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

Adjacent Segment Disease After Spinal Fusion.

01 06 2023

DOI: 10.2106/JBJS.RVW.23.00028 PMID: 37307327

» Adjacent segment disease is characterized by a degenerative process adjacent to a previously fused spine segment, with new onset of clinical symptoms such as radiculopathy, myelopathy, or instabilit...

Humans Spinal Fusion Radiculopathy Spinal Cord Diseases Spine

Effect of spinal fusion on joint space narrowing of the hip: comparison among non-fusion, short fusion, and middle or long fusion.

09 Jan 2023

DOI: 10.1186/s10195-022-00682-3 PMID: 36622495

Lumbar fusion corrects spinal deformities and improves spinal complications. Hip osteoarthritis (OA) is strongly correlated with spinal mobility, and joint space narrowing of the hip after spinal fusi... We retrospectively examined 530 hips of 270 patients who underwent spinal surgery. All the patients underwent whole-spine radiography before and at the final follow-up. Patients were divided into thre... The rate of joint space narrowing was significantly higher in the L group than in the N and S groups (P < 0.001). No significant difference in the rate of joint space narrowing was observed between th... Long spinal fusion (more than four levels) led to significantly greater joint space narrowing of the hip than short (up to three levels) or no fusion. Spinal alignment did not affect joint space narro... IV, retrospective study....

Humans Lumbar Vertebrae Retrospective Studies Treatment Outcome Spinal Fusion +3 autres

Prophylactic Spinal Cord Untethering in Children with Spinal Dysraphism Undergoing Thoracolumbar Fusion for Scoliosis.

Oct 2023

DOI: 10.1016/j.wneu.2023.07.088 PMID: 37499752

It remains unclear whether spinal cord untethering is necessary to reduce the chances of neurologic decline in children with myelomeningocele and complex closed spinal dysraphism who undergo thoracolu... Retrospective, single-center review of patients with spinal dysraphism treated with thoracolumbar fusion over the last 10 years (2009-2019) with or without prophylactic spinal cord untethering.... Seventeen patients with myelomeningocele and complex closed spinal dysraphism underwent spinal fusion for scoliosis. Mean age at time of surgery was 13.9 years. Prophylactic spinal cord untethering wa... Our data suggest that prophylactic spinal cord untethering in children with spinal dysraphism undergoing thoracolumbar fusion for scoliosis may not be necessary in patients with moderate curvatures. O...

Humans Child Adolescent Scoliosis Meningomyelocele +6 autres

Spinal Fusion in Patients With Classic Amyoplasia and General Arthrogryposis.

01 Oct 2023

DOI: 10.1097/BPO.0000000000002483 PMID: 37503867

Arthrogryposis multiplex congenita is a group of conditions characterized by joint contractures affecting 2 or more joints. This study describes results of spinal fusion in patients with classic amyop... IRB approved retrospective review of patients with a diagnosis of classic amyoplasia and general arthrogryposis who had a primary definitive posterior spinal fusion between 1990 and 2017 at a single p... Over the 28-year period, 342 patients were diagnosed with amyoplasia and general arthrogryposis. Among the 342 patients, 60 (18%) had scoliosis, and 22 (6% of the cohort and 37% of those with scoliosi... Complication rates after spinal fusion for scoliosis in arthrogryposis multiplex congenita patients are high, especially in patients undergoing ASF/PSF, deep infection is common, and major coronal pla... II Retrospective Study....

Humans Child Scoliosis Arthrogryposis Follow-Up Studies +6 autres

The Sagittal Plane in Spinal Fusion for Adolescent Idiopathic Scoliosis.

15 Jul 2022

DOI: 10.5435/JAAOS-D-21-01060 PMID: 35797683

Sagittal balance is widely recognized as the primary determinant of optimal outcomes in adult spinal deformity. In adolescent idiopathic scoliosis (AIS), coronal correction risks being obtained at the...

Adolescent Adult Humans Kyphosis Lordosis +5 autres

Association Between Lenke Classification, The Extent of Lumbar Spinal Fusion, and Health-Related Quality of Life After Instrumented Spinal Fusion for Adolescent Idiopathic Scoliosis.

01 Sep 2023

DOI: 10.1097/BRS.0000000000004760 PMID: 37341520

Prospective cohort study.... Lenke classification is used to define the curve type in adolescent idiopathic scoliosis (AIS). The association of Lenke classification and long-term postoperative health-related quality of life (HRQo... The purpose of this study was to assess the association between Lenke classification and HRQoL in patients who underwent spinal fusion for AIS.... In all, 146 consecutive patients (mean age 15.1 yr) operated for AIS between 2007 and 2019 with a minimum 2-year follow-up were included. Fifty-three (36%) patients reached the 10-year follow-up. Thei... The preoperative major curve was the largest in Lenke 3 (mean 63 ° ) and 4 (mean 62 ° ) groups and the lowest in Lenke 5 groups (mean 48 ° , P <0.05). These curves were corrected to a mean of 15 ° wit... Lenke classification and especially its curve type (major thoracic vs. major thoracolumbar scoliosis) was associated with long-term health-related quality of life after instrumented spinal fusion for ...

Humans Adolescent Treatment Outcome Prospective Studies Spinal Fusion +7 autres

Predictors of Blood Transfusion in Patients Undergoing Lumbar Spinal Fusion.

Aug 2023

DOI: 10.1016/j.wneu.2023.05.087 PMID: 37257651

To determine risk factors for perioperative blood transfusion after lumbar fusion surgery.... After institutional review board approval, a retrospective cohort study of adult patients who underwent lumbar fusion at a single, urban tertiary academic center was retrospectively retrieved. Our pri... Of the 3,842 patients, 282 (7.3%) required a blood transfusion. For patients undergoing posterolateral decompression and fusion, predictors of transfusion included age (P < 0.001) and more levels fuse... Our analysis identified older age, lower body mass index, greater Elixhauser comorbidity index, longer operative duration, more levels fused, and lower preoperative hemoglobin levels as independent pr...

Adult Humans Male Retrospective Studies Spinal Fusion +5 autres

Vertebropexy as a semi-rigid ligamentous alternative to lumbar spinal fusion.

05 2023

DOI: 10.1007/s00586-023-07647-y PMID: 36930387

To develop ligamentous vertebral stabilization techniques ("vertebropexy") that can be used after microsurgical decompression (intact posterior structures) and midline decompression (removed posterior... Fifteen spinal segments were biomechanically tested in a stepwise surgical decompression and ligamentous stabilization study. Stabilization was achieved with a gracilis or semitendinosus tendon allogr... Interspinous vertebropexy significantly reduced the range of motion (ROM) in all loading scenarios compared to microsurgical decompression: in FE by 70% (p < 0.001), in LS by 22% (p < 0.001), in LB by... Vertebropexy is a new concept of semi-rigid spinal stabilization based on ligamentous reinforcement of the spinal segment. It is able to reduce motion, especially in flexion-extension. Studies are nee...

Humans Spinal Fusion Lumbar Vertebrae Biomechanical Phenomena Decompression, Surgical +3 autres

Biomechanical Analysis of Multilevel Posterior Cervical Spinal Fusion Constructs.

01 06 2023

DOI: 10.1097/BSD.0000000000001429 PMID: 36823698

Controlled Laboratory Study.... To compare multilevel posterior cervical fusion (PCF) constructs stopping at C7, T1, and T2 under cyclic load to determine the range of motion (ROM) between the lowest instrumented level and lowest in... PCF is a mainstay of treatment for various cervical spine conditions. The transition between the flexible cervical spine and rigid thoracic spine can lead to construct failure at the cervicothoracic j... Fifteen human cadaveric cervicothoracic spines were randomly assigned to 1 of 3 treatment groups: PCF stopping at C7, T1, or T2. Specimens were tested in their native state, following a simulated PCF,... The C7 group had greater flexion-extension motion than the T1 and T2 groups following instrumentation (10.17±0.83 degree vs. 2.77±1.66 degree and 1.06±0.55 degree, P <0.001), and after cyclic loading ... Motion at the cervicothoracic junction is significantly greater when a multilevel PCF stops at C7 rather than T1 or T2. This is likely attributable to the transition from a flexible cervical spine to ... Not applicable....

Humans Biomechanical Phenomena Cervical Vertebrae Neck Range of Motion, Articular +3 autres

Outcomes of Posterior Spinal Fusion in Pediatric Patients with Down Syndrome.

07 12 2022

DOI: 10.2106/JBJS.22.00588 PMID: 36166508

Trisomy 21 or Down syndrome is associated with multiple orthopaedic manifestations. Although cervical instability is the most common spinal condition associated with Down syndrome, the prevalence of s... An institutional review board-approved multicenter retrospective analysis of patients with Down syndrome treated with spinal fusion between January 2009 and December 2019 was performed by cross-refere... A total of 23 patients were included: 96% had ≥1 medical comorbidities, including 16 (70%) with congenital heart disease, of whom 88% had previous cardiac surgery, and 10 (44%) with thyroid disorders.... Although instrumented spinal fusion can effectively correct spinal deformity in these patients, complications are more frequent than in children with adolescent idiopathic scoliosis, with over half of... Prognostic Level III . See Instructions for Authors for a complete description of levels of evidence....

Humans Child Adolescent Spinal Fusion Down Syndrome +2 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)