Comment diagnostiquer une infection à cocci à Gram positif ?

Un diagnostic se fait par culture bactérienne et tests de sensibilité aux antibiotiques.

Quels tests de laboratoire sont utilisés ?

Les tests incluent la culture, le frottis et les tests de sensibilité aux antibiotiques.

Quels symptômes indiquent une infection à cocci ?

Fièvre, douleur, rougeur et gonflement au site d'infection sont des indicateurs.

Les cocci à Gram positif sont-ils visibles au microscope ?

Oui, ils apparaissent comme des sphères violettes lors d'une coloration de Gram.

Quelle est l'importance de l'antibiogramme ?

L'antibiogramme détermine la sensibilité des bactéries aux antibiotiques, crucial pour le traitement.

Quels sont les symptômes d'une infection à staphylocoque ?

Les symptômes incluent des abcès, des furoncles, et parfois des infections systémiques.

Comment se manifeste une infection à streptocoque ?

Elle peut provoquer des maux de gorge, des éruptions cutanées et des douleurs abdominales.

Les infections à cocci peuvent-elles être asymptomatiques ?

Oui, certaines infections à cocci à Gram positif peuvent être asymptomatiques.

Quels signes cliniques sont associés aux infections cutanées ?

Rougeur, chaleur, douleur et écoulement purulent sont des signes fréquents.

Les infections à cocci peuvent-elles causer des complications ?

Oui, elles peuvent entraîner des complications graves comme la septicémie ou l'endocardite.

Comment prévenir les infections à cocci à Gram positif ?

Maintenir une bonne hygiène, se laver les mains et éviter le contact avec des personnes infectées.

Les vaccins sont-ils disponibles contre ces infections ?

Actuellement, il n'existe pas de vaccins spécifiques contre les cocci à Gram positif.

Quel rôle joue l'hygiène dans la prévention ?

Une bonne hygiène réduit le risque de transmission et d'infection par ces bactéries.

Les soins des plaies peuvent-ils prévenir les infections ?

Oui, un bon soin des plaies aide à prévenir l'infection par des cocci à Gram positif.

Comment éviter la propagation en milieu hospitalier ?

Des protocoles stricts d'hygiène et d'isolement sont essentiels pour prévenir la propagation.

Quels antibiotiques sont efficaces contre les cocci à Gram positif ?

Les pénicillines, céphalosporines et vancomycine sont souvent utilisés.

Comment traiter une infection à staphylocoque résistant ?

Les infections à SARM nécessitent des antibiotiques spécifiques comme la vancomycine.

Quelle est l'importance du traitement précoce ?

Un traitement précoce réduit le risque de complications graves et favorise une guérison rapide.

Les infections à cocci nécessitent-elles une hospitalisation ?

Cela dépend de la gravité de l'infection; certaines peuvent être traitées en ambulatoire.

Quelles sont les options de traitement pour les infections cutanées ?

Les infections cutanées peuvent nécessiter des antibiotiques et parfois un drainage chirurgical.

Quelles sont les complications possibles d'une infection à cocci ?

Les complications incluent la septicémie, l'endocardite et les infections osseuses.

Comment une infection à streptocoque peut-elle évoluer ?

Elle peut évoluer vers des complications graves comme le choc toxique ou la fasciite nécrosante.

Les infections à cocci peuvent-elles causer des maladies systémiques ?

Oui, elles peuvent entraîner des maladies systémiques comme la pneumonie ou la méningite.

Quels sont les risques d'une infection non traitée ?

Une infection non traitée peut entraîner des complications graves et potentiellement mortelles.

Comment prévenir les complications lors du traitement ?

Un suivi médical régulier et un traitement approprié sont essentiels pour prévenir les complications.

Quels sont les facteurs de risque d'infection à cocci ?

Les facteurs incluent un système immunitaire affaibli, diabète et hospitalisation récente.

Les personnes âgées sont-elles plus à risque ?

Oui, les personnes âgées ont un risque accru d'infections à cocci à Gram positif.

Le diabète augmente-t-il le risque d'infection ?

Oui, le diabète peut affaiblir le système immunitaire et augmenter le risque d'infections.

Les patients immunodéprimés sont-ils plus vulnérables ?

Oui, les patients immunodéprimés sont particulièrement vulnérables aux infections à cocci.

Les interventions chirurgicales augmentent-elles le risque ?

Oui, les interventions chirurgicales peuvent augmenter le risque d'infections à cocci à Gram positif.

Cocci à Gram positif - Informations médicales vérifiées

Alternate Soft-Tissue Free Flaps for Head and Neck Reconstruction: The Next Generation of Workhorse Flaps.

01 07 2023

DOI: 10.1097/PRS.0000000000010143 PMID: 36728636

There is little debate regarding the workhorse flaps for soft-tissue defects in head and neck reconstruction. However, in certain circumstances, the workhorse flaps are not available or suitable, and ... The author performed a retrospective review of a single-surgeon experience with alternate soft-tissue flaps performed over a 10-year period.... Overall, 156 alternate soft-tissue free flaps were performed in 155 patients. The distribution of free flaps was 60 ulnar artery perforator (UAP), 28 lateral arm perforator (LAP), 33 medial sural arte... Reconstructive microsurgeons performing high-volume head and neck reconstruction may need to incorporate alternate donor sites into their armamentarium when the primary workhorse flaps are not suitabl... Therapeutic, IV....

Humans Free Tissue Flaps Plastic Surgery Procedures Head and Neck Neoplasms Head +3 autres

Novel V-shaped kiss flap harvest technique for the forearm free flap in soft tissue reconstruction.

10 Apr 2023

DOI: 10.1186/s12957-023-02989-9 PMID: 37032354

Radial forearm flap (RFF) is widely used in oral reconstruction. However, the donor-site defect remains the main limit. In this paper, V-shaped kiss RFF (VRFF) is described as a novel technique to imp... A total of 21 patients who underwent VRFF for oral reconstruction, and 23 patients who underwent conventional RFF from February 2016 to April 2018 were included in this study. Direct comparisons were ... No skin grafts were used in the VRFF group, and 20 of 21 patients achieved primary healing at donor site, while all patients from the RFF group had skin grafts. And 18 of 23 patients achieved primary ... VRFF is able to provide a new and simple method to close donor-site defect and realize a better healing in donor site....

Humans Free Tissue Flaps Plastic Surgery Procedures Retrospective Studies Skin Transplantation +2 autres

Reconstruction of Finger Soft Tissue Defects With a Thinned Free Anterolateral Thigh Flap.

01 08 2023

DOI: 10.1097/SAP.0000000000003612 PMID: 37489965

Reconstructing complex soft tissue defects of the finger requires both functional and aesthetic aspects. There are many free tissue transfers as suitable options for digital resurfacing. The anterolat... From May 2009 to March 2018, 10 patients with complete circumferential or semicircumcision defects in the fingers underwent reconstructive procedures that included thinned ALT flap transfer. Finger so... The ALT flap sizes, averaging 4-9 cm wide and 6-12 cm long, were thinned to 4-7 mm. One perforator was included in the flaps with a pedicle length average of 6.1 cm. The flaps survived entirely in all... The small thinned ALT perforator flap can be an excellent option for full circumferential or semicircumferential soft tissue defects of the finger. Follow-up showed this as an excellent alternative fo...

Humans Thigh Free Tissue Flaps Fingers Tendons +2 autres

Free Flaps for Skin and Soft Tissue Reconstruction in the Elderly Patient: Indication or Contraindication.

21 01 2023

DOI: 10.3390/medsci11010012 PMID: 36810479

Increased lifespan and the improvement of medical treatment have given rise to research in reconstructive procedures in elderly patients. Higher postoperative complication rates, longer rehabilitation... Patients were divided into two groups (YOUNG 0-59 years; OLD > 60 years). The endpoint was the survival of flaps and their dependence on patient- and surgery-specific parameters using multivariate ana... A total of 110 patients (OLD... The results confirm that free flap surgery can be indicated as a safe method for the elderly. Perioperative parameters such as two flaps in one surgery and transfusion regimens must be considered as r...

Humans Aged Free Tissue Flaps Plastic Surgery Procedures Retrospective Studies +2 autres

Comprehensive analysis of risk factors for flap necrosis in free flap reconstruction of postoperative tissue defects in oral and maxillofacial tumors.

12 Aug 2024

DOI: 10.1038/s41598-024-69159-z PMID: 39134569

Free flap reconstruction for postoperative tissue defects in oral and maxillofacial tumors is a critical component of reconstructive surgery. Identifying risk factors for flap necrosis is essential fo...

Humans Male Female Middle Aged Risk Factors +8 autres

Reconstruction of fully shaped fingers using a free great toe nail flap combined with a second toe tissue flap.

Oct 2022

DOI: 10.1111/iwj.13732 PMID: 35611596

To explore the clinical outcome of a free great toe nail flap (GTNF) combined with a second toe tissue flap (STTF) for fully shaped finger reconstruction (FSFR). From January 2013 to January 20, 2019,...

Finger Injuries Fingers Free Tissue Flaps Hallux Humans +3 autres

Surgical outcomes of reconstruction of soft tissue defects of the heel using various free flaps.

11 05 2022

DOI: 10.23750/abm.v93i2.11353 PMID: 35546024

The goals of heel reconstruction are functional and aesthetic. Primarily due to the particular function of the heel in supporting the entire weight of the body while standing, these goals can be achie... Between July 2010 and September 2016, 13 patients underwent soft tissue reconstruction of the heel with anterolateral thigh flap, lateral arm flap, superficial circumflex iliac artery perforator flap,... There were 8 cases of anterolateral thigh flap (61.5%), 2 cases of lateral arm flap (15.3%), 2 cases of superficial circumflex iliac artery perforator flap (15.3%), and 1 case of temporalis muscle fla... This article suggests that various free flaps can be considered as reliable options in heel reconstruction, resulting in acceptable functional and aesthetic outcomes....

Free Tissue Flaps Heel Humans Plastic Surgery Procedures Retrospective Studies +2 autres

[The conjoined latissimus dorsi and parascapular free flap for reconstruction of extensive soft tissue defects].

Jun 2023

DOI: 10.1007/s00064-023-00806-w PMID: 37154965

Durable and resilient soft tissue reconstruction of vast defects of the extremities or the torso.... Reconstruction of disproportionately large defects, particularly in cases of simultaneous bone and joint reconstruction.... History of surgery or irradiation of upper back and axilla, impossibility of surgery under lateral positioning; relative contraindications in wheelchair users, hemiplegics, or amputees.... General anesthesia and lateral positioning. First, the parascapular flap is harvested, with the initial skin incision made medially in order to identify the medial triangular space and the circumflex ... Postoperative anticoagulation with low-molecular-weight heparin under anti-Xa monitoring (semitherapeutic in normal-risk and therapeutic in high-risk cases). Hourly clinical assessment of flap perfusi... Between 2013 and 2018, 74 conjoined latissimus dorsi and parascapular flaps were transplanted to cover vast defects of the lower (n = 66) and upper extremity (n = 8). The mean defect size was 723 ± 48...

Humans Free Tissue Flaps Plastic Surgery Procedures Superficial Back Muscles Treatment Outcome +1 autres

Analysis of the Risk Factors for Free Flap Necrosis in Soft Tissue Reconstruction of the Lower Limbs.

Jun 2023

DOI: 10.1111/os.13727 PMID: 37092532

Free flaps are widely used for the repair of soft tissue defects in the lower limbs, but there is still a specific rate of necrosis. Few clinical retrospective studies have analyzed the nontechnical r... Clinical data from 244 cases of soft tissue defects of the leg or foot that were repaired with a free flap from January 2011 to June 2020 were retrospectively analyzed. The flap results were divided i... Of the 244 flaps, 32 suffered from partial or total necrosis, and 212 completely survived. Univariate analysis showed that age, smoking history, soft tissue defect site, and time from injury to flap c... The risk of flap necrosis was significantly increased when the soft tissue defect was located in the proximal leg, the time from injury to flap coverage was >7 days, and the patient had a moderate-to-...

Humans Free Tissue Flaps Plastic Surgery Procedures Retrospective Studies Soft Tissue Injuries +4 autres

First-in-Human Free Flap Tissue Reconstruction Using a Dedicated Microsurgical Robotic Platform.

01 05 2023

DOI: 10.1097/PRS.0000000000010108 PMID: 36563175

Microsurgery has become standard of care for increasingly complex techniques in tissue harvest, replantation, reconstruction, allotransplantation, and supermicrosurgery on submillimetric vessels. As t... The Symani Surgical System (Medical Microinstruments, S.p.A, Calci, Pisa, Italy), a robotic platform designed for microsurgery, was used in a robot-assisted microsurgical free flap reconstruction usin... The procedure was completed successfully, with vessels fully patent immediately following and 20 minutes after anastomosis. The flap was viable, no re-exploration of the anastomosis was necessary post... This novel, dedicated robotic platform with wristed microsurgical instruments was shown to be feasible for carrying out robot-assisted anastomosis of veins and arteries less than 0.8 mm in diameter, i...

Humans Anastomosis, Surgical Free Tissue Flaps Microsurgery Plastic Surgery Procedures +3 autres

Cocci à Gram positif : Questions médicales fréquentes

Termes MeSH sélectionnés :

Questions fréquentes et termes MeSH associés

Diagnostic 5

Symptômes 5

Prévention 5

Traitements 5

Complications 5

Facteurs de risque 5

Contenu validé par Dr Olivier Menir

Sous-catégories

Deinococcus

Micrococcaceae

Peptococcaceae

Peptostreptococcus

Planococcaceae

Ruminococcus

Sarcina

Staphylococcaceae

Micrococcus

Renibacterium

Peptococcus

Bactéries Planococcus

Staphylococcus

Micrococcus luteus

Staphylococcus aureus

Staphylococcus capitis

Staphylococcus epidermidis

Staphylococcus haemolyticus

Staphylococcus hominis

Staphylococcus hyicus

Staphylococcus intermedius

Staphylococcus lugdunensis

Staphylococcus saprophyticus

Staphylococcus aureus résistant à la méticilline

Staphylococcus aureus résistant à la vancomycine

Auteurs principaux

Sources (10000 au total)