Titre : Hawaïen autochtone ou autre insulaire du Pacifique

Hawaïen autochtone ou autre insulaire du Pacifique : Questions médicales fréquentes

Termes MeSH sélectionnés :

Methicillin-Resistant Staphylococcus aureus
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tropicales ?\nComment prévenir les complications liées au diabète ?\nLes complications psychologiques sont-elles courantes ?", "url": "https://questionsmedicales.fr/mesh/D044468?mesh_terms=Methicillin-Resistant+Staphylococcus+aureus&page=2#section-complications" }, { "@type": "MedicalWebPage", "name": "Facteurs de risque", "headline": "Facteurs de risque sur Hawaïen autochtone ou autre insulaire du Pacifique", "description": "Quels sont les principaux facteurs de risque ?\nComment l'environnement influence-t-il la santé ?\nY a-t-il des facteurs génétiques à considérer ?\nQuel impact a le mode de vie sur la santé ?\nComment les inégalités sociales affectent-elles la santé ?", "url": "https://questionsmedicales.fr/mesh/D044468?mesh_terms=Methicillin-Resistant+Staphylococcus+aureus&page=2#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Comment diagnostiquer une maladie chez les Hawaïens autochtones ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "Le diagnostic repose sur l'historique médical, les symptômes et des tests spécifiques." } }, { "@type": "Question", "name": "Quels tests sont recommandés pour les insulaires du Pacifique ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "Des tests sanguins, d'imagerie et des évaluations génétiques peuvent être nécessaires." } }, { "@type": "Question", "name": "Y a-t-il des particularités dans le diagnostic ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des facteurs culturels et environnementaux peuvent influencer le diagnostic." } }, { "@type": "Question", "name": "Comment évaluer les risques de maladies spécifiques ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "Une évaluation des antécédents familiaux et des facteurs environnementaux est cruciale." } }, { "@type": "Question", "name": "Les maladies génétiques sont-elles plus fréquentes ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "Certaines maladies génétiques peuvent être plus fréquentes dans ces populations." } }, { "@type": "Question", "name": "Quels symptômes sont courants chez les Hawaïens autochtones ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes varient, mais incluent souvent des problèmes respiratoires et métaboliques." } }, { "@type": "Question", "name": "Comment les symptômes diffèrent-ils selon les îles ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes peuvent varier en fonction des différences environnementales et génétiques." } }, { "@type": "Question", "name": "Y a-t-il des symptômes spécifiques aux maladies tropicales ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des symptômes comme la fièvre, les éruptions cutanées et la fatigue sont fréquents." } }, { "@type": "Question", "name": "Les symptômes psychologiques sont-ils fréquents ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des symptômes de stress et d'anxiété peuvent être plus présents dans ces populations." } }, { "@type": "Question", "name": "Comment les symptômes sont-ils perçus culturellement ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "La perception des symptômes peut être influencée par des croyances culturelles et traditionnelles." } }, { "@type": "Question", "name": "Quelles sont les stratégies de prévention pour ces populations ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "Des programmes de sensibilisation et d'éducation sur la santé sont essentiels." } }, { "@type": "Question", "name": "Comment promouvoir un mode de vie sain ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Encourager l'activité physique, une alimentation équilibrée et des examens réguliers." } }, { "@type": "Question", "name": "Y a-t-il des campagnes de vaccination spécifiques ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des campagnes ciblées pour des maladies comme l'hépatite B sont mises en place." } }, { "@type": "Question", "name": "Comment réduire les risques de maladies chroniques ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Promouvoir des dépistages réguliers et des interventions précoces est crucial." } }, { "@type": "Question", "name": "Quel rôle joue l'éducation communautaire ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "L'éducation communautaire aide à sensibiliser et à mobiliser les ressources locales." } }, { "@type": "Question", "name": "Quels traitements sont adaptés aux Hawaïens autochtones ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Les traitements doivent être personnalisés, tenant compte des spécificités culturelles et médicales." } }, { "@type": "Question", "name": "Y a-t-il des remèdes traditionnels utilisés ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des remèdes à base de plantes et des pratiques traditionnelles sont souvent utilisés." } }, { "@type": "Question", "name": "Comment intégrer la médecine moderne et traditionnelle ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "Une approche intégrative peut améliorer l'adhésion au traitement et le bien-être global." } }, { "@type": "Question", "name": "Quels médicaments sont couramment prescrits ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "Les médicaments pour les maladies chroniques comme le diabète et l'hypertension sont fréquents." } }, { "@type": "Question", "name": "Comment les traitements varient-ils selon l'île ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "Les traitements peuvent varier en fonction de l'accès aux soins et des ressources disponibles." } }, { "@type": "Question", "name": "Quelles complications sont fréquentes chez ces populations ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Les complications incluent des maladies cardiovasculaires et des troubles métaboliques." } }, { "@type": "Question", "name": "Comment les complications sont-elles gérées ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "La gestion implique un suivi régulier et des ajustements de traitement appropriés." } }, { "@type": "Question", "name": "Y a-t-il des complications spécifiques aux maladies tropicales ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des complications comme la dengue et le chikungunya peuvent survenir." } }, { "@type": "Question", "name": "Comment prévenir les complications liées au diabète ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Un contrôle glycémique rigoureux et des soins des pieds sont essentiels." } }, { "@type": "Question", "name": "Les complications psychologiques sont-elles courantes ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des complications comme la dépression peuvent être fréquentes dans ces populations." } }, { "@type": "Question", "name": "Quels sont les principaux facteurs de risque ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "Les facteurs incluent l'obésité, le tabagisme et l'accès limité aux soins de santé." } }, { "@type": "Question", "name": "Comment l'environnement influence-t-il la santé ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Des facteurs environnementaux comme la pollution et l'accès à l'eau potable jouent un rôle." } }, { "@type": "Question", "name": "Y a-t-il des facteurs génétiques à considérer ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des prédispositions génétiques à certaines maladies sont observées dans ces populations." } }, { "@type": "Question", "name": "Quel impact a le mode de vie sur la santé ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Un mode de vie sédentaire et une mauvaise alimentation augmentent les risques de maladies." } }, { "@type": "Question", "name": "Comment les inégalités sociales affectent-elles la santé ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Les inégalités d'accès aux soins et à l'éducation aggravent les problèmes de santé." } } ] } ] }

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...