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"description": "Comment diagnostiquer une infection résistante à la méticilline ?\nQuels tests sont utilisés pour détecter la résistance à la méticilline ?\nQuels symptômes indiquent une infection à staphylocoque ?\nQuand faut-il suspecter une infection à SARM ?\nQuel rôle joue la culture de sang dans le diagnostic ?",
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"description": "Quel est le traitement principal des infections à SARM ?\nComment traiter une infection cutanée causée par SARM ?\nLes antibiotiques oraux sont-ils efficaces contre SARM ?\nQuelle est l'importance de l'antibiogramme ?\nPeut-on utiliser la méticilline pour traiter le SARM ?",
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"description": "Quels sont les principaux facteurs de risque pour SARM ?\nLe partage d'objets personnels augmente-t-il le risque ?\nLes athlètes sont-ils plus à risque d'infection à SARM ?\nLes personnes âgées sont-elles plus vulnérables ?\nLes patients en soins intensifs sont-ils à risque ?",
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"@type": "Question",
"name": "Comment diagnostiquer une infection résistante à la méticilline ?",
"position": 1,
"acceptedAnswer": {
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"text": "Des cultures bactériennes et des tests de sensibilité aux antibiotiques sont effectués."
}
},
{
"@type": "Question",
"name": "Quels tests sont utilisés pour détecter la résistance à la méticilline ?",
"position": 2,
"acceptedAnswer": {
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"text": "Le test de diffusion sur gélose et le test d'agar de dilution sont couramment utilisés."
}
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{
"@type": "Question",
"name": "Quels symptômes indiquent une infection à staphylocoque ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Fièvre, rougeur, gonflement et douleur au site d'infection sont des signes courants."
}
},
{
"@type": "Question",
"name": "Quand faut-il suspecter une infection à SARM ?",
"position": 4,
"acceptedAnswer": {
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"text": "En cas d'infections cutanées récurrentes ou de non-réponse aux antibiotiques classiques."
}
},
{
"@type": "Question",
"name": "Quel rôle joue la culture de sang dans le diagnostic ?",
"position": 5,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elle permet d'identifier la présence de bactéries dans le sang et leur sensibilité."
}
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{
"@type": "Question",
"name": "Quels sont les symptômes d'une infection à SARM ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les symptômes incluent des rougeurs, des douleurs, des abcès et parfois de la fièvre."
}
},
{
"@type": "Question",
"name": "Comment se manifeste une infection cutanée ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elle se manifeste par des rougeurs, des gonflements, de la chaleur et des douleurs."
}
},
{
"@type": "Question",
"name": "Quels signes indiquent une infection systémique ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Fièvre élevée, frissons, fatigue extrême et confusion peuvent indiquer une infection grave."
}
},
{
"@type": "Question",
"name": "Les infections à méticilline provoquent-elles des douleurs ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les infections peuvent causer des douleurs localisées ou généralisées selon la gravité."
}
},
{
"@type": "Question",
"name": "Quels symptômes nécessitent une consultation urgente ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des symptômes comme une fièvre élevée, des difficultés respiratoires ou des éruptions cutanées graves."
}
},
{
"@type": "Question",
"name": "Comment prévenir les infections à SARM ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "Pratiquer une bonne hygiène, se laver les mains et éviter le partage d'objets personnels."
}
},
{
"@type": "Question",
"name": "Les antibiotiques préventifs sont-ils efficaces ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'utilisation d'antibiotiques préventifs n'est généralement pas recommandée sans indication."
}
},
{
"@type": "Question",
"name": "Quel rôle joue la vaccination dans la prévention ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Actuellement, il n'existe pas de vaccin spécifique contre le SARM, mais la vaccination générale aide."
}
},
{
"@type": "Question",
"name": "Comment éviter la propagation en milieu hospitalier ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des protocoles stricts d'hygiène et d'isolement des patients infectés sont essentiels."
}
},
{
"@type": "Question",
"name": "Les soins des plaies aident-ils à prévenir les infections ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, un bon soin des plaies réduit le risque d'infection par des bactéries résistantes."
}
},
{
"@type": "Question",
"name": "Quel est le traitement principal des infections à SARM ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les infections à SARM sont généralement traitées avec des antibiotiques comme la vancomycine."
}
},
{
"@type": "Question",
"name": "Comment traiter une infection cutanée causée par SARM ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le traitement peut inclure des antibiotiques et parfois un drainage chirurgical des abcès."
}
},
{
"@type": "Question",
"name": "Les antibiotiques oraux sont-ils efficaces contre SARM ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Certains antibiotiques oraux comme la clindamycine peuvent être efficaces selon la sensibilité."
}
},
{
"@type": "Question",
"name": "Quelle est l'importance de l'antibiogramme ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'antibiogramme détermine la sensibilité des bactéries aux antibiotiques, guidant le traitement."
}
},
{
"@type": "Question",
"name": "Peut-on utiliser la méticilline pour traiter le SARM ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Non, le SARM est résistant à la méticilline et nécessite d'autres antibiotiques."
}
},
{
"@type": "Question",
"name": "Quelles sont les complications possibles d'une infection à SARM ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent des infections profondes, des septicémies et des infections osseuses."
}
},
{
"@type": "Question",
"name": "Comment une infection à SARM peut-elle affecter le cœur ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elle peut provoquer une endocardite, une infection des valves cardiaques, potentiellement mortelle."
}
},
{
"@type": "Question",
"name": "Les infections à SARM peuvent-elles causer des lésions pulmonaires ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, elles peuvent entraîner des pneumonies, surtout chez les patients immunodéprimés."
}
},
{
"@type": "Question",
"name": "Quels risques pour les patients diabétiques ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les patients diabétiques sont plus susceptibles de développer des infections graves à SARM."
}
},
{
"@type": "Question",
"name": "Les infections à SARM peuvent-elles être fatales ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, elles peuvent être mortelles, surtout si elles ne sont pas traitées rapidement et correctement."
}
},
{
"@type": "Question",
"name": "Quels sont les principaux facteurs de risque pour SARM ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les facteurs incluent l'hospitalisation, les interventions chirurgicales et l'immunodépression."
}
},
{
"@type": "Question",
"name": "Le partage d'objets personnels augmente-t-il le risque ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le partage d'objets comme les serviettes ou les rasoirs peut favoriser la transmission."
}
},
{
"@type": "Question",
"name": "Les athlètes sont-ils plus à risque d'infection à SARM ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, en raison des contacts physiques fréquents et des blessures cutanées potentielles."
}
},
{
"@type": "Question",
"name": "Les personnes âgées sont-elles plus vulnérables ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, elles ont un système immunitaire affaibli, ce qui augmente le risque d'infections."
}
},
{
"@type": "Question",
"name": "Les patients en soins intensifs sont-ils à risque ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, en raison de leur état de santé fragile et de l'exposition à des bactéries résistantes."
}
}
]
}
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This study aimed to evaluate the impact of contrast media application on CT attenuation of the bone using a novel calcium-only imaging technique (VCa) from dual-layer spectral detector CT (DLCT), whic...
To evaluate the clinical features and risk factors of iodinated contrast media (ICM)-induced anaphylaxis....
This retrospective study included all patients undergoing contrast-enhanced computed tomography (CT) with intravenous ICM administration (iopamidol, iohexol, iomeprol, iopromide, ioversol) at our hosp...
Of the 76,194 ICM administrations (44,099 men [58 %] and 32,095 women; age, median, 68 years) to 27, 696 patients, anaphylaxis occurred in 45 cases in 45 different patients (0.06 % of administration a...
The overall incidence of anaphylaxis due to ICM was very low. More than half of the cases had no risk factors for ADRs and had no ADRs on past ICM administration, although the ICM type was associated ...
Some radiological contrast agents have been shown to have effects on bacterial growth. In this study, the antibacterial effect and mechanism of action of iodinated X-ray contrast agents (Ultravist 370...
To evaluate the feasibility of an ultra-low volume contrast media (CM) protocol for coronary computed tomography angiography (CTA)....
In total, 214 patients receiving coronary CTA were enrolled prospectively and divided into group A (n=107) receiving a conventional dose of CM and group B (n=107) receiving an ultra-low dose. CT value...
There were significant differences in CT values and radiation doses between groups A and B. In group A, the average RCA, LAD, and LCX CT values were 412.5 ± 79.2, 423.5 ± 73.7, and 422.0 ± 88.1 HU, re...
An ultra-low CM protocol was established for coronary CTA, providing comparable image quality and diagnostic yields but significantly lower radiation dose compared with a conventional protocol. This n...
Adverse drug reactions to iodinated contrast media (ICM) have risen due to their increasing use in x-ray-based imaging modalities. Delayed hypersensitivity reactions are mainly caused by nonionic mono...
To prospectively evaluate the usefulness of skin tests in delayed hypersensitivity reactions to ICM and to evaluate the tolerability of iobitridol, a monomeric nonionic low osmolality compound, as a p...
Patients with delayed hypersensitivity reactions to ICM referred to us from 2020 to 2022 were prospectively enrolled in the study. All patients underwent patch test and, if negative, intradermal test ...
A total of 37 patients (females 24, 64.9%) were enrolled in the study. Iodixanol and iomeprol were the most frequently involved ICM (48.5% and 35.2%, respectively); 62.2% of patients presented maculop...
In at least half of patients, delayed-type hypersensitivity was demonstrated by skin tests, particularly by patch test. This diagnostic approach resulted simple, cost-effective and safe, not only to c...
The recent technological developments in photon-counting detector computed tomography (PCD-CT) and the introduction of the first commercially available clinical PCD-CT unit open up new exciting opport...
The administration of iodinated contrast medium during diagnostic and therapeutic procedures has always been associated with the fear of causing acute kidney injury (AKI) or an exacerbation of chronic...
A literature review on contrast-induced (CI)-AKI risk mitigation strategies was performed, focussing on the recognition of individual risk factors and on the most recent evidence regarding prophylaxis...
Nephrologists can contribute significantly in the CI-AKI context, from the early stages of the decision-making process to stratifying patients by risk, individualising prophylaxis measures based on th...
An unanticipated but severe shortage in iodinated contrast media (ICM) is currently affecting imaging practices across the globe and is expected to persist through at least the end of June 2022. This ...
Two-dimensional (2D) classifications of iodinated contrast media (ICM) are insufficient to explain the observed skin test (ST) reactivity patterns in patients with drug hypersensitivity reactions (DHR...
To refine the current view on allergic DHRs to ICM by analyzing ST reactivity patterns in patients with previous reactions to ICM....
Patients with a history of DHR to ICM and positive STs, who presented at the University Hospital of Montpellier between 2004 and 2022, were included in the study. The relative difference between every...
A total of 181 patients were included in the study. Odds ratio analysis identified significant associations between classical cross-reactive ICM, such as iohexol-ioversol, iohexol-iomeprol, iomeprol-i...
Current chemical (2D) classifications cannot explain all observed ST reactivity patterns. Whether the 3D structure can be integrated into the current classifications to interpret the observed ST react...
The present study investigated the biodegradation of three iodinated X-ray contrast media (ICM), namely, iopamidol, iohexol, and iopromide, in simultaneous nitrification-denitrification (SND) system m...