Titre : Abcès épidural

Abcès épidural : Questions médicales fréquentes

Termes MeSH sélectionnés :

Methicillin-Resistant Staphylococcus aureus
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"inLanguage": "fr", "hasPart": [ { "@type": "MedicalWebPage", "name": "Diagnostic", "headline": "Diagnostic sur Abcès épidural", "description": "Comment diagnostique-t-on un abcès épidural ?\nQuels tests sanguins sont utiles ?\nQuels symptômes indiquent un abcès épidural ?\nL'IRM est-elle toujours nécessaire ?\nPeut-on diagnostiquer sans imagerie ?", "url": "https://questionsmedicales.fr/mesh/D020802?mesh_terms=Methicillin-Resistant+Staphylococcus+aureus&page=2#section-diagnostic" }, { "@type": "MedicalWebPage", "name": "Symptômes", "headline": "Symptômes sur Abcès épidural", "description": "Quels sont les symptômes principaux ?\nLes symptômes varient-ils selon l'âge ?\nY a-t-il des signes neurologiques ?\nComment la douleur se manifeste-t-elle ?\nPeut-on avoir des symptômes sans fièvre ?", "url": "https://questionsmedicales.fr/mesh/D020802?mesh_terms=Methicillin-Resistant+Staphylococcus+aureus&page=2#section-symptômes" }, { "@type": "MedicalWebPage", "name": "Prévention", "headline": "Prévention sur Abcès épidural", "description": "Comment prévenir un abcès épidural ?\nLes patients à risque doivent-ils être surveillés ?\nLes soins post-opératoires sont-ils importants ?\nLes vaccinations aident-elles à prévenir ?\nFaut-il éviter certaines activités ?", "url": "https://questionsmedicales.fr/mesh/D020802?mesh_terms=Methicillin-Resistant+Staphylococcus+aureus&page=2#section-prévention" }, { "@type": "MedicalWebPage", "name": "Traitements", "headline": "Traitements sur Abcès épidural", "description": "Quel est le traitement principal ?\nLes antibiotiques sont-ils toujours nécessaires ?\nQuand faut-il envisager une intervention chirurgicale ?\nY a-t-il des traitements non chirurgicaux ?\nCombien de temps dure le traitement ?", "url": "https://questionsmedicales.fr/mesh/D020802?mesh_terms=Methicillin-Resistant+Staphylococcus+aureus&page=2#section-traitements" }, { "@type": "MedicalWebPage", "name": "Complications", "headline": "Complications sur Abcès épidural", "description": "Quelles sont les complications possibles ?\nPeut-on avoir des séquelles après traitement ?\nComment la septicémie se développe-t-elle ?\nLes complications sont-elles fréquentes ?\nY a-t-il un risque de récidive ?", "url": "https://questionsmedicales.fr/mesh/D020802?mesh_terms=Methicillin-Resistant+Staphylococcus+aureus&page=2#section-complications" }, { "@type": "MedicalWebPage", "name": "Facteurs de risque", "headline": "Facteurs de risque sur Abcès épidural", "description": "Quels sont les principaux facteurs de risque ?\nLes diabétiques sont-ils plus à risque ?\nLe tabagisme influence-t-il le risque ?\nLes personnes âgées sont-elles plus vulnérables ?\nLes antécédents d'abcès augmentent-ils le risque ?", "url": "https://questionsmedicales.fr/mesh/D020802?mesh_terms=Methicillin-Resistant+Staphylococcus+aureus&page=2#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Comment diagnostique-t-on un abcès épidural ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "Le diagnostic se fait par IRM ou scanner, en plus des symptômes cliniques." } }, { "@type": "Question", "name": "Quels tests sanguins sont utiles ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "Des tests de laboratoire peuvent montrer une élévation des globules blancs et des marqueurs inflammatoires." } }, { "@type": "Question", "name": "Quels symptômes indiquent un abcès épidural ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Douleurs dorsales, fièvre, faiblesse, et parfois des troubles neurologiques." } }, { "@type": "Question", "name": "L'IRM est-elle toujours nécessaire ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "L'IRM est souvent recommandée, mais un scanner peut suffire dans certains cas." } }, { "@type": "Question", "name": "Peut-on diagnostiquer sans imagerie ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "Un diagnostic préliminaire peut être fait cliniquement, mais l'imagerie est cruciale." } }, { "@type": "Question", "name": "Quels sont les symptômes principaux ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes incluent douleur intense, fièvre, et parfois des troubles moteurs." } }, { "@type": "Question", "name": "Les symptômes varient-ils selon l'âge ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les symptômes peuvent être plus subtils chez les personnes âgées." } }, { "@type": "Question", "name": "Y a-t-il des signes neurologiques ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des signes comme la faiblesse ou des engourdissements peuvent apparaître." } }, { "@type": "Question", "name": "Comment la douleur se manifeste-t-elle ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "La douleur est souvent localisée dans le dos et peut irradier vers les membres." } }, { "@type": "Question", "name": "Peut-on avoir des symptômes sans fièvre ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Oui, certains patients peuvent ne pas présenter de fièvre malgré un abcès." } }, { "@type": "Question", "name": "Comment prévenir un abcès épidural ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "Maintenir une bonne hygiène et traiter rapidement les infections cutanées." } }, { "@type": "Question", "name": "Les patients à risque doivent-ils être surveillés ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les patients immunodéprimés ou ayant des antécédents d'infections doivent être surveillés." } }, { "@type": "Question", "name": "Les soins post-opératoires sont-ils importants ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des soins appropriés après une chirurgie peuvent prévenir les infections." } }, { "@type": "Question", "name": "Les vaccinations aident-elles à prévenir ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Certaines vaccinations peuvent réduire le risque d'infections, mais pas spécifiquement d'abcès." } }, { "@type": "Question", "name": "Faut-il éviter certaines activités ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Éviter les activités à risque qui pourraient entraîner des infections est conseillé." } }, { "@type": "Question", "name": "Quel est le traitement principal ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Le traitement principal est la chirurgie pour drainer l'abcès, souvent suivi d'antibiotiques." } }, { "@type": "Question", "name": "Les antibiotiques sont-ils toujours nécessaires ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les antibiotiques sont essentiels pour traiter l'infection sous-jacente." } }, { "@type": "Question", "name": "Quand faut-il envisager une intervention chirurgicale ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "Une intervention chirurgicale est nécessaire si l'abcès provoque des symptômes neurologiques." } }, { "@type": "Question", "name": "Y a-t-il des traitements non chirurgicaux ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "Dans certains cas, un traitement médical peut être suffisant, mais c'est rare." } }, { "@type": "Question", "name": "Combien de temps dure le traitement ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "La durée du traitement dépend de la gravité, mais peut durer plusieurs semaines." } }, { "@type": "Question", "name": "Quelles sont les complications possibles ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Les complications incluent des lésions nerveuses, une septicémie, et des douleurs chroniques." } }, { "@type": "Question", "name": "Peut-on avoir des séquelles après traitement ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des séquelles comme des douleurs chroniques ou des déficits neurologiques peuvent survenir." } }, { "@type": "Question", "name": "Comment la septicémie se développe-t-elle ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "La septicémie peut se développer si l'infection se propage dans le sang, nécessitant une attention urgente." } }, { "@type": "Question", "name": "Les complications sont-elles fréquentes ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Les complications sont rares mais peuvent être graves, surtout si le traitement est retardé." } }, { "@type": "Question", "name": "Y a-t-il un risque de récidive ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le risque de récidive existe, surtout si les facteurs de risque ne sont pas gérés." } }, { "@type": "Question", "name": "Quels sont les principaux facteurs de risque ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "Les facteurs incluent l'immunodépression, les infections cutanées, et les antécédents chirurgicaux." } }, { "@type": "Question", "name": "Les diabétiques sont-ils plus à risque ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les patients diabétiques ont un risque accru d'infections et d'abcès épiduraux." } }, { "@type": "Question", "name": "Le tabagisme influence-t-il le risque ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le tabagisme peut affaiblir le système immunitaire et augmenter le risque d'infections." } }, { "@type": "Question", "name": "Les personnes âgées sont-elles plus vulnérables ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les personnes âgées sont plus susceptibles en raison d'un système immunitaire affaibli." } }, { "@type": "Question", "name": "Les antécédents d'abcès augmentent-ils le risque ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Oui, avoir des antécédents d'abcès épiduraux augmente le risque de récidive." } } ] } ] }

Sources (10000 au total)

Methicillin-resistant Staphylococcus aureus-associated orbital cellulitis: a case series.

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...

Predictors of Methicillin-resistant Staphylococcus aureus infection in children with acute osteomyelitis.

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 ...

[Prevalence and risk factors for methicillin-resistant Staphylococcus aureus infection in children].

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...

Vancomycin plus ceftaroline for persistent methicillin-resistant Staphylococcus aureus bacteremia.

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....

Rate of methicillin-resistant Staphylococcus aureus in pediatric emergency departments in Spain.

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 ...

Evaluation of the synergistic effect of ceftaroline against methicillin-resistant Staphylococcus aureus.

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...

Using Methicillin-Resistant Staphylococcus aureus Nasal Screens to Rule Out Methicillin-Resistant S aureus Pneumonia in Surgical Intensive Care Units.

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...

Molecular epidemiology, virulence and antimicrobial resistance of Bulgarian methicillin resistant Staphylococcus aureus isolates.

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...

Comparing Rates of Postoperative Meningitis After Endoscopic Endonasal Procedures Based on Methicillin-Resistant Staphylococcus aureus/Methicillin-Sensitive Staphylococcus aureus Colonization and Antibiotic Prophylaxis.

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...