Tuberculose ultrarésistante aux médicaments : Questions médicales fréquentes
Nom anglais: Extensively Drug-Resistant Tuberculosis
Descriptor UI:D054908
Tree Number:C01.150.252.410.040.552.846.775.500
Termes MeSH sélectionnés :
Case-Control Studies
Questions fréquentes et termes MeSH associés
Diagnostic
5
#1
Comment diagnostiquer la XDR-TB ?
Le diagnostic se fait par culture bactérienne et tests de sensibilité aux antibiotiques.
TuberculoseRésistance aux médicaments
#2
Quels tests sont utilisés pour la XDR-TB ?
Les tests incluent la culture, le test de sensibilité et la PCR pour Mycobacterium tuberculosis.
Mycobacterium tuberculosisTests de laboratoire
#3
Quels symptômes indiquent une XDR-TB ?
Les symptômes incluent toux persistante, fièvre, sueurs nocturnes et perte de poids.
SymptômesTuberculose
#4
La radiographie est-elle utile pour la XDR-TB ?
Oui, la radiographie thoracique peut montrer des lésions pulmonaires caractéristiques.
RadiographieTuberculose
#5
Peut-on détecter la XDR-TB par un test rapide ?
Des tests rapides comme GeneXpert peuvent détecter la résistance aux médicaments.
Tests rapidesRésistance aux médicaments
Symptômes
5
#1
Quels sont les symptômes principaux de la XDR-TB ?
Les symptômes principaux sont toux, fièvre, fatigue, et perte d'appétit.
SymptômesTuberculose
#2
La douleur thoracique est-elle un symptôme ?
Oui, la douleur thoracique peut survenir en raison de l'infection pulmonaire.
Douleur thoraciqueTuberculose
#3
Les sueurs nocturnes sont-elles fréquentes ?
Oui, les sueurs nocturnes sont un symptôme courant de la tuberculose avancée.
Sueurs nocturnesTuberculose
#4
La fatigue est-elle un symptôme de la XDR-TB ?
Oui, la fatigue persistante est souvent rapportée par les patients atteints de XDR-TB.
FatigueTuberculose
#5
Peut-on avoir des symptômes gastro-intestinaux ?
Oui, des symptômes comme la diarrhée peuvent survenir, surtout avec des traitements prolongés.
Symptômes gastro-intestinauxTuberculose
Prévention
5
#1
Comment prévenir la XDR-TB ?
La prévention inclut le dépistage précoce, l'isolement des cas et la vaccination BCG.
PréventionVaccination
#2
Le port de masques est-il recommandé ?
Oui, le port de masques peut réduire le risque de transmission dans les zones à risque.
MasquesTransmission
#3
La vaccination BCG est-elle efficace contre la XDR-TB ?
La vaccination BCG offre une protection limitée contre la XDR-TB, mais reste recommandée.
Vaccination BCGTuberculose
#4
Les contacts doivent-ils être testés ?
Oui, les contacts des patients doivent être testés régulièrement pour détecter la tuberculose.
DépistageContacts
#5
Les soins de santé doivent-ils être formés ?
Oui, la formation des professionnels de santé est cruciale pour gérer la XDR-TB efficacement.
FormationSoins de santé
Traitements
5
#1
Quel est le traitement standard pour la XDR-TB ?
Le traitement standard inclut des antibiotiques spécifiques pendant au moins 18 mois.
TraitementAntibiotiques
#2
Les médicaments de première ligne sont-ils efficaces ?
Non, les médicaments de première ligne ne sont généralement pas efficaces contre la XDR-TB.
Médicaments de première ligneRésistance aux médicaments
#3
Y a-t-il des effets secondaires aux traitements ?
Oui, les traitements peuvent causer des effets secondaires comme nausées et hépatotoxicité.
Effets secondairesHépatotoxicité
#4
La chirurgie est-elle une option de traitement ?
Oui, la chirurgie peut être envisagée pour retirer des lésions pulmonaires dans certains cas.
ChirurgieTuberculose
#5
Les traitements sont-ils coûteux ?
Oui, les traitements de la XDR-TB peuvent être très coûteux et nécessitent un suivi régulier.
Coût des soinsTuberculose
Complications
5
#1
Quelles sont les complications de la XDR-TB ?
Les complications incluent l'insuffisance respiratoire, la septicémie et la mort.
ComplicationsInsuffisance respiratoire
#2
La XDR-TB peut-elle causer des infections secondaires ?
Oui, les patients peuvent développer des infections secondaires en raison d'une immunité affaiblie.
Infections secondairesImmunité
#3
Y a-t-il un risque de transmission accrue ?
Oui, la XDR-TB augmente le risque de transmission dans les communautés vulnérables.
TransmissionCommunautés vulnérables
#4
Les complications affectent-elles la qualité de vie ?
Oui, les complications peuvent gravement affecter la qualité de vie des patients.
Qualité de vieComplications
#5
La résistance aux médicaments complique-t-elle le traitement ?
Oui, la résistance aux médicaments rend le traitement plus long et plus complexe.
Résistance aux médicamentsTraitement
Facteurs de risque
5
#1
Quels sont les principaux facteurs de risque ?
Les facteurs incluent le VIH, la malnutrition, et l'exposition à des cas de tuberculose.
Facteurs de risqueVIH
#2
Le tabagisme augmente-t-il le risque ?
Oui, le tabagisme est un facteur de risque connu pour la tuberculose et ses formes résistantes.
TabagismeTuberculose
#3
Les personnes âgées sont-elles plus à risque ?
Oui, les personnes âgées ont un risque accru en raison d'un système immunitaire affaibli.
Personnes âgéesSystème immunitaire
#4
Les conditions de vie affectent-elles le risque ?
Oui, les conditions de vie surpeuplées et insalubres augmentent le risque de XDR-TB.
Conditions de vieTuberculose
#5
Les travailleurs de la santé sont-ils à risque ?
Oui, les travailleurs de la santé sont exposés à un risque accru de contracter la XDR-TB.
Travailleurs de la santéExposition
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"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le tabagisme est un facteur de risque connu pour la tuberculose et ses formes résistantes."
}
},
{
"@type": "Question",
"name": "Les personnes âgées sont-elles plus à risque ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les personnes âgées ont un risque accru en raison d'un système immunitaire affaibli."
}
},
{
"@type": "Question",
"name": "Les conditions de vie affectent-elles le risque ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les conditions de vie surpeuplées et insalubres augmentent le risque de XDR-TB."
}
},
{
"@type": "Question",
"name": "Les travailleurs de la santé sont-ils à risque ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les travailleurs de la santé sont exposés à un risque accru de contracter la XDR-TB."
}
}
]
}
]
}
Pulmonary Medicine and Tuberculosis, The Third People's Hospital of Shenzhen, The National Clinical Research Center for Infectious Diseases, Shenzhen, China.
Beijing Tuberculosis and Thoracic Tumor Institute, Beijing, China.
Publications dans "Tuberculose ultrarésistante aux médicaments" :
Pulmonary Medicine and Tuberculosis, The Third People's Hospital of Shenzhen, The National Clinical Research Center for Infectious Diseases, Shenzhen, China.
Publications dans "Tuberculose ultrarésistante aux médicaments" :
Graduate Program in Social, Economic and Administrative Pharmacy, Department of Pharmacy, Faculty of Pharmacy, Mahidol University, Bangkok 10400, Thailand.
Publications dans "Tuberculose ultrarésistante aux médicaments" :
Department of Economic and Administrative Pharmacy (EAP), Faculty of Pharmacy, Pham Ngoc Thach University of Medicine, Ho Chi Minh City 700000, Vietnam.
Publications dans "Tuberculose ultrarésistante aux médicaments" :
Department of Bacteriology and Immunology, Beijing Chest Hospital, Capital Medical University/Beijing Tuberculosis and Thoracic Tumor Research Institute, Postal No 9, Beiguan Street, Tongzhou District, Beijing, 101149, People's Republic of China.
Publications dans "Tuberculose ultrarésistante aux médicaments" :
Department of Bacteriology and Immunology, Beijing Chest Hospital, Capital Medical University/Beijing Tuberculosis and Thoracic Tumor Research Institute, Postal No 9, Beiguan Street, Tongzhou District, Beijing, 101149, People's Republic of China. pangyupound@163.com.
Publications dans "Tuberculose ultrarésistante aux médicaments" :
DSI-NRF Centre of Excellence for Biomedical Tuberculosis Research, SAMRC Centre for Tuberculosis Research, Division of Molecular Biology and Human Genetics, Stellenbosch University, Cape Town, South Africa.
Publications dans "Tuberculose ultrarésistante aux médicaments" :
Infections caused by antimicrobial-resistant bacteria are a significant cause of death worldwide, and carbapenemase-producing bacteria are the principal agents. New Delhi metallo-beta-lactamase-1 prod...
A retrospective case-control study with patients hospitalized from January 2012 to February 2018 at the Hospital Civil de Guadalajara "Fray Antonio Alcalde" was designed. During this period, 139 patie...
One hundred and thirty-nine case patients with a KP-NDM-1 isolate and 486 control patients were analyzed. In the case group, acute renal failure was a significant comorbidity, hospitalization days wer...
In this study, the previous use of antibiotics, the use of a urinary catheter, the use of a central venous catheter, the use of mechanical ventilation, and ICU stay were shown to be predictors of infe...
While errors can harm patients they remain poorly studied. This study characterized errors in the care of surgical patients and examined the association of errors with morbidity and mortality....
Errors have been reported to cause <10% or >60% of adverse events. Such discordant results underscore the need for further exploration of the relationship between error and adverse events....
Patients with operations performed at a single institution and abstracted into the American College of Surgeons National Surgical Quality Improvement Program from January 1, 2018, to December 31, 2018...
Of 1899 patients, 170 were defined as cases who experienced a morbidity or mortality. The majority of cases (n=93; 55%) had at least 1 error; of the 329 matched control patients, 112 had at least 1 er...
Errors in surgical care were associated with postoperative morbidity. Reducing errors requires measurement of errors....
Iron deficiency is a common problem in subfertile women. The influence of iron status on unexplained infertility is unknown....
In a case-control study, 36 women with unexplained infertility and 36 healthy non-infertile controls were included. Parameters of iron status including serum ferritin and a serum ferritin <30 µg/dL se...
Women with unexplained infertility demonstrated a lower transferrin saturation (median 17.3%, IQR 12.7-25.2 versus 23.9%, IQR 15.4-31.6;...
Ferritin levels <30µg/L were associated with unexplained infertility and might be screened in the future. Further studies with a focus on iron deficiency and iron treatment on women with unexplained i...
There are few studies published referring to bariatric surgery in patients older than 70 years. The aim of this study is to evaluate whether there are benefits to performing sleeve gastrectomy (SG) in...
Data were retrospectively collected from a Private Clinic's electronic medical records of patients undergoing SG between June 2017 and September 2020. Inclusion criteria were patients older than 70 ye...
Fifty patients were included in the study. Both groups were similar regarding gender, weight, BMI, and presence of DM. The 30-day morbidity and mortality were similar between the groups. The patients ...
The sleeve gastrectomy surgery performed in patients over 70 years of age is safe. The early results suggest similar benefits regarding weight loss and improvement of comorbidities to those having SG ...
The etiology of diverticulitis is multifactorial and poorly understood. We estimated the familiality of diverticulitis using the Utah Population Database, a statewide database linking medical records ...
We identified patients with diverticulitis diagnosed between 1998 and 2018 and age- and sex-matched controls in the Utah Population Database. Risk of diverticulitis in family members of patients and c...
The study population included 9,563 diverticulitis patients (with 229,647 relatives) and 10,588 controls (with 265,693 relatives). Relatives of patients were more likely to develop diverticulitis (inc...
Our results indicate that the first-, second-, and third-degree relatives of diverticulitis patients are at elevated risk of developing diverticulitis. This information may aid surgeons in counseling ...
This study aimed to investigate the clinical and laboratory as well as radiological features of spondyloarthritis (SpA) patients with thrombocytosis and to explore risk factor for thrombocytosis in Sp...
A total of 145 patients with SpA were included in this study, and non-thrombocytosis was identified in 76 patients while thrombocytosis was found in 69 patients, 38 out of the 69 patients received ant...
The proportion of hip involvement (60.86% vs 36.84%, p = 0.004), bath ankylosing spondylitis disease activity index score (4.24 ± 0.55 vs 3.69 ± 0.67, p < 0.001), erythrocyte sedimentation rate (62.22...
SpA patients with thrombocytosis have a higher proportion of hip involvement and disease activity compared to non-thrombocytosis SpA patients. The potential risk factors for thrombocytosis in SPA pati...
Recent studies of the vaginal microbiome have led to a better understanding of the microbiota and interactions with the host environment, however the role of the vaginal microbiome in vestibulodynia r...
This study aims to investigate and examine differences in the bacterial and fungal microbiome among patients with vestibulodynia and healthy controls....
A case-control study was conducted examining the vaginal microbiome of 29 patients with vestibulodynia and 26 controls through Stony Brook University Obstetrics and Gynecology ambulatory clinic. Exclu...
Principal component analysis (PCA) and linear discriminant analysis effect size (LefSe) were used to identify differences in relative abundance of operational taxonomic units (OTUs) for the vaginal mi...
Lactobacillus species were dominant amongst both cases and controls. PCA of 16S and ITS OTUs did not show significant differences in microbiome composition between vestibulodynia patients and controls...
Additional studies are needed to further assess the clinical significance of these findings....
Strengths of this study include ITS amplicon sequence analysis for fungal species diversity. Limitations of this study include small sample size and lack of racial diversity....
Our study did not find significant differences in composition or diversity between the vaginal microbiomes of cases of vestibulodynia and controls; however, the data suggests differences in abundance ...
Varied reports suggest a contentious relationship of bladder malignancy with pioglitazone in patients with type 2 diabetes....
To study an association (prevalence and predictors) of bladder malignancy with pioglitazone therapy in Asian-Indian type 2 diabetes patients....
In this observational multicenter study, type 2 diabetic patients attending out-patient diabetes-clinic were evaluated. A detailed history of anti-diabetic medication, dose, duration, pioglitazone usa...
A total of 8000 patients were screened out of which 1560 were excluded. Among 6440 included patients, 1056 (16.3%) patients were in group A and 5384 (83.6%) group B. Patients on pioglitazone were olde...
Pioglitazone use in Asian-Indians is not associated with an increased bladder cancer risk. However, pioglitazone should be restricted in individuals with history of hematuria. Age more than 58 years i...
Multiple chemical sensitivity (MCS) is a chronic condition characterized by the appearance of symptoms caused by exposure to chemical compounds that are tolerable for the general population. It mainly...
Stroke is the leading cause of mortality in China. DNA methylation has essential roles in multiple diseases, but its association with stroke was barely studied. We hereby explored the association betw...
The association was discovered in a hospital-based case-control study (cases/controls = 190:190) and further validated in a prospective nested case-control study including 139 cases who developed stro...
In our study, altered HTRA1 methylation was associated with stroke at clinical and preclinical stages and thus may provide a potential biomarker in the blood for the risk evaluation and preclinical de...
