Chambre de patient : Questions médicales fréquentes
Nom anglais: Patients' Rooms
Descriptor UI:D010362
Tree Number:N02.278.220.640
Termes MeSH sélectionnés :
Methicillin-Resistant Staphylococcus aureus
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"name": "Diagnostic",
"headline": "Diagnostic sur Chambre de patient",
"description": "Comment évaluer l'état d'un patient en chambre ?\nQuels outils sont utilisés pour le diagnostic en chambre ?\nComment surveiller un patient en chambre ?\nQuelles sont les méthodes de diagnostic en chambre ?\nQuel rôle joue l'infirmière dans le diagnostic ?",
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"description": "Quels symptômes peuvent nécessiter une hospitalisation ?\nComment les symptômes sont-ils surveillés en chambre ?\nQuels symptômes indiquent une détérioration ?\nComment signaler des symptômes nouveaux ?\nQuels symptômes nécessitent une intervention rapide ?",
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"description": "Comment prévenir les infections en chambre ?\nQuelles sont les pratiques de prévention des chutes ?\nComment prévenir les escarres en chambre ?\nQuel rôle joue l'éducation des patients dans la prévention ?\nComment prévenir les erreurs médicamenteuses ?",
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"description": "Quelles complications peuvent survenir en chambre ?\nComment gérer les complications en chambre ?\nQuels signes indiquent une complication ?\nComment prévenir les complications post-opératoires ?\nQuel est l'impact des complications sur le séjour ?",
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"name": "Facteurs de risque",
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"description": "Quels facteurs de risque influencent l'hospitalisation ?\nComment les antécédents médicaux affectent-ils le séjour ?\nQuel rôle joue l'environnement dans le risque d'infection ?\nComment le stress affecte-t-il la santé en chambre ?\nQuels comportements augmentent le risque de complications ?",
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"@type": "Question",
"name": "Comment évaluer l'état d'un patient en chambre ?",
"position": 1,
"acceptedAnswer": {
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"text": "L'évaluation se fait par des examens cliniques et des tests diagnostiques."
}
},
{
"@type": "Question",
"name": "Quels outils sont utilisés pour le diagnostic en chambre ?",
"position": 2,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des appareils comme les moniteurs de signes vitaux et les échographes sont utilisés."
}
},
{
"@type": "Question",
"name": "Comment surveiller un patient en chambre ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "La surveillance inclut le suivi des paramètres vitaux et l'observation des symptômes."
}
},
{
"@type": "Question",
"name": "Quelles sont les méthodes de diagnostic en chambre ?",
"position": 4,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les méthodes incluent l'imagerie, les analyses de sang et les examens physiques."
}
},
{
"@type": "Question",
"name": "Quel rôle joue l'infirmière dans le diagnostic ?",
"position": 5,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'infirmière collecte des données et aide à interpréter les résultats des tests."
}
},
{
"@type": "Question",
"name": "Quels symptômes peuvent nécessiter une hospitalisation ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des symptômes graves comme la douleur intense, la fièvre élevée ou la confusion."
}
},
{
"@type": "Question",
"name": "Comment les symptômes sont-ils surveillés en chambre ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les symptômes sont surveillés par des évaluations régulières et des rapports d'infirmières."
}
},
{
"@type": "Question",
"name": "Quels symptômes indiquent une détérioration ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une détérioration peut se manifester par une aggravation de la douleur ou des signes vitaux anormaux."
}
},
{
"@type": "Question",
"name": "Comment signaler des symptômes nouveaux ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les patients doivent informer le personnel soignant immédiatement de tout changement."
}
},
{
"@type": "Question",
"name": "Quels symptômes nécessitent une intervention rapide ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des symptômes comme l'essoufflement ou la perte de conscience nécessitent une attention immédiate."
}
},
{
"@type": "Question",
"name": "Comment prévenir les infections en chambre ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des mesures d'hygiène strictes et l'utilisation d'équipements de protection sont essentielles."
}
},
{
"@type": "Question",
"name": "Quelles sont les pratiques de prévention des chutes ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les pratiques incluent l'évaluation des risques et l'utilisation de dispositifs d'assistance."
}
},
{
"@type": "Question",
"name": "Comment prévenir les escarres en chambre ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le repositionnement régulier et l'utilisation de matelas spéciaux aident à prévenir les escarres."
}
},
{
"@type": "Question",
"name": "Quel rôle joue l'éducation des patients dans la prévention ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'éducation aide les patients à comprendre les risques et à participer activement à leur soin."
}
},
{
"@type": "Question",
"name": "Comment prévenir les erreurs médicamenteuses ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des vérifications systématiques et des protocoles de double vérification sont mis en place."
}
},
{
"@type": "Question",
"name": "Quels traitements sont administrés en chambre ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les traitements incluent des médicaments, des perfusions et des soins de soutien."
}
},
{
"@type": "Question",
"name": "Comment les traitements sont-ils ajustés ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les traitements sont ajustés en fonction de la réponse du patient et des résultats des tests."
}
},
{
"@type": "Question",
"name": "Quel est le rôle des protocoles de traitement ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les protocoles guident les soins et assurent la cohérence dans l'administration des traitements."
}
},
{
"@type": "Question",
"name": "Comment les effets secondaires des traitements sont-ils gérés ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les effets secondaires sont surveillés et gérés par des ajustements de dosage ou des médicaments supplémentaires."
}
},
{
"@type": "Question",
"name": "Quels traitements sont courants pour les infections ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les infections sont souvent traitées avec des antibiotiques et des soins de soutien."
}
},
{
"@type": "Question",
"name": "Quelles complications peuvent survenir en chambre ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent les infections, les thromboses et les réactions aux médicaments."
}
},
{
"@type": "Question",
"name": "Comment gérer les complications en chambre ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "La gestion implique une surveillance étroite et des interventions médicales appropriées."
}
},
{
"@type": "Question",
"name": "Quels signes indiquent une complication ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des signes comme une douleur accrue, une fièvre persistante ou des changements de comportement."
}
},
{
"@type": "Question",
"name": "Comment prévenir les complications post-opératoires ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "La prévention inclut des soins appropriés, une surveillance et une mobilisation précoce."
}
},
{
"@type": "Question",
"name": "Quel est l'impact des complications sur le séjour ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications peuvent prolonger le séjour hospitalier et augmenter les coûts de soins."
}
},
{
"@type": "Question",
"name": "Quels facteurs de risque influencent l'hospitalisation ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des facteurs comme l'âge, les comorbidités et le mode de vie augmentent le risque."
}
},
{
"@type": "Question",
"name": "Comment les antécédents médicaux affectent-ils le séjour ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les antécédents médicaux peuvent influencer le traitement et le risque de complications."
}
},
{
"@type": "Question",
"name": "Quel rôle joue l'environnement dans le risque d'infection ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un environnement non stérile augmente le risque d'infections nosocomiales."
}
},
{
"@type": "Question",
"name": "Comment le stress affecte-t-il la santé en chambre ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le stress peut aggraver les symptômes et retarder la guérison des patients."
}
},
{
"@type": "Question",
"name": "Quels comportements augmentent le risque de complications ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des comportements comme le tabagisme et la sédentarité augmentent le risque de complications."
}
}
]
}
]
}
In recent years, methicillin-resistant Staphylococcus aureus (MRSA) orbital cellulitis (OC) has drawn increasing clinical and public health concern. We present a case series of MRSA OC encountered at ...
A multi-centre retrospective case series investigating MRSA OC in Australia from 2013 to 2022. Patients of all ages were included....
Nine cases of culture-positive non-multi-resistant MRSA (nmMRSA) OC were identified at four tertiary institutions across Australia (7 male, 2 female). Mean age was 17.1 ± 16.7 years (range 13-days to ...
NMMRSA OC can follow an aggressive clinical course causing severe orbital and intracranial complications across a wide demographic. However, early recognition, initiation of targeted antibiotics and s...
Methicillin-resistant Staphylococcus aureus (MRSA) has an increasing prevalence of multi-drug resistance. There is an urgent need for developing novel approaches to combat MRSA infection. Mucosal pent...
This study aims to identify risk factors associated with Methicillin-resistant Staphylococcus aureus (MRSA) infection in children diagnosed with acute osteomyelitis (AO) and to elucidate the laborator...
We conducted a retrospective analysis involving 123 children with acute osteomyelitis treated at our hospital. Upon admission, we measured white blood cell (WBC) counts, C-reactive protein (CRP) level...
The MRSA group had a significantly higher average age compared to the non-MRSA group (P < 0.05). Notably, the incidence of suppurative arthritis was significantly lower in the MRSA group (P < 0.05). A...
In children newly admitted with acute osteomyelitis, a CRP level exceeding 73.23 µg/mL may indicate a high likelihood of MRSA infection. For children with AO who have been hospitalized for three days ...
The objectives of this work were to know the prevalence of methicillin-resistant S. aureus (MRSA) infections in the paediatric population of our health department, to describe the risk factors for inf...
A retrospective, descriptive and analytical study of infections produced by MRSA versus those produced by MSSA was carried out during the years 2014 to 2018. Risk factors for MRSA infection were studi...
162 patients with S. aureus infections were identified. Of these, 25 (15.4%) were MRSA. The highest percentages of MRSA infection occurred among children who required hospital admission (23.4%). In th...
Our results suggest the need to review empirical local treatment regimen using drugs active against MRSA in infections of probable staphylococcal origin admitted to the hospital, especially if they ha...
The preferred antibiotic salvage regimen for persistent methicillin-resistant Staphylococcus aureus bacteremia (MRSAB) is unclear. We sought to evaluate the effectiveness and safety of vancomycin plus...
Single-center, retrospective cohort study between January 1, 2016, and December 31, 2021....
State University of New York Upstate University Hospital, a 748-bed tertiary care, academic medical center in Syracuse, NY....
Adult patients were included if they had blood cultures positive for MRSA ≥72 h, received vancomycin monotherapy initially, and received vancomycin plus ceftaroline for ≥24 h. Patients were excluded i...
Patients were medically complex with a median Pitt bacteremia score of 3, 63.3% (19/30) were admitted to the intensive care unit, and 66.7% (20/30) had infective endocarditis. Vancomycin-associated ac...
Vancomycin plus ceftaroline may represent an effective and well-tolerated salvage regimen option for persistent MRSAB....
Staphylococcus aureus is a common germ in bacterial infections in children. The rate of methicillin-resistant S. aureus (MRSA) is increasing lately....
The main aim is to know the rate of positive cultures to MRSA in Spanish pediatric emergency departments. The secondary aims are to analyse the risk factors for MRSA isolation (patient origin, history...
Retrospective multicenter study (07/01/2017-06/30/2018) with review of patient histories with isolation of S. aureus in samples of any origin obtained in 8 pediatric emergency departments of the Infec...
During this period, S. aureus was detected in 403 patients (average age 75.8 ± 59.2 months; 54.8% male): 28.8% hospital-related infections (HRI) and 71.2% community-related infections (CRI). Overall, ...
The overall MRSA rate was one in 6 staphylococcal infections. Higher MRSA rates were detected in samples of suppurating skin injuries and in foreign children or in children with a history of previous ...
We aimed to determine the synergistic effects of ceftaroline (CPT) in combination with daptomycin (DAP), vancomycin (VAN), or linezolid (LNZ) against various methicillin-resistant Staphylococcus aureu...
MRSA strains randomly selected from 2014 to 2018 were studied. Checkerboard titration and in vitro time-kill analyses were used to determine the synergistic activities of the antibiotic combinations....
A total of 10 genetically distinct MRSA strains were included in this study. The checkerboard titration analysis revealed that the CPT-DAP, CPT-VAN, and CPT-LNZ combinations had a synergistic effect a...
The CPT-DAP combination showed better synergistic activity than the CPT-VAN and CPT-LNZ combinations against the enrolled MRSA strains. DAP, rather than VAN or LNZ, might be a better choice for CPT co...
The methicillin-resistant Staphylococcus aureus (MRSA) polymerase chain reaction (PCR) has a high negative predictive value (NPV). We aimed to understand if there was a difference in the NPV of the MR...
We performed a single-center, retrospective cohort study of adults with a positive respiratory culture and MRSA nasal PCR admitted to a surgical ICU from 2016 to 2019. Patients were stratified by surg...
We analyzed 61 patients: 42.6% (n = 26) ACS-ICU and 57.4% (n = 35) CVICU. There were no differences in age, comorbidities, prior MRSA infection, recent antibiotic use, immunocompromised status, or ren...
The MRSA nasal PCR screen has a high NPV for ruling out MRSA pneumonia in critically ill surgical patients. However, patients in the CVICU and patients hospitalized ≥5 d had a longer time to de-escala...
Severe infections of virulent methicillin-resistant Staphylococcus aureus (MRSA) are a serious health problem. The present study aimed to investigate clonal spread, virulence and antimicrobial resista...
Molecular identification and mecA gene detection were performed with PCR. Clonal relatedness was evaluated by RAPD PCR and MLST. MRSA epidemiology, virulence and resistance patterns were investigated ...
All 27 isolates were identified as S. aureus and were mecA positive, and all were susceptible to linezolid, tigecycline and vancomycin. The toxin genes hlg (in 92.6% of isolates), seb (77.8%), sei (77...
To the best of our knowledge, this study is the first describing the clonal spreading of Bulgarian MRSA and the association with their virulence and resistance determinants. Monitoring of MRSA epidemi...
Endoscopic endonasal approach (EEA) procedures are inherently contaminated due to direct access through the nasopharyngeal mucosa. The reported rate of postoperative meningitis in EEA procedures is 0....
All adult patients who underwent EEA resection at our institution from 2013 to 2021 were retrospectively reviewed. Patients with preoperative cerebrospinal fluid infections were excluded. Data includi...
Of 483 patients identified (mean age, 51 years; range, 18-90 years; 274 [56.7%] female), 80 (16.6%) had a positive preoperative methicillin-resistant Staphylococcus aureus (MRSA)/methicillin-sensitive...
Postoperative rates of meningitis after EEA surgery were not significantly changed based on MRSA/MSSA colonization status of the patient or preoperative decolonization. The utility of preoperative tes...