Le diagnostic repose sur des tests sérologiques et culturels pour détecter Leptospira.
LeptospiroseDiagnostic médical
#2
Quels tests sont utilisés pour la leptospirose ?
Les tests ELISA et PCR sont couramment utilisés pour confirmer l'infection.
Tests diagnostiquesLeptospirose
#3
Quand faire un test de leptospirose ?
Un test doit être effectué si des symptômes apparaissent après une exposition potentielle.
LeptospiroseSymptômes
#4
Les tests sanguins sont-ils fiables ?
Oui, les tests sanguins peuvent détecter des anticorps contre Leptospira avec précision.
Tests sanguinsLeptospirose
#5
Peut-on diagnostiquer la leptospirose par des symptômes ?
Les symptômes peuvent indiquer une leptospirose, mais un test est nécessaire pour confirmer.
SymptômesLeptospirose
Symptômes
5
#1
Quels sont les symptômes de la leptospirose ?
Les symptômes incluent fièvre, maux de tête, douleurs musculaires et éruptions cutanées.
LeptospiroseSymptômes
#2
La leptospirose cause-t-elle des douleurs abdominales ?
Oui, des douleurs abdominales peuvent survenir, souvent accompagnées de nausées.
LeptospiroseDouleurs abdominales
#3
Les symptômes apparaissent-ils rapidement ?
Les symptômes peuvent apparaître 5 à 14 jours après l'exposition à la bactérie.
LeptospiroseTemps d'incubation
#4
Y a-t-il des symptômes graves ?
Oui, des complications comme la jaunisse et l'insuffisance rénale peuvent survenir.
LeptospiroseComplications
#5
La leptospirose provoque-t-elle de la toux ?
La toux n'est pas un symptôme courant, mais peut survenir dans des cas graves.
LeptospiroseSymptômes respiratoires
Prévention
5
#1
Comment prévenir la leptospirose ?
Évitez l'exposition à l'eau contaminée et portez des vêtements de protection.
LeptospirosePrévention
#2
Les vaccins existent-ils pour la leptospirose ?
Des vaccins sont disponibles pour les animaux, mais pas pour les humains.
LeptospiroseVaccins
#3
Faut-il éviter certaines activités ?
Oui, évitez la baignade dans des eaux stagnantes, surtout après des inondations.
LeptospiroseActivités à risque
#4
Comment gérer les animaux de compagnie ?
Vaccinez vos animaux de compagnie et évitez leur contact avec des eaux potentiellement contaminées.
LeptospiroseAnimaux de compagnie
#5
Les mesures d'hygiène aident-elles ?
Oui, maintenir une bonne hygiène et désinfecter les surfaces peut réduire le risque.
LeptospiroseHygiène
Traitements
5
#1
Quel est le traitement de la leptospirose ?
Le traitement principal est l'administration d'antibiotiques comme la doxycycline.
LeptospiroseAntibiotiques
#2
Les antibiotiques sont-ils efficaces ?
Oui, les antibiotiques sont très efficaces s'ils sont administrés tôt dans l'infection.
LeptospiroseEfficacité des médicaments
#3
Faut-il hospitaliser un patient ?
L'hospitalisation peut être nécessaire pour les cas graves nécessitant des soins intensifs.
LeptospiroseHospitalisation
#4
Y a-t-il des traitements alternatifs ?
Les traitements alternatifs ne sont pas recommandés; les antibiotiques sont essentiels.
LeptospiroseTraitements alternatifs
#5
Combien de temps dure le traitement ?
Le traitement antibiotique dure généralement de 5 à 7 jours selon la gravité de l'infection.
LeptospiroseDurée du traitement
Complications
5
#1
Quelles sont les complications de la leptospirose ?
Les complications incluent l'insuffisance rénale, la jaunisse et des hémorragies.
LeptospiroseComplications
#2
La leptospirose peut-elle être mortelle ?
Oui, dans les cas graves, la leptospirose peut entraîner la mort sans traitement approprié.
LeptospiroseMortalité
#3
Comment prévenir les complications ?
Un diagnostic précoce et un traitement rapide sont essentiels pour prévenir les complications.
LeptospirosePrévention des complications
#4
Les complications surviennent-elles souvent ?
Les complications surviennent dans environ 10% des cas, surtout sans traitement.
LeptospiroseFréquence des complications
#5
Y a-t-il des séquelles après la maladie ?
Certaines personnes peuvent avoir des séquelles, comme des douleurs articulaires persistantes.
LeptospiroseSéquelles
Facteurs de risque
5
#1
Qui est à risque de leptospirose ?
Les personnes travaillant en milieu rural ou en contact avec des animaux sont à risque.
LeptospiroseFacteurs de risque
#2
Les randonneurs sont-ils à risque ?
Oui, les randonneurs peuvent être exposés à des eaux contaminées lors de leurs activités.
LeptospiroseRandonneurs
#3
Les enfants sont-ils plus vulnérables ?
Les enfants peuvent être plus vulnérables en raison de leur comportement exploratoire.
LeptospiroseEnfants
#4
Les travailleurs agricoles sont-ils à risque ?
Oui, les travailleurs agricoles sont souvent exposés à des conditions favorables à la leptospirose.
LeptospiroseTravailleurs agricoles
#5
Les personnes immunodéprimées sont-elles plus à risque ?
Oui, les personnes immunodéprimées courent un risque accru de développer des formes graves.
LeptospiroseImmunodépression
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School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan.
Department of Infectious Disease Epidemiology, Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UK.
Department of Infectious Disease Epidemiology, Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UK.
Department of Infectious Disease Epidemiology, Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UK.
School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan.
Molecular Epidemiology and Public Health Laboratory, Tāwharau Ora - School of Veterinary Science, Massey University, Palmerston North; Global Leptospirosis Environmental Action Network, World Health Organization, Geneva, Switzerland.
1Université de La Réunion, UMR PIMIT (Processus Infectieux en Milieu Insulaire Tropical), INSERM U 1187, CNRS 9192, IRD 249, Plateforme de Recherche CYROI, Sainte Clotilde, France.
Narrative review....
To review existing literature regarding surgical timing in cervical trauma with a focus on acute traumatic central cord syndrome....
Traumatic central cord syndrome is the most common incomplete spinal cord injury. Substantial basic science literature has proposed ischemic and secondary injury-driven mechanisms underpinning the urg...
A literature search was conducted of studies in PubMed Central and Cochrane Database related to timing in cervical spine trauma....
Recently, several major systematic reviews and consensus statements have endorsed the importance and safety of early (<24 h) operative decompression in the setting of traumatic spinal cord injury. Des...
Army medical treatment facilities (MTFs) use a surgery scheduling system that reviews historical OR times to dictate expected procedural time when posting new cases. At a single military institution t...
This is a retrospective review determining what variables correlate with longer UHR operative time. Umbilical, ventral, epigastric, and incisional hernia repairs (both open and laparoscopic) were pull...
A total of 442 patients were included in the study with a mean age of 45.74 years and 54.98% male. Patient ASA level (p 0.045), primary vs. mesh repair (p < 0.001), number of hernias repaired (p 0.05)...
This data were used to create a new case request option (open UHR without mesh and open UHR with mesh) to more effectively utilize available OR time....
Intraoperative parathyroid hormone (IOPTH) testing facilitates focused parathyroidectomy to establish biochemical cure but may be time-consuming. A dedicated immunoassay machine was relocated to the o...
Patients who underwent parathyroidectomy from June 2017 to February 2020 were reviewed. Clinical and demographic data, operative time, and TAT were collected. Patients were compared by operation dates...
A total of 285 patients were included. Post-machine, median operative time decreased from 69 minutes (interquartile range [IQR] 60 to 84) to 57 minutes (IQR 50 to 84.5), p 0.03. Additionally, median T...
Operating room-based parathyroid hormone testing results in improved operating productivity by decreasing result TAT and operative time and reduces cost....
Efficient resource management in the operating room (OR) contributes significantly to healthcare expenditure and revenue generation for health systems. We aim to assess the influence that surgeon, ane...
We performed a retrospective review of elective cases at a single academic hospital that were completed between Monday and Friday between the hours of 0700 and 2359 from July 1, 2017, through March 31...
A total of 2174 total cases across 13 different specialties were included in our study. A multivariate regression of relevant variables affecting TOT was performed. Consecutive specialty (p < 0.0001),...
TOT can be significantly affected by the time of the day the procedure is performed. Staffing availability during late procedures and the differences in how OR team staff are scheduled may affect OR e...
Robotic-assisted appendectomies and cholecystectomies are believed to increase cost compared to the gold standard laparoscopic approach. Two equally qualified surgeons performed both approaches over 2...
To investigate the association between operative time and postoperative outcomes....
The association between operative time and morbidity after pulmonary lobectomy has not been characterized fully....
Patients who underwent pulmonary lobectomy for primary lung cancer at our institution from 2010 to 2018 were reviewed. Exclusion criteria included clinical stage ≥IIb disease, conversion to thoracotom...
In total, 1651 patients were included. The median age was 68 years (interquartile range, 61-74), and 63% of patients were women. Median operative time was 3.2 hours (interquartile range, 2.7-3.8) for ...
Longer operative time was associated with worse outcomes in patients who underwent lobectomy. Operative time is a potential risk factor to consider in the perioperative phase....
It is unknown whether the July Effect (a theory that medical errors and organizational inefficiencies increase during the influx of new surgical residents) exists in urologic robotic-assisted surgery....
Laparoscopic cholecystectomy is the most common laparoscopic procedure performed in the United States. Our aim was to determine if increased operative time (OT) is associated with increased morbidity ...
Using ACS NSQIP from 2006 to 2015, we identified all adult (≥18 years) patients that underwent laparoscopic cholecystectomy for cholecystitis performed within 3 days of admission. Our analysis was lim...
7,031 cases met inclusion criteria. Median OT was 63 minutes, first quartile was 46 minutes and third quartile was 87 minutes. Logistic regression analysis showed that increased OT (third vs first qua...
Increased OT is independently associated with morbidity and increased LOS following laparoscopic cholecystectomy for cholecystitis. Prospective studies are warranted to determine which factors contrib...
Most orthopaedic surgeons refuse to perform arthroplasty on patients with morbid obesity, citing the higher rate of postoperative complications. However, that recommendation does not account for the r...
We therefore asked: (1) Is the increased risk seen in overweight and obese patients, compared with patients in a normal BMI class, associated with increased operative time? (2) Is increased operative ...
This retrospective, comparative study examined 247,108 patients who underwent THA between January 2014 and December 2020 in the National Surgical Quality Improvement Project (NSQIP). Of those, emergen...
A comparison of patients with Class III obesity to patients with normal weight showed that the odds of readmission went from 45% (AOR 1.45 [95% CI 1.32 to 1.59]; p < 0.001) to 27% after adjusting for ...
Operative time is likely a proxy for surgical complexity and contributes modestly to the adverse outcomes previously attributed to obesity alone. Hence, focusing on modulating the accentuated risk ass...
Level III, therapeutic study....
Our aim was to assess whether operative time is independently associated with post-operative complications for minimally invasive sacrocolpopexy (MISCP)....
Using the National Surgical Quality Improvement Program (NSQIP) database, patients undergoing MISCP from 2015 to 2020 were identified by CPT code. The following data were extracted: demographics, conc...
A total of 13,239 patients who underwent MISCP were analyzed. Overall, mean operative time (SD) was 189.5 (78.3) min. Post-operative complication rates were 2.6% for minor, 4.7% for major, and 7.3% fo...
Operative time is independently and linearly associated with post-operative complications for patients undergoing MISCP, even when adjusted for demographic variables and concomitant procedures....
