Titre : Éthique

Éthique : Questions médicales fréquentes

Termes MeSH sélectionnés :

Methicillin-Resistant Staphylococcus aureus
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"10.1186/s13052-024-01780-0" } }, { "@type": "ScholarlyArticle", "name": "[Prevalence and risk factors for methicillin-resistant Staphylococcus aureus infection in children].", "datePublished": "2024-01-22", "url": "https://questionsmedicales.fr/article/38245868", "identifier": { "@type": "PropertyValue", "propertyID": "DOI", "value": "10.37201/req/113.2023" } }, { "@type": "ScholarlyArticle", "name": "Vancomycin plus ceftaroline for persistent methicillin-resistant Staphylococcus aureus bacteremia.", "datePublished": "2022-11-21", "url": "https://questionsmedicales.fr/article/36371648", "identifier": { "@type": "PropertyValue", "propertyID": "DOI", "value": "10.1002/phar.2741" } } ], "breadcrumb": { "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "questionsmedicales.fr", "item": "https://questionsmedicales.fr" }, { "@type": "ListItem", "position": 2, "name": "Qualité, accès, évaluation des soins de santé", "item": "https://questionsmedicales.fr/mesh/D017530" }, { "@type": "ListItem", "position": 3, "name": "Éthique", "item": "https://questionsmedicales.fr/mesh/D004989" } ] } }, { "@type": "MedicalWebPage", "name": "Article complet : Éthique - Questions et réponses", "headline": "Questions et réponses médicales fréquentes sur Éthique", "description": "Une compilation de questions et réponses structurées, validées par des experts médicaux.", "datePublished": "2025-05-14", "inLanguage": "fr", "hasPart": [ { "@type": "MedicalWebPage", "name": "Confidentialité", "headline": "Confidentialité sur Éthique", "description": "Pourquoi la confidentialité est-elle importante en médecine ?\nQuelles sont les lois sur la confidentialité des données médicales ?\nComment les professionnels de santé protègent-ils la confidentialité ?\nQuelles sont les conséquences d'une violation de la confidentialité ?\nComment informer un patient sur sa confidentialité ?", "url": "https://questionsmedicales.fr/mesh/D004989?mesh_terms=Methicillin-Resistant+Staphylococcus+aureus&page=2#section-confidentialité" }, { "@type": "MedicalWebPage", "name": "Dilemmes éthiques", "headline": "Dilemmes éthiques sur Éthique", "description": "Qu'est-ce qu'un dilemme éthique en médecine ?\nComment résoudre un dilemme éthique ?\nQuels exemples de dilemmes éthiques existent ?\nQuel rôle joue le comité d'éthique ?\nComment les valeurs culturelles influencent-elles les dilemmes éthiques ?", "url": "https://questionsmedicales.fr/mesh/D004989?mesh_terms=Methicillin-Resistant+Staphylococcus+aureus&page=2#section-dilemmes éthiques" }, { "@type": "MedicalWebPage", "name": "Principes éthiques", "headline": "Principes éthiques sur Éthique", "description": "Quels sont les principes éthiques fondamentaux en médecine ?\nComment l'autonomie influence-t-elle les décisions médicales ?\nQu'est-ce que la bienfaisance en éthique médicale ?\nQuelle est l'importance de la non-malfaisance ?\nComment la justice s'applique-t-elle en santé ?", "url": "https://questionsmedicales.fr/mesh/D004989?mesh_terms=Methicillin-Resistant+Staphylococcus+aureus&page=2#section-principes éthiques" }, { "@type": "MedicalWebPage", "name": "Recherche et éthique", "headline": "Recherche et éthique sur Éthique", "description": "Pourquoi l'éthique est-elle cruciale en recherche médicale ?\nQu'est-ce qu'un comité d'éthique de la recherche ?\nComment obtenir le consentement en recherche ?\nQuels sont les risques éthiques en recherche ?\nComment assurer la transparence en recherche ?", "url": "https://questionsmedicales.fr/mesh/D004989?mesh_terms=Methicillin-Resistant+Staphylococcus+aureus&page=2#section-recherche et éthique" }, { "@type": "MedicalWebPage", "name": "Consentement éclairé", "headline": "Consentement éclairé sur Éthique", "description": "Qu'est-ce que le consentement éclairé ?\nPourquoi le consentement éclairé est-il crucial ?\nQui peut donner le consentement éclairé ?\nComment évaluer la capacité d'un patient à consentir ?\nQuelles sont les exceptions au consentement éclairé ?", "url": "https://questionsmedicales.fr/mesh/D004989?mesh_terms=Methicillin-Resistant+Staphylococcus+aureus&page=2#section-consentement éclairé" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Pourquoi la confidentialité est-elle importante en médecine ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "Elle protège la vie privée des patients et favorise la confiance dans la relation médecin-patient." } }, { "@type": "Question", "name": "Quelles sont les lois sur la confidentialité des données médicales ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "Les lois comme le RGPD en Europe protègent les données personnelles des patients." } }, { "@type": "Question", "name": "Comment les professionnels de santé protègent-ils la confidentialité ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Ils utilisent des systèmes sécurisés et limitent l'accès aux informations sensibles." } }, { "@type": "Question", "name": "Quelles sont les conséquences d'une violation de la confidentialité ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "Les violations peuvent entraîner des sanctions légales, des pertes de confiance et des dommages à la réputation." } }, { "@type": "Question", "name": "Comment informer un patient sur sa confidentialité ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "Les professionnels doivent expliquer clairement comment les données seront utilisées et protégées." } }, { "@type": "Question", "name": "Qu'est-ce qu'un dilemme éthique en médecine ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "C'est une situation où des principes éthiques conflictuels rendent la décision difficile." } }, { "@type": "Question", "name": "Comment résoudre un dilemme éthique ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Il faut évaluer les options, consulter des collègues et considérer les valeurs des patients." } }, { "@type": "Question", "name": "Quels exemples de dilemmes éthiques existent ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "Exemples : fin de vie, allocation des ressources, consentement des mineurs." } }, { "@type": "Question", "name": "Quel rôle joue le comité d'éthique ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Le comité d'éthique aide à évaluer les dilemmes et à fournir des recommandations basées sur des principes éthiques." } }, { "@type": "Question", "name": "Comment les valeurs culturelles influencent-elles les dilemmes éthiques ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Les valeurs culturelles peuvent affecter les perceptions de la santé, de la maladie et des décisions médicales." } }, { "@type": "Question", "name": "Quels sont les principes éthiques fondamentaux en médecine ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "Les principes incluent l'autonomie, la bienfaisance, la non-malfaisance et la justice." } }, { "@type": "Question", "name": "Comment l'autonomie influence-t-elle les décisions médicales ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "L'autonomie permet aux patients de prendre des décisions éclairées sur leur traitement." } }, { "@type": "Question", "name": "Qu'est-ce que la bienfaisance en éthique médicale ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "La bienfaisance implique d'agir dans le meilleur intérêt du patient et de promouvoir son bien-être." } }, { "@type": "Question", "name": "Quelle est l'importance de la non-malfaisance ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "La non-malfaisance exige d'éviter de causer du tort aux patients lors des soins." } }, { "@type": "Question", "name": "Comment la justice s'applique-t-elle en santé ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "La justice en santé vise à garantir un accès équitable aux soins pour tous les patients." } }, { "@type": "Question", "name": "Pourquoi l'éthique est-elle cruciale en recherche médicale ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Elle garantit la protection des participants et l'intégrité des résultats de recherche." } }, { "@type": "Question", "name": "Qu'est-ce qu'un comité d'éthique de la recherche ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "C'est un groupe qui évalue les protocoles de recherche pour s'assurer qu'ils respectent les normes éthiques." } }, { "@type": "Question", "name": "Comment obtenir le consentement en recherche ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "Le consentement doit être éclairé, libre et donné sans pression, avec des informations claires." } }, { "@type": "Question", "name": "Quels sont les risques éthiques en recherche ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "Les risques incluent l'exploitation des participants, la divulgation d'informations sensibles et le biais." } }, { "@type": "Question", "name": "Comment assurer la transparence en recherche ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "La transparence peut être assurée par la publication des résultats et la déclaration des conflits d'intérêts." } }, { "@type": "Question", "name": "Qu'est-ce que le consentement éclairé ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "C'est le processus par lequel un patient accepte un traitement après avoir reçu toutes les informations nécessaires." } }, { "@type": "Question", "name": "Pourquoi le consentement éclairé est-il crucial ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Il respecte l'autonomie du patient et assure qu'il comprend les risques et bénéfices." } }, { "@type": "Question", "name": "Qui peut donner le consentement éclairé ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "Le consentement doit être donné par le patient lui-même ou par un représentant légal en cas d'incapacité." } }, { "@type": "Question", "name": "Comment évaluer la capacité d'un patient à consentir ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "La capacité est évaluée en fonction de la compréhension du patient des informations et des conséquences." } }, { "@type": "Question", "name": "Quelles sont les exceptions au consentement éclairé ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Les urgences médicales ou les situations où le patient est incapable de donner son consentement." } } ] } ] }

Sous-catégories

40 au total
└─

Questions bioéthiques

Bioethical Issues D026688 - N05.350.100
└─

Bioéthique

Bioethics D001675 - N05.350.200
└─

Complicité

Complicity D028661 - N05.350.219
└─

Conflit d'intérêts

Conflict of Interest D016265 - N05.350.225
└─

Principe du double effet

Double Effect Principle D034723 - N05.350.238
└─

Analyse éthique

Ethical Analysis D026689 - N05.350.244
└─

Relativisme éthique

Ethical Relativism D028781 - N05.350.247
└─

Évaluation éthique

Ethical Review D026724 - N05.350.250
└─

Théorie éthique

Ethical Theory D028663 - N05.350.256
└─

Éthiciens

Ethicists D026822 - N05.350.262
└─

Éthique des affaires

Ethics, Business D040861 - N05.350.297
└─

Éthique institutionnelle

Ethics, Institutional D004991 - N05.350.325
└─

Déontologie

Ethics, Professional D004995 - N05.350.340
└─

Éthique de la recherche

Ethics, Research D032984 - N05.350.670
└─

Humanisme

Humanism D006808 - N05.350.835
└─

Personne humaine

Personhood D028723 - N05.350.917
└─

Éthique basée sur les principes

Principle-Based Ethics D028662 - N05.350.958
└─

Inconduite professionnelle

Professional Misconduct D028743 - N05.350.979
└─└─

Auto-recommandation par un médecin

Physician Self-Referral D018584 - N05.350.225.500
└─└─

Casuistique

Casuistry D032764 - N05.350.244.150
└─└─

Jugement moral rétrospectif

Retrospective Moral Judgment D035481 - N05.350.244.750
└─└─

Argument de la pente glissante

Wedge Argument D035761 - N05.350.244.875
└─└─

Consultation d'éthique

Ethics Consultation D033061 - N05.350.250.200
└─└─

Éthique clinique

Ethics, Clinical D026690 - N05.350.340.162
└─└─

Professionnalisme

Professionalism D000068616 - N05.350.340.581
└─└─

Contrôle de la recherche scientifique

Censorship, Research D000068597 - N05.350.670.250
└─└─

Déclaration d'Helsinki

Helsinki Declaration D006381 - N05.350.670.500
└─└─

Incertitude thérapeutique absolue

Therapeutic Equipoise D057212 - N05.350.670.750
└─└─

Malentendu thérapeutique

Therapeutic Misconception D055990 - N05.350.670.875
└─└─

Bienfaisance

Beneficence D026686 - N05.350.958.500
└─└─

Autonomie personnelle

Personal Autonomy D026684 - N05.350.958.650
└─└─

Justice sociale

Social Justice D012935 - N05.350.958.750
└─└─

Inconduite scientifique

Scientific Misconduct D015871 - N05.350.979.500
└─└─└─

Déontologie dentaire

Ethics, Dental D004990 - N05.350.340.162.249
└─└─└─

Déontologie médicale

Ethics, Medical D004992 - N05.350.340.162.500
└─└─└─

Déontologie infirmière

Ethics, Nursing D004993 - N05.350.340.162.750
└─└─└─

Déontologie pharmaceutique

Ethics, Pharmacy D004994 - N05.350.340.162.875
└─└─└─

Autonomie relationnelle

Relational Autonomy D000080105 - N05.350.958.650.500
└─└─└─

Antiracisme

Antiracism D000095026 - N05.350.958.750.500
└─└─└─└─

Serment d'Hippocrate

Hippocratic Oath D006625 - N05.350.340.162.500.500

Sources (10000 au total)

Methicillin-resistant Staphylococcus aureus-associated orbital cellulitis: a case series.

In recent years, methicillin-resistant Staphylococcus aureus (MRSA) orbital cellulitis (OC) has drawn increasing clinical and public health concern. We present a case series of MRSA OC encountered at ... A multi-centre retrospective case series investigating MRSA OC in Australia from 2013 to 2022. Patients of all ages were included.... Nine cases of culture-positive non-multi-resistant MRSA (nmMRSA) OC were identified at four tertiary institutions across Australia (7 male, 2 female). Mean age was 17.1 ± 16.7 years (range 13-days to ... NMMRSA OC can follow an aggressive clinical course causing severe orbital and intracranial complications across a wide demographic. However, early recognition, initiation of targeted antibiotics and s...

Predictors of Methicillin-resistant Staphylococcus aureus infection in children with acute osteomyelitis.

This study aims to identify risk factors associated with Methicillin-resistant Staphylococcus aureus (MRSA) infection in children diagnosed with acute osteomyelitis (AO) and to elucidate the laborator... We conducted a retrospective analysis involving 123 children with acute osteomyelitis treated at our hospital. Upon admission, we measured white blood cell (WBC) counts, C-reactive protein (CRP) level... The MRSA group had a significantly higher average age compared to the non-MRSA group (P < 0.05). Notably, the incidence of suppurative arthritis was significantly lower in the MRSA group (P < 0.05). A... In children newly admitted with acute osteomyelitis, a CRP level exceeding 73.23 µg/mL may indicate a high likelihood of MRSA infection. For children with AO who have been hospitalized for three days ...

[Prevalence and risk factors for methicillin-resistant Staphylococcus aureus infection in children].

The objectives of this work were to know the prevalence of methicillin-resistant S. aureus (MRSA) infections in the paediatric population of our health department, to describe the risk factors for inf... A retrospective, descriptive and analytical study of infections produced by MRSA versus those produced by MSSA was carried out during the years 2014 to 2018. Risk factors for MRSA infection were studi... 162 patients with S. aureus infections were identified. Of these, 25 (15.4%) were MRSA. The highest percentages of MRSA infection occurred among children who required hospital admission (23.4%). In th... Our results suggest the need to review empirical local treatment regimen using drugs active against MRSA in infections of probable staphylococcal origin admitted to the hospital, especially if they ha...

Vancomycin plus ceftaroline for persistent methicillin-resistant Staphylococcus aureus bacteremia.

The preferred antibiotic salvage regimen for persistent methicillin-resistant Staphylococcus aureus bacteremia (MRSAB) is unclear. We sought to evaluate the effectiveness and safety of vancomycin plus... Single-center, retrospective cohort study between January 1, 2016, and December 31, 2021.... State University of New York Upstate University Hospital, a 748-bed tertiary care, academic medical center in Syracuse, NY.... Adult patients were included if they had blood cultures positive for MRSA ≥72 h, received vancomycin monotherapy initially, and received vancomycin plus ceftaroline for ≥24 h. Patients were excluded i... Patients were medically complex with a median Pitt bacteremia score of 3, 63.3% (19/30) were admitted to the intensive care unit, and 66.7% (20/30) had infective endocarditis. Vancomycin-associated ac... Vancomycin plus ceftaroline may represent an effective and well-tolerated salvage regimen option for persistent MRSAB....

Rate of methicillin-resistant Staphylococcus aureus in pediatric emergency departments in Spain.

Staphylococcus aureus is a common germ in bacterial infections in children. The rate of methicillin-resistant S. aureus (MRSA) is increasing lately.... The main aim is to know the rate of positive cultures to MRSA in Spanish pediatric emergency departments. The secondary aims are to analyse the risk factors for MRSA isolation (patient origin, history... Retrospective multicenter study (07/01/2017-06/30/2018) with review of patient histories with isolation of S. aureus in samples of any origin obtained in 8 pediatric emergency departments of the Infec... During this period, S. aureus was detected in 403 patients (average age 75.8 ± 59.2 months; 54.8% male): 28.8% hospital-related infections (HRI) and 71.2% community-related infections (CRI). Overall, ... The overall MRSA rate was one in 6 staphylococcal infections. Higher MRSA rates were detected in samples of suppurating skin injuries and in foreign children or in children with a history of previous ...

Evaluation of the synergistic effect of ceftaroline against methicillin-resistant Staphylococcus aureus.

We aimed to determine the synergistic effects of ceftaroline (CPT) in combination with daptomycin (DAP), vancomycin (VAN), or linezolid (LNZ) against various methicillin-resistant Staphylococcus aureu... MRSA strains randomly selected from 2014 to 2018 were studied. Checkerboard titration and in vitro time-kill analyses were used to determine the synergistic activities of the antibiotic combinations.... A total of 10 genetically distinct MRSA strains were included in this study. The checkerboard titration analysis revealed that the CPT-DAP, CPT-VAN, and CPT-LNZ combinations had a synergistic effect a... The CPT-DAP combination showed better synergistic activity than the CPT-VAN and CPT-LNZ combinations against the enrolled MRSA strains. DAP, rather than VAN or LNZ, might be a better choice for CPT co...

Using Methicillin-Resistant Staphylococcus aureus Nasal Screens to Rule Out Methicillin-Resistant S aureus Pneumonia in Surgical Intensive Care Units.

The methicillin-resistant Staphylococcus aureus (MRSA) polymerase chain reaction (PCR) has a high negative predictive value (NPV). We aimed to understand if there was a difference in the NPV of the MR... We performed a single-center, retrospective cohort study of adults with a positive respiratory culture and MRSA nasal PCR admitted to a surgical ICU from 2016 to 2019. Patients were stratified by surg... We analyzed 61 patients: 42.6% (n = 26) ACS-ICU and 57.4% (n = 35) CVICU. There were no differences in age, comorbidities, prior MRSA infection, recent antibiotic use, immunocompromised status, or ren... The MRSA nasal PCR screen has a high NPV for ruling out MRSA pneumonia in critically ill surgical patients. However, patients in the CVICU and patients hospitalized ≥5 d had a longer time to de-escala...

Molecular epidemiology, virulence and antimicrobial resistance of Bulgarian methicillin resistant Staphylococcus aureus isolates.

Severe infections of virulent methicillin-resistant Staphylococcus aureus (MRSA) are a serious health problem. The present study aimed to investigate clonal spread, virulence and antimicrobial resista... Molecular identification and mecA gene detection were performed with PCR. Clonal relatedness was evaluated by RAPD PCR and MLST. MRSA epidemiology, virulence and resistance patterns were investigated ... All 27 isolates were identified as S. aureus and were mecA positive, and all were susceptible to linezolid, tigecycline and vancomycin. The toxin genes hlg (in 92.6% of isolates), seb (77.8%), sei (77... To the best of our knowledge, this study is the first describing the clonal spreading of Bulgarian MRSA and the association with their virulence and resistance determinants. Monitoring of MRSA epidemi...

Comparing Rates of Postoperative Meningitis After Endoscopic Endonasal Procedures Based on Methicillin-Resistant Staphylococcus aureus/Methicillin-Sensitive Staphylococcus aureus Colonization and Antibiotic Prophylaxis.

Endoscopic endonasal approach (EEA) procedures are inherently contaminated due to direct access through the nasopharyngeal mucosa. The reported rate of postoperative meningitis in EEA procedures is 0.... All adult patients who underwent EEA resection at our institution from 2013 to 2021 were retrospectively reviewed. Patients with preoperative cerebrospinal fluid infections were excluded. Data includi... Of 483 patients identified (mean age, 51 years; range, 18-90 years; 274 [56.7%] female), 80 (16.6%) had a positive preoperative methicillin-resistant Staphylococcus aureus (MRSA)/methicillin-sensitive... Postoperative rates of meningitis after EEA surgery were not significantly changed based on MRSA/MSSA colonization status of the patient or preoperative decolonization. The utility of preoperative tes...