Titre : Lactames macrocycliques

Lactames macrocycliques : Questions médicales fréquentes

Termes MeSH sélectionnés :

Fentanyl
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facteurs augmentent le risque d'infection ?\nLes antécédents d'allergies influencent-ils le traitement ?\nLe mode de vie affecte-t-il le risque d'infection ?\nLes personnes âgées sont-elles plus à risque ?\nLes voyages augmentent-ils le risque d'infections ?", "url": "https://questionsmedicales.fr/mesh/D047029?mesh_terms=Fentanyl&page=2#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Comment diagnostiquer une infection bactérienne ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "Le diagnostic repose sur des cultures bactériennes et des tests de sensibilité." } }, { "@type": "Question", "name": "Quels tests sont utilisés pour les lactames macrocycliques ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "Des tests de sensibilité aux antibiotiques sont effectués pour évaluer l'efficacité." } }, { "@type": "Question", "name": "Quels symptômes indiquent une infection nécessitant des lactames ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Fièvre, douleur, inflammation et signes d'infection localisée peuvent indiquer une infection." } }, { "@type": "Question", "name": "Comment évaluer l'efficacité des lactames macrocycliques ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "L'efficacité est évaluée par l'amélioration clinique et la réduction des cultures positives." } }, { "@type": "Question", "name": "Quels examens d'imagerie sont utiles ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "Des radiographies ou IRM peuvent être utilisées pour évaluer des infections profondes." } }, { "@type": "Question", "name": "Quels sont les symptômes d'une infection bactérienne ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Fièvre, frissons, douleur, rougeur et gonflement au site d'infection sont fréquents." } }, { "@type": "Question", "name": "Les lactames provoquent-ils des effets secondaires ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des effets secondaires comme des éruptions cutanées ou des troubles gastro-intestinaux peuvent survenir." } }, { "@type": "Question", "name": "Comment reconnaître une réaction allergique ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "Des démangeaisons, un gonflement ou des difficultés respiratoires peuvent indiquer une allergie." } }, { "@type": "Question", "name": "Quels signes d'infection nécessitent une attention médicale ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Une fièvre élevée persistante ou des douleurs intenses doivent être évaluées par un médecin." } }, { "@type": "Question", "name": "Les lactames macrocycliques affectent-ils le système digestif ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Oui, ils peuvent causer des nausées, vomissements ou diarrhées chez certains patients." } }, { "@type": "Question", "name": "Comment prévenir les infections bactériennes ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "Une bonne hygiène, des vaccinations et un usage prudent des antibiotiques aident à prévenir." } }, { "@type": "Question", "name": "Les lactames macrocycliques sont-ils utilisés en prophylaxie ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Oui, ils peuvent être utilisés en prophylaxie pour prévenir des infections post-chirurgicales." } }, { "@type": "Question", "name": "Quelles mesures d'hygiène sont recommandées ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Se laver les mains régulièrement et éviter le contact avec des personnes malades sont essentiels." } }, { "@type": "Question", "name": "Les vaccinations aident-elles contre les infections ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Oui, certaines vaccinations peuvent réduire le risque d'infections bactériennes spécifiques." } }, { "@type": "Question", "name": "Comment éviter la résistance aux antibiotiques ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Utiliser les antibiotiques uniquement lorsque nécessaire et suivre les prescriptions médicales." } }, { "@type": "Question", "name": "Comment les lactames macrocycliques sont-ils administrés ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Ils peuvent être administrés par voie intraveineuse ou orale, selon l'infection." } }, { "@type": "Question", "name": "Quel est le mécanisme d'action des lactames ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "Ils inhibent la synthèse de la paroi cellulaire bactérienne, entraînant la mort des bactéries." } }, { "@type": "Question", "name": "Combien de temps dure un traitement typique ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "La durée du traitement varie, mais elle est généralement de 7 à 14 jours selon l'infection." } }, { "@type": "Question", "name": "Quels antibiotiques sont des lactames macrocycliques ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "Des exemples incluent la méropénème et l'imipénème, utilisés pour des infections graves." } }, { "@type": "Question", "name": "Comment gérer les effets secondaires des lactames ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "Il est important de signaler tout effet indésirable au médecin pour ajuster le traitement." } }, { "@type": "Question", "name": "Quelles complications peuvent survenir avec les lactames ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Des réactions allergiques graves ou des infections secondaires peuvent survenir." } }, { "@type": "Question", "name": "Comment gérer une surinfection ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Une évaluation médicale est nécessaire pour ajuster le traitement et cibler la nouvelle infection." } }, { "@type": "Question", "name": "Les lactames peuvent-ils causer des troubles rénaux ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "Oui, certains lactames peuvent affecter la fonction rénale, nécessitant une surveillance." } }, { "@type": "Question", "name": "Quels sont les signes d'une réaction sévère ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Des symptômes comme des difficultés respiratoires ou un gonflement du visage nécessitent une urgence." } }, { "@type": "Question", "name": "Les lactames macrocycliques peuvent-ils interagir avec d'autres médicaments ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Oui, ils peuvent interagir avec d'autres médicaments, il est donc important d'informer le médecin." } }, { "@type": "Question", "name": "Quels facteurs augmentent le risque d'infection ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "L'immunodépression, le diabète et les interventions chirurgicales augmentent le risque." } }, { "@type": "Question", "name": "Les antécédents d'allergies influencent-ils le traitement ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des antécédents d'allergies aux antibiotiques peuvent limiter les options de traitement." } }, { "@type": "Question", "name": "Le mode de vie affecte-t-il le risque d'infection ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Oui, un mode de vie sédentaire et une mauvaise alimentation peuvent augmenter le risque." } }, { "@type": "Question", "name": "Les personnes âgées sont-elles plus à risque ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les personnes âgées ont un système immunitaire affaibli, les rendant plus vulnérables." } }, { "@type": "Question", "name": "Les voyages augmentent-ils le risque d'infections ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les voyages peuvent exposer à des agents pathogènes inconnus, augmentant le risque d'infection." } } ] } ] }

Sources (847 au total)

Interactions of fentanyl with blood platelets and plasma proteins: platelet sensitivity to prasugrel metabolite is not affected by fentanyl under in vitro conditions.

Clinical trials indicate that fentanyl, like morphine, may impair intestinal absorption and thus decrease the efficacy of oral P2Y... Blood was obtained from healthy volunteers (19 women and 12 men; mean age 40 ± 13 years). Platelet function was measured in whole blood, platelet-rich plasma and in suspensions of isolated platelets b... When applied at therapeutic and supratherapeutic concentrations under various experimental conditions, fentanyl had no potential to stimulate platelet activation and aggregation, or potentiate platele... It does not seem that the delayed platelet responsiveness to oral P2Y...

Non-fentanyl new synthetic opioids - An update.

New synthetic opioids (NSO) constitute one of the fastest-growing group of New Psychoactive Substances, which emerged on the illicit drug marker in the second half of 2000's. The most popular and the ... PubMed, Scopus and Google Scholar were searched for appropriate articles up to December 2022. Moreover, a search for reports was conducted on Institutional websites to identify documentation published... Non-fentanyl derived synthetic opioids, i.e., 2-benzylbenzimidazoles (nitazenes), brorphine, U-compounds, AH-7921, MT-45 and related compounds are characterized, describing them in terms of available ... Current review presents key information on non-fentanyl derived NSO. Access to upto-date data on substances of abuse is of great importance for clinicians, public health authorities and professionals ...

Fentanyl for labour pain management: a scoping review.

Labour pain has been identified as an important reason for women to prefer caesarean section (CS). Fentanyl is one of the short acting opioids recommended by World Health Organization for pain relief ... We included the records published until 31 December 2021 which reported administration of fentanyl to women with normal labour for labour pain relief. Data were extracted by one reviewer and checked b... We included 51 records from 49 studies in our scoping review. The studies were conducted in 12 countries, mostly high-income countries. The study designs of the 51 included records were varied as foll... There is limited primary evidence especially randomised controlled trials to evaluate the effectiveness and harms of different routes of fentanyl in low- or middle-income countries. There is a need fo...

Intranasal Fentanyl for On-the-Hill Analgesia by Ski Patrol.

Intranasal fentanyl offers a means for safe and effective pain management in austere environments. Prehospital analgesia traditionally involves intravenous or intramuscular medication. However, for wi... We conducted a retrospective review of health records to evaluate the safety and efficacy of intranasal fentanyl administered by EMT-Basic certified ski patrollers. Our primary aim was to measure the ... We compiled the results from the winter seasons for 2007 through 2012 and 2016 through 2020. A total of 247 patients were included. The initial pain score was 8.6±1.5 (mean±SD). The decrease in pain s... Traditional standard of care analgesics are invasive, elongate scene times, and increase the risk of environmental exposure and provider needlestick. Intranasal fentanyl offers a safe, noninvasive, an...

Drug Decriminalization, Fentanyl, and Fatal Overdoses in Oregon.

With the implementation of Measure 110 (M110) in 2021, Oregon became the first US state to decriminalize small amounts of any drug for personal use. To date, no analysis of the association of this law... To evaluate whether the decriminalization of drug possession in Oregon was associated with changes in fatal drug overdose rates after accounting for the rapid spread of fentanyl in Oregon's unregulate... In this cohort study, the association between fatal overdose and enactment of M110 was analyzed using a matrix completion synthetic control method. The control group consisted of the 48 US states and ... Measure 110 took effect in Oregon on February 1, 2021.... The primary outcome assessed was fatal drug overdose rates per half-year. A changepoint analysis also determined when each state experienced a rapid escalation of fentanyl in its unregulated drug mark... In this analysis, rapid spread of fentanyl in Oregon's unregulated drug supply occurred in the first half of 2021, contemporaneous with enactment of M110. A positive crude association was found betwee... In this cohort study of fatal drug overdose and the spread of fentanyl through Oregon's unregulated drug market, no association between M110 and fatal overdose rates was observed. Future evaluations o...

'Walking epidural': comparison of the analgesic efficacy of levobupivacaine 0.0625% + fentanyl 2mcg/mL versus ropivacaine 0.075% + fentanyl 2mcg/mL.

Epidural infusion with low local anesthetic concentrations with opiates decrease the severity of the motor blockade associated. The present study aims to compare the analgesic efficacy and the motor b... In a single-blind prospective randomized study, 60 laboring parturient had continuous epidural analgesia as follows: 30 of them received levobupivacaine 0.0625% + fentanyl 2mcg/mL and 30 of them recei... After 2 h of the catheter placement, patients who received levobupivacaine showed a mean VAS of 3.2 [1.8-4.6] versus 1.8 [1.2-2.5] (p = 0.05) in patients who received ropivacaine. In addition, patient... Both infusions (levobupivacaine 0.0625% + fentanyl 2mcg/mL and ropivacaine 0.075% + fentanyl 2mcg/mL) are effective for labor analgesia. However, ropivacaine would present a better pharmacodynamic pro...