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

Application of organ dysfunction assessment scores following pediatric lung transplantation.

03 2023

DOI: 10.1111/ctr.14863 PMID: 36480657

Organ dysfunction (OD) after lung transplantation can reflect preoperative organ failure, intraoperative acute organ damage and post-operative complications. We assessed two OD scoring systems, both t... Medical records of recipients from January 2009 to March 2016 were reviewed. PELOD and pSOFA scores were calculated on post-transplant days 1-3. Risk factors assessed included cystic fibrosis (CF), pr... Total 98 patients were enrolled aged 0-20 years. Risk factors for higher pSOFA scores ≥ 5 on day 1 included non-CF diagnosis and worst PGD scores (p = .0006 and p = .03, respectively). Kruskal Wallis ... Implementing pSOFA scores bedside is a more effective tool compared to PELOD in identifying risk factors for worsened OD post-lung transplant and can be valuable in providing direction on morbidity ou...

Child Humans Organ Dysfunction Scores Multiple Organ Failure Lung Transplantation +2 autres

Validating the performance of organ dysfunction scores in children with infection: A cohort study.

2024

DOI: 10.1371/journal.pone.0306172 PMID: 39028682

We aimed to validate the performance of six available scoring models for predicting hospital mortality in children with suspected or confirmed infections.... This single-center retrospective cohort study included pediatric patients admitted to the PICU for infection. The primary outcome was hospital mortality. The six scores included the age-adapted pSOFA ... Of the 5,356 children admitted to the PICU, 9.1% (488) died, and 25.1% (1,342) had basic disease with a mortality rate of 12.7% (171); 65.3% (3,499) of the patients were younger than 2 years, and 59.4... The pSOFA and PELOD2 scores had superior predictive performance for mortality. Given the relative unavailability of items and clinical operability, the pSOFA score should be recommended as an optimal ...

Humans Male Female Child, Preschool Child +11 autres

Vasoactive Inotropic Score compared to the sequential organ failure assessment cardiovascular score in intensive care.

10 2023

DOI: 10.1111/aas.14287 PMID: 37278095

The cardiovascular component of the sequential organ failure assessment (cvSOFA) score may be outdated because of changes in intensive care. Vasoactive Inotropic Score (VIS) represents the weighted su... We studied the association of VIS during the first 24 h after ICU admission with 30-day mortality in a retrospective study on adult medical and non-cardiac emergency surgical patients admitted to Kuop... Of 8079 patients, 1107 (13%) died within 30 days. Mortality increased with increasing VIS... Mortality increased consistently with increasing VIS...

Adult Humans Organ Dysfunction Scores Retrospective Studies Critical Care +4 autres

Randomized Clinical Trial of Antioxidant Therapy Patients with Septic Shock and Organ Dysfunction in the ICU: SOFA Score Reduction by Improvement of the Enzymatic and Non-Enzymatic Antioxidant System.

06 05 2023

DOI: 10.3390/cells12091330 PMID: 37174730

Here, we assess the effect of adjuvant antioxidant therapies in septic shock patients with organ dysfunction and their effect on the enzymatic and non-enzymatic antioxidant systems.... Randomized clinical trial run between 2018 and 2022. One hundred and thirty-one patients with septic shock were included in five groups with 25, 27, 24, 26 and 29 patients each. Group 1 received vitam... All patients had multiple organ failure (MOF) and low Vit C levels. Vit C therapy decreased CRP, PCT and NO... Antioxidants used as an adjuvant therapy in the standard treatment of septic shock decrease MOF and oxidative stress markers. They increase the TAC and thiols, and maintain selenium levels....

Humans Antioxidants Shock, Septic Multiple Organ Failure Organ Dysfunction Scores +6 autres

Accuracy of Rapid Emergency Medicine Score and Sequential Organ Failure Assessment Score in predicting acute paraphenylenediamine poisoning adverse outcomes.

Mar 2023

DOI: 10.1007/s11356-022-24427-1 PMID: 36462082

Paraphenylenediamine (PPD) is a commonly used xenobiotic in hair dying, causing deleterious outcomes in acute poisoning. Although many epidemiological studies and case reports explained their clinical...

Humans Female Young Adult Adult Male +4 autres

The Sequential Organ Failure Assessment (SOFA) Score: has the time come for an update?

13 01 2023

DOI: 10.1186/s13054-022-04290-9 PMID: 36639780

The Sequential Organ Failure Assessment (SOFA) score was developed more than 25 years ago to provide a simple method of assessing and monitoring organ dysfunction in critically ill patients. Changes i...

Humans Organ Dysfunction Scores Critical Illness Prognosis Multiple Organ Failure

Iloprost and Organ Dysfunction in Adults With Septic Shock and Endotheliopathy: A Randomized Clinical Trial.

03 Sep 2024

DOI: 10.1001/jamanetworkopen.2024.32444 PMID: 39259541

Soluble thrombomodulin is a marker of endotheliopathy, and iloprost may improve endothelial function. In patients with septic shock, high plasma levels of soluble thrombomodulin (>10 ng/mL) have been ... To assess the effects of treatment with iloprost vs placebo on the severity of organ failure in patients with septic shock and plasma levels of soluble thrombomodulin higher than 10 ng/mL.... This investigator-initiated, adaptive, parallel group, stratified, double-blind randomized clinical trial was conducted between November 1, 2019, and July 5, 2022, at 6 hospitals in Denmark. The trial... Patients were randomized 1:1 to masked intravenous infusion of iloprost, 1 ng/kg/min (n = 142), or placebo (n = 137) for 72 hours.... The primary outcome was mean daily Sequential Organ Failure Assessment (SOFA) score in the ICU adjusted for trial site and baseline SOFA score for the per-protocol population. SOFA scores for each of ... Of 279 randomized patients, data from 278 were analyzed (median [IQR] age, 69 [58-77] years; 171 (62%) male), 142 in the iloprost group and 136 in the placebo group. The trial was stopped for futility... In this randomized clinical trial of adults in the ICU with septic shock and severe endotheliopathy, infusion of iloprost, 1 ng/kg/min, for 72 hours did not reduce mean daily SOFA scores compared with... ClinicalTrials.gov Identifier: NCT04123444....

Humans Iloprost Male Female Shock, Septic +9 autres

Sequential organ failure assessment scores to predict outcomes: from adults to neonates.

01 04 2023

DOI: 10.1097/MOP.0000000000001207 PMID: 36449658

Organ dysfunction severity scores (sequential organ failure assessment or SOFA) are commonly used in the adult and pediatric populations when assessing risk of mortality and adverse outcomes from seps... Although SOFA scores in the adult and pediatric populations have their limitations with moderate sensitivities and specificities depending on the clinical setting, the nSOFA score has been validated i... Utilizing an nSOFA scoring system for prediction of sepsis attributable mortality in preterm infants allows for targeted interventions based on risk stratification, as well as better delineation of ne...

Child Infant Humans Adult Infant, Newborn +7 autres

Clinical outcome prediction of acute neurological patients admitted to the emergency department: Sequential Organ Failure Assessment score and modified SOFA score.

2023

DOI: 10.3389/fpubh.2023.1264159 PMID: 37965516

The aim of this study was to determine the ability of the Sequential Organ Failure Assessment score (SOFA) and modified SOFA score (mSOFA) as predictive tools for 2-day and 28-day mortality and ICU ad... An observational, prospective cohort study in adults with acute neurological disease transferred by ambulance to an ED was conducted from 1 January 2019 to 31 August 2022 in five hospitals in Castilla... A total of 640 adult patients with neurological disease were included. For the prediction of 2-day mortality (all-cause), mSOFA presented a higher AUC than SOFA (mSOFA = 0.925 vs. SOFA = 0.902). This ... Both mSOFA and SOFA presented similar predictive ability, with mSOFA being the best predictor for short-term mortality and SOFA being the best predictor for medium-term mortality, as well as for ICU a...

Adult Humans Organ Dysfunction Scores Prospective Studies Retrospective Studies +2 autres

Intestinal injury in cardiac arrest is associated with multiple organ dysfunction: A prospective cohort study.

04 2023

DOI: 10.1016/j.resuscitation.2023.109748 PMID: 36842675

The impact of intestinal injury in cardiac arrest is not established. The first aim of this study was to assess associations between clinical characteristics in out-of-hospital cardiac arrest (OHCA) a... We measured plasma IFABP in 50 patients at admission to intensive care unit (ICU) after OHCA. Demographic and clinical variables were analysed by stratifying patients on median IFABP, and by linear re... Several markers of whole body ischaemia correlated with intestinal injury. Duration of arrest and lactate serum concentrations contributed to elevated IFABP in a multivariable model (p < 0.01 and p = ... Cardiac arrest duration and lactate serum concentrations were risk factors for intestinal injury. High levels of IFABP at admission were associated with multiple organ dysfunction and mortality.... ClinicalTrials.gov: NCT02648061....

Humans Intestines Prospective Studies Multiple Organ Failure Biomarkers +4 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)