combinés avec d'autres médicaments ?", "url": "https://questionsmedicales.fr/mesh/D001645?mesh_terms=Enterococcus+faecium&page=4#section-traitements" }, { "@type": "MedicalWebPage", "name": "Complications", "headline": "Complications sur Biguanides", "description": "Quelles sont les complications du diabète mal contrôlé ?\nComment prévenir les complications liées au diabète ?\nQuels sont les signes d'une neuropathie diabétique ?\nComment le diabète affecte-t-il la santé rénale ?\nQuels examens sont nécessaires pour surveiller les complications ?", "url": 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"position": 2, "acceptedAnswer": { "@type": "Answer", "text": "Le test de tolérance au glucose et l'indice HOMA-IR sont couramment utilisés." } }, { "@type": "Question", "name": "Quels symptômes indiquent un diabète non contrôlé ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes incluent soif excessive, urination fréquente et fatigue persistante." } }, { "@type": "Question", "name": "Comment évaluer l'efficacité des biguanides ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "L'efficacité est évaluée par la réduction de la glycémie et l'amélioration de l'HbA1c." } }, { "@type": "Question", "name": "Quels sont les critères de diagnostic du diabète ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "Les critères incluent une glycémie à jeun ≥ 7 mmol/L ou HbA1c ≥ 6,5%." } }, { "@type": "Question", "name": "Quels sont les effets secondaires des biguanides ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Les effets secondaires peuvent inclure des troubles gastro-intestinaux et des douleurs abdominales." } }, { "@type": "Question", "name": "Comment reconnaître une hypoglycémie ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Les signes incluent tremblements, sueurs, confusion et palpitations." } }, { "@type": "Question", "name": "Quels symptômes peuvent indiquer une acidose lactique ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes incluent fatigue extrême, douleurs musculaires et respiration rapide." } }, { "@type": "Question", "name": "Quels signes indiquent une mauvaise gestion du diabète ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Les signes incluent des infections fréquentes, des plaies qui guérissent lentement et des troubles de la vision." } }, { "@type": "Question", "name": "Comment les biguanides affectent-ils l'appétit ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Les biguanides peuvent réduire l'appétit, contribuant ainsi à la perte de poids chez certains patients." } }, { "@type": "Question", "name": "Comment prévenir le diabète de type 2 ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "Un mode de vie sain, incluant une alimentation équilibrée et de l'exercice régulier, aide à prévenir le diabète." } }, { "@type": "Question", "name": "Quels facteurs de risque sont modifiables ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "L'obésité, le manque d'activité physique et une alimentation déséquilibrée sont modifiables." } }, { "@type": "Question", "name": "Comment le poids corporel influence-t-il le diabète ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Un excès de poids augmente la résistance à l'insuline, augmentant le risque de diabète." } }, { "@type": "Question", "name": "Quel rôle joue l'activité physique dans la prévention ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "L'activité physique régulière améliore la sensibilité à l'insuline et aide à contrôler le poids." } }, { "@type": "Question", "name": "Les contrôles médicaux réguliers sont-ils importants ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des contrôles réguliers aident à détecter précocement le diabète et à gérer les risques." } }, { "@type": "Question", "name": "Comment les biguanides agissent-ils ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Ils diminuent la production de glucose par le foie et augmentent la sensibilité à l'insuline." } }, { "@type": "Question", "name": "Quels sont les principaux biguanides utilisés ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "La metformine est le biguanide le plus couramment prescrit pour le diabète de type 2." } }, { "@type": "Question", "name": "Quand commencer un traitement par biguanides ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "Le traitement commence généralement après un diagnostic de diabète de type 2 et un échec des changements de mode de vie." } }, { "@type": "Question", "name": "Quels sont les dosages habituels de metformine ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "Les doses varient de 500 mg à 2000 mg par jour, selon la tolérance et la réponse du patient." } }, { "@type": "Question", "name": "Les biguanides peuvent-ils être combinés avec d'autres médicaments ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "Oui, ils peuvent être combinés avec d'autres antidiabétiques pour un meilleur contrôle glycémique." } }, { "@type": "Question", "name": "Quelles sont les complications du diabète mal contrôlé ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Les complications incluent des maladies cardiovasculaires, des neuropathies et des problèmes rénaux." } }, { "@type": "Question", "name": "Comment prévenir les complications liées au diabète ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Un bon contrôle glycémique et des examens réguliers aident à prévenir les complications." } }, { "@type": "Question", "name": "Quels sont les signes d'une neuropathie diabétique ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "Les signes incluent des picotements, des engourdissements et des douleurs dans les membres." } }, { "@type": "Question", "name": "Comment le diabète affecte-t-il la santé rénale ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Le diabète peut entraîner une néphropathie, affectant la fonction rénale et provoquant des complications." } }, { "@type": "Question", "name": "Quels examens sont nécessaires pour surveiller les complications ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Des examens réguliers de la fonction rénale, des pieds et des yeux sont essentiels." } }, { "@type": "Question", "name": "Quels sont les principaux facteurs de risque du diabète ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "Les facteurs incluent l'obésité, l'âge avancé, l'hérédité et le mode de vie sédentaire." } }, { "@type": "Question", "name": "L'hérédité joue-t-elle un rôle dans le diabète ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Oui, un antécédent familial de diabète augmente le risque de développer la maladie." } }, { "@type": "Question", "name": "Comment le stress influence-t-il le diabète ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Le stress peut affecter la glycémie et la gestion du diabète, augmentant le risque de complications." } }, { "@type": "Question", "name": "Le tabagisme est-il un facteur de risque ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le tabagisme augmente le risque de diabète et de complications cardiovasculaires." } }, { "@type": "Question", "name": "Quel impact a l'alimentation sur le risque de diabète ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Une alimentation riche en sucres et en graisses saturées augmente le risque de diabète." } } ] } ] }

Sources (536 au total)

Impact of vancomycin resistance in Enterococcus faecium bloodstream infection on mortality: A retrospective analysis of nationwide surveillance data.

It is unclear whether the poor outcome of patients with severe vancomycin-resistant enterococci (VRE) infection is attributable to vancomycin resistance or to Enterococcus faecium (Efm), which predomi... Retrospective study of a prospectively identified cohort from nationwide surveillance. A cohort of consecutive, nonduplicate episodes of monomicrobial bloodstream infections (BSIs) caused by Efm in 20... A total of 241 Efm BSI episodes were included, of which 59 (24.5%) were VREfm. Patients with VREfm BSI were younger but had similar comorbidities to those with vancomycin-sensitive Efm (VSEfm) BSI. Mu... In patients with Efm BSI, vancomycin resistance was independently associated with mortality....

Carbapenemase-producing Enterobacteriaceae and vancomycin-resistant Enterococcus faecium: The value of a computerized monitoring system to limit their spread.

To quickly implement Infection Prevention and Control measures ("search and isolate" strategy), a computerized monitoring system for carbapenemase-producing Enterobacteriaceae (CPE) and Vancomycin-res... Using the data extracted from the computerized system, we conducted a descriptive analysis of CPE and VRE carriers detected from 2004 to 2019 and CPE and VRE extensive contact patients (when hospital ... Between 2015 and 2019 (microbiological data only available during this period), 113 CPE and 558 VRE carriers were registered in the database (DB). Among them, 33.9% CPE and 12.8% VRE carriers were inf... Given the low screening completion rate (26.2%) and the low detection rate (1.3%), extended monitoring of contact patients does not seem relevant. After five years of use, the computerized monitoring ...

Fitness costs of Tn1546-type transposons harboring the vanA operon by plasmid type and structural diversity in Enterococcus faecium.

This study analyzed the genetic traits and fitness costs of vancomycin-resistant Enterococcus faecium (VREfm) blood isolates carrying Tn1546-type transposons harboring the vanA operon.... All E. faecium blood isolates were collected from eight general hospitals in South Korea during one-year study period. Antimicrobial susceptibility testing and vanA and vanB PCR were performed. Growth... Among 308 E. faecium isolates, 132 (42.9%) were positive for vanA. All Tn1546-type transposons harboring the vanA operon located on the plasmids, but on the chromosome in seven isolates. The plasmids ... The possession of vanA operon was costly to bacterial hosts in antimicrobial-free environment, which provide evidence for the importance of reducing vancomycin pressure for prevention of VREfm dissemi...

In vitro virulence activity of Pseudomonas aeruginosa, enhanced by either Acinetobacter baumannii or Enterococcus faecium through the polymicrobial interactions.

Microbes within an infection impact neighbors' pathogenicity. This study aimed to address in vitro virulence activity of Pseudomonas aeruginosa under the binary interaction with Acinetobacter baumanni...

Tolerance of clinical vancomycin-resistant Enterococcus faecium isolates against UV-C light from a mobile source.

Admission to a room previously occupied by patients carrying environmentally robust pathogens implies an increased risk of acquiring those pathogens. Therefore, 'No-touch' automated room disinfection ... Susceptibility against UV-C of ten clonally divergent clinical isolates of VRE was determined in comparison to the commonly used test organism Enterococcus hirae ATCC 10541. Ceramic tiles contaminated... Susceptibility to UV-C varied considerably among the strains studied, with the mean value of the most robust strain being up to a power of ten lower compared to the most sensitive strain at both UV-C ... These results indicate that UV-C doses reported in the literature are sufficient for the reduction of commonly used reference strains of enterococci but could be insufficient for the reduction of tole...

The LiaFSR-LiaX System Mediates Resistance of Enterococcus faecium to Peptide Antibiotics and to Aureocin A53- and Enterocin L50-Like Bacteriocins.

Multidrug-resistant Enterococcus faecium strains are currently a leading cause of difficult-to-treat nosocomial infections. The emerging resistance of enterococci to last-resort antibiotics, such as d...

Disk diffusion-based method aids in the detection of vanM-positive Enterococcus faecium with low vancomycin minimum inhibitory concentrations.

We first reported the vanM vancomycin resistance gene in enterococci in Shanghai, China in 2006 and later found it to be the predominant van gene in vancomycin-resistant enterococci (VRE). In this stu...