questionsmedicales.fr
Bactéries
Bactéries à Gram positif
Cocci à Gram positif
Cocci à Gram positif : Questions médicales fréquentes
Termes MeSH sélectionnés :
Radiotherapy, Intensity-Modulated
Diagnostic
5
Infections bactériennes
Culture bactérienne
Tests de laboratoire
Sensibilité aux antibiotiques
Symptômes
Infections bactériennes
Microscopie
Coloration de Gram
Antibiogramme
Résistance bactérienne
Symptômes
5
Staphylococcus
Infections bactériennes
Streptococcus
Mal de gorge
Infections asymptomatiques
Bactéries
Infections cutanées
Signes cliniques
Prévention
5
Vaccins
Prévention des infections
Soins des plaies
Infections bactériennes
Infections nosocomiales
Hygiène hospitalière
Traitements
5
Antibiotiques
Pénicillines
Traitement précoce
Complications
Hospitalisation
Infections bactériennes
Infections cutanées
Drainage chirurgical
Complications
5
Choc toxique
Fasciite nécrosante
Maladies systémiques
Pneumonie
Infections non traitées
Complications
Facteurs de risque
5
Facteurs de risque
Système immunitaire
Personnes âgées
Infections bactériennes
Diabète
Infections bactériennes
Immunodépression
Infections
Interventions chirurgicales
Infections nosocomiales
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"name": "Diagnostic",
"headline": "Diagnostic sur Cocci à Gram positif",
"description": "Comment diagnostiquer une infection à cocci à Gram positif ?\nQuels tests de laboratoire sont utilisés ?\nQuels symptômes indiquent une infection à cocci ?\nLes cocci à Gram positif sont-ils visibles au microscope ?\nQuelle est l'importance de l'antibiogramme ?",
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"description": "Quels sont les symptômes d'une infection à staphylocoque ?\nComment se manifeste une infection à streptocoque ?\nLes infections à cocci peuvent-elles être asymptomatiques ?\nQuels signes cliniques sont associés aux infections cutanées ?\nLes infections à cocci peuvent-elles causer des complications ?",
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"description": "Comment prévenir les infections à cocci à Gram positif ?\nLes vaccins sont-ils disponibles contre ces infections ?\nQuel rôle joue l'hygiène dans la prévention ?\nLes soins des plaies peuvent-ils prévenir les infections ?\nComment éviter la propagation en milieu hospitalier ?",
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"description": "Quels antibiotiques sont efficaces contre les cocci à Gram positif ?\nComment traiter une infection à staphylocoque résistant ?\nQuelle est l'importance du traitement précoce ?\nLes infections à cocci nécessitent-elles une hospitalisation ?\nQuelles sont les options de traitement pour les infections cutanées ?",
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"description": "Quelles sont les complications possibles d'une infection à cocci ?\nComment une infection à streptocoque peut-elle évoluer ?\nLes infections à cocci peuvent-elles causer des maladies systémiques ?\nQuels sont les risques d'une infection non traitée ?\nComment prévenir les complications lors du traitement ?",
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"name": "Facteurs de risque",
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"description": "Quels sont les facteurs de risque d'infection à cocci ?\nLes personnes âgées sont-elles plus à risque ?\nLe diabète augmente-t-il le risque d'infection ?\nLes patients immunodéprimés sont-ils plus vulnérables ?\nLes interventions chirurgicales augmentent-elles le risque ?",
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"@type": "Question",
"name": "Comment diagnostiquer une infection à cocci à Gram positif ?",
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"text": "Un diagnostic se fait par culture bactérienne et tests de sensibilité aux antibiotiques."
}
},
{
"@type": "Question",
"name": "Quels tests de laboratoire sont utilisés ?",
"position": 2,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les tests incluent la culture, le frottis et les tests de sensibilité aux antibiotiques."
}
},
{
"@type": "Question",
"name": "Quels symptômes indiquent une infection à cocci ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Fièvre, douleur, rougeur et gonflement au site d'infection sont des indicateurs."
}
},
{
"@type": "Question",
"name": "Les cocci à Gram positif sont-ils visibles au microscope ?",
"position": 4,
"acceptedAnswer": {
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"text": "Oui, ils apparaissent comme des sphères violettes lors d'une coloration de Gram."
}
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"@type": "Question",
"name": "Quelle est l'importance de l'antibiogramme ?",
"position": 5,
"acceptedAnswer": {
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"text": "L'antibiogramme détermine la sensibilité des bactéries aux antibiotiques, crucial pour le traitement."
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{
"@type": "Question",
"name": "Quels sont les symptômes d'une infection à staphylocoque ?",
"position": 6,
"acceptedAnswer": {
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"text": "Les symptômes incluent des abcès, des furoncles, et parfois des infections systémiques."
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{
"@type": "Question",
"name": "Comment se manifeste une infection à streptocoque ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elle peut provoquer des maux de gorge, des éruptions cutanées et des douleurs abdominales."
}
},
{
"@type": "Question",
"name": "Les infections à cocci peuvent-elles être asymptomatiques ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, certaines infections à cocci à Gram positif peuvent être asymptomatiques."
}
},
{
"@type": "Question",
"name": "Quels signes cliniques sont associés aux infections cutanées ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Rougeur, chaleur, douleur et écoulement purulent sont des signes fréquents."
}
},
{
"@type": "Question",
"name": "Les infections à cocci peuvent-elles causer des complications ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, elles peuvent entraîner des complications graves comme la septicémie ou l'endocardite."
}
},
{
"@type": "Question",
"name": "Comment prévenir les infections à cocci à Gram positif ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "Maintenir une bonne hygiène, se laver les mains et éviter le contact avec des personnes infectées."
}
},
{
"@type": "Question",
"name": "Les vaccins sont-ils disponibles contre ces infections ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Actuellement, il n'existe pas de vaccins spécifiques contre les cocci à Gram positif."
}
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{
"@type": "Question",
"name": "Quel rôle joue l'hygiène dans la prévention ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une bonne hygiène réduit le risque de transmission et d'infection par ces bactéries."
}
},
{
"@type": "Question",
"name": "Les soins des plaies peuvent-ils prévenir les infections ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, un bon soin des plaies aide à prévenir l'infection par des cocci à Gram positif."
}
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{
"@type": "Question",
"name": "Comment éviter la propagation en milieu hospitalier ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des protocoles stricts d'hygiène et d'isolement sont essentiels pour prévenir la propagation."
}
},
{
"@type": "Question",
"name": "Quels antibiotiques sont efficaces contre les cocci à Gram positif ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les pénicillines, céphalosporines et vancomycine sont souvent utilisés."
}
},
{
"@type": "Question",
"name": "Comment traiter une infection à staphylocoque résistant ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les infections à SARM nécessitent des antibiotiques spécifiques comme la vancomycine."
}
},
{
"@type": "Question",
"name": "Quelle est l'importance du traitement précoce ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un traitement précoce réduit le risque de complications graves et favorise une guérison rapide."
}
},
{
"@type": "Question",
"name": "Les infections à cocci nécessitent-elles une hospitalisation ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Cela dépend de la gravité de l'infection; certaines peuvent être traitées en ambulatoire."
}
},
{
"@type": "Question",
"name": "Quelles sont les options de traitement pour les infections cutanées ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les infections cutanées peuvent nécessiter des antibiotiques et parfois un drainage chirurgical."
}
},
{
"@type": "Question",
"name": "Quelles sont les complications possibles d'une infection à cocci ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent la septicémie, l'endocardite et les infections osseuses."
}
},
{
"@type": "Question",
"name": "Comment une infection à streptocoque peut-elle évoluer ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elle peut évoluer vers des complications graves comme le choc toxique ou la fasciite nécrosante."
}
},
{
"@type": "Question",
"name": "Les infections à cocci peuvent-elles causer des maladies systémiques ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, elles peuvent entraîner des maladies systémiques comme la pneumonie ou la méningite."
}
},
{
"@type": "Question",
"name": "Quels sont les risques d'une infection non traitée ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une infection non traitée peut entraîner des complications graves et potentiellement mortelles."
}
},
{
"@type": "Question",
"name": "Comment prévenir les complications lors du traitement ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un suivi médical régulier et un traitement approprié sont essentiels pour prévenir les complications."
}
},
{
"@type": "Question",
"name": "Quels sont les facteurs de risque d'infection à cocci ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les facteurs incluent un système immunitaire affaibli, diabète et hospitalisation récente."
}
},
{
"@type": "Question",
"name": "Les personnes âgées sont-elles plus à risque ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les personnes âgées ont un risque accru d'infections à cocci à Gram positif."
}
},
{
"@type": "Question",
"name": "Le diabète augmente-t-il le risque d'infection ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le diabète peut affaiblir le système immunitaire et augmenter le risque d'infections."
}
},
{
"@type": "Question",
"name": "Les patients immunodéprimés sont-ils plus vulnérables ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les patients immunodéprimés sont particulièrement vulnérables aux infections à cocci."
}
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{
"@type": "Question",
"name": "Les interventions chirurgicales augmentent-elles le risque ?",
"position": 30,
"acceptedAnswer": {
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Expert en Médecine, Optimisation des Parcours de Soins et Révision Médicale
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Radiotherapy interruption (RTI) prolongs the overall total treatment time and leads to local control loss in many cancers, but it is unclear in esophageal cancer. We aimed to evaluate the influence of...
A total of 299 patients with esophageal squamous cell carcinoma from 2017 to 2019 were retrospectively analyzed to investigate the effect of RTI on OS, PFS, and LRFS. The delayed time of radiotherapy ...
The 3-year OS, PFS, and LRFS rates were 53.0%, 42.0%, and 48.0%, respectively. The univariate and multivariate analyses showed that the delayed time > 3 days was an independent adverse prognostic fact...
There was a significant correlation between delayed time and local control of esophageal cancer. The delayed time for more than 3 days might decrease the survival outcome, and increase the local recur...
Online adaptive radiation therapy aims at adapting a patient's treatment plan to their current anatomy to account for inter-fraction variations before daily treatment delivery. As this process needs t...
Most newly diagnosed oropharyngeal and hypopharyngeal cancers are treated with chemoradiotherapy with curative intent but at the consequence of adverse effects on quality of life. We aimed to investig...
DARS was a parallel-group, phase 3, multicentre, randomised, controlled trial done in 22 radiotherapy centres in Ireland and the UK. Participants were aged 18 years and older, had T1-4, N0-3, M0 oroph...
From June 24, 2016, to April 27, 2018, 118 patients were registered, 112 of whom were randomly assigned (56 to each treatment group). 22 (20%) participants were female and 90 (80%) were male; median a...
Our findings suggest that DO-IMRT improves patient-reported swallowing function compared with standard IMRT. DO-IMRT should be considered a new standard of care for patients receiving radiotherapy for...
Cancer Research UK....
Delays in initiation of radiotherapy may contribute to inferior oncologic outcomes that are more commonly observed in minoritized populations in the United States. We aimed to examine inequities assoc...
The National Cancer Database was queried to identify the 10 cancer sites most commonly treated with IMRT. Interval to initiation of treatment (IIT) was broken into quartiles for each disease site, wit...
Among patients (n = 350,425) treated with IMRT between 2004 and 2017, non-Hispanic Black (NHB), Hispanic, and Asian patients were significantly more likely to have delayed IIT with IMRT for nearly all...
Delays in initiation of IMRT in NHB, Hispanic, and Asian patients may contribute to the known differences in cancer outcomes and warrant further investigation, particularly to further clarify the role...
Dosimetric sparing of critical swallowing structures like constrictor muscles and larynx can lead to improved functional outcomes in head and neck cancer patients treated by chemoradiation....
A total of 50 Patients with newly diagnosed, biopsy proven AJCC stage II-IV head and neck squamous cell cancers (HNSCC) were prospectively studied. 25 patients were randomized in each arm of Dysphagia...
Patients in both arms showed significant (P <0.01 or P < 0.001) improvement in MDADI (global and composite), UW-QOL and Water Swallow Test scores. However, the improvements were found significantly hi...
The Do-IMRT improves swallowing functions compared to S-IMRT in HNSCC patients treated with radical chemoradiation....
Concurrent chemoradiotherapy has long been a standardized therapy for localized advanced nasopharyngeal cancer. It is widely used in clinical applications. In contrast, NCCN guidelines highlight that ...
We searched the relevant literature in PubMed, EMBASE, and Cochrane, extracting relevant data from the searched literature. The main items extracted were hazard ratios (HRs), risk ratios (RRs) and 95%...
Our study included seven articles involving 1633 cases of stage II nasopharyngeal cancer. The survival outcomes were overall survival (OS) (HR = 1.03, 95% CI (0.71-1.49), P = 0.87), progression-free s...
In the era of intensity-modulated radiotherapy, concurrent chemoradiotherapy and radiotherapy alone have the same survival benefits, and concurrent chemoradiotherapy increases acute hematological toxi...
A planning study was performed to evaluate dosimetric differences between intensity modulated radiation therapy (IMRT) and volumetric modulated arc therapy (VMAT) for head and neck cancer (HNC) for se...
30 patients with HNC were included, 15 treated with SIB and 15 with Seq-Boost. For all patients both VMAT and IMRT plans were completed. The planning objective for PTV was 95% of dose covering minimum...
Both techniques achieved the set objectives regarding PTV coverage and organ sparing. SIB plans presented a statistically significant better homogeneity for VMAT (p = 0.0096), while Seq-boost showed a...
VMAT shows dosimetric superiority to IMRT in some cases, however an adequate coverage of the target volumes and a suitable OAR sparing can be achieved with both techniques. Though IMRT is still the st...
The purpose of this study was to review outcomes of patients with advanced/metastatic pheochromocytoma/paraganglioma (PPGL) treated at our institution with Intensity-modulated radiotherapy (IMRT), des...
A retrospective study on patients with advanced/metastatic PPGL who received IMRT at Peking Union Medical College Hospital between 2014 and 2019. A total of 14 patients with 17 lesions were included i...
OS at 2 years was 78% for all patients. For lesions evaluated by RECIST response, at least stable disease of the target lesion was achieved in 94% and distant progression in 28.5%, with an average tim...
We have found hypofractionated IMRT effective as an additional therapy for patients with advanced primary tumors or recurrence in situ and not amenable to complete surgical resection....
Intensity-modulated radiotherapy (IMRT) is a modern precision radiotherapy technique for the treatment of the pituitary adenoma....
Aim to investigate the efficacy and toxicity of IMRT in treating Cushing's Disease (CD)....
70 of 115 patients with CD treated with IMRT at our institute from April 2012 to August 2021 were included in the study. The radiation doses were usually 45-50 Gy in 25 fractions. After IMRT, endocrin...
At a median follow-up time of 36.8 months, the endocrine remission rate at 1, 2, 3 and 5 years were 28.5%, 50.2%, 62.5% and 74.0%, respectively. The median time to remission was 24 months (95%CI: 14.0...
IMRT was a highly effective second-line therapy with low side effect profile for CD patients. Endocrine remission, tumor control and recurrence rates were comparable to previous reports on FRT and SRS...
We analyzed the patterns of lymph node (LN) failure and prognosis in patients with regional recurrent nasopharyngeal carcinoma (rNPC) alone after primary intensity-modulated radiotherapy (IMRT)....
A total of 175 patients who were treated with IMRT between 2010 and 2015 and who experienced regional recurrence alone were included. Recurrent LNs were re-located in the initial pretreatment imaging ...
Level IIb (49.1%, 86/175) was the most frequent recurrence site, followed by level IIa (36%), level III (18.9%), level IVa (12%), the retropharyngeal region (8%), level Va (6.9%), and the parotid regi...
In-field failure represented the main pattern of regional recurrence and out-field failure mainly occurred in the parotid gland and level Ib. Patients with regional rNPC alone had a good prognosis aft...
