Tree Number:D02.455.426.559.389.657.166.175.461.825
Termes MeSH sélectionnés :
Methicillin-Resistant Staphylococcus aureus
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"description": "Comment diagnostiquer une crise d'asthme ?\nQuels tests sont utilisés pour évaluer l'efficacité de la racépinéfrine ?\nQuels symptômes indiquent une obstruction bronchique ?\nComment différencier l'asthme de la BPCO ?\nQuels signes cliniques nécessitent une intervention immédiate ?",
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"@type": "Question",
"name": "Comment diagnostiquer une crise d'asthme ?",
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"text": "Le diagnostic repose sur les antécédents médicaux, l'examen physique et des tests de fonction pulmonaire."
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"@type": "Question",
"name": "Quels tests sont utilisés pour évaluer l'efficacité de la racépinéfrine ?",
"position": 2,
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"text": "Les tests de spirométrie mesurent le volume d'air inhalé et expiré pour évaluer la fonction pulmonaire."
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"@type": "Question",
"name": "Quels symptômes indiquent une obstruction bronchique ?",
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"text": "Les symptômes incluent la toux, la respiration sifflante, et l'essoufflement."
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"@type": "Question",
"name": "Comment différencier l'asthme de la BPCO ?",
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"acceptedAnswer": {
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"text": "L'asthme est réversible avec des bronchodilatateurs, tandis que la BPCO est généralement irréversible."
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"@type": "Question",
"name": "Quels signes cliniques nécessitent une intervention immédiate ?",
"position": 5,
"acceptedAnswer": {
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"text": "Une détresse respiratoire sévère, cyanose ou incapacité à parler sont des signes d'urgence."
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"name": "Quels sont les effets secondaires courants de la racépinéfrine ?",
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"@type": "Question",
"name": "Comment reconnaître une réaction allergique à la racépinéfrine ?",
"position": 7,
"acceptedAnswer": {
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"text": "Les signes incluent éruption cutanée, démangeaisons, et gonflement du visage ou de la gorge."
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"@type": "Question",
"name": "Quels symptômes indiquent une surdose de racépinéfrine ?",
"position": 8,
"acceptedAnswer": {
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"text": "Les symptômes incluent tachycardie, hypertension et agitation excessive."
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"@type": "Question",
"name": "Quels symptômes peuvent nécessiter un changement de traitement ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une aggravation des symptômes respiratoires malgré le traitement peut nécessiter une réévaluation."
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{
"@type": "Question",
"name": "Quels signes indiquent une amélioration après traitement ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une diminution de la toux, une respiration plus facile et une meilleure capacité d'exercice sont des signes d'amélioration."
}
},
{
"@type": "Question",
"name": "Comment prévenir les crises d'asthme ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "Éviter les déclencheurs connus, suivre un plan de traitement et utiliser des médicaments préventifs."
}
},
{
"@type": "Question",
"name": "Quels conseils donner aux patients asthmatiques ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Éduquer sur l'utilisation correcte des inhalateurs et l'importance de la surveillance des symptômes."
}
},
{
"@type": "Question",
"name": "Comment gérer les allergies pour prévenir l'asthme ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Éviter les allergènes, utiliser des antihistaminiques et maintenir un environnement propre."
}
},
{
"@type": "Question",
"name": "Quel rôle joue l'exercice dans la prévention de l'asthme ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'exercice régulier peut améliorer la fonction pulmonaire, mais doit être adapté aux capacités individuelles."
}
},
{
"@type": "Question",
"name": "Comment la vaccination peut-elle aider les asthmatiques ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les vaccinations contre la grippe et le pneumocoque peuvent réduire le risque d'infections respiratoires."
}
},
{
"@type": "Question",
"name": "Comment la racépinéfrine est-elle administrée ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elle est généralement administrée par inhalation via un nébuliseur ou un inhalateur."
}
},
{
"@type": "Question",
"name": "Quelle est la posologie recommandée pour les adultes ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "La posologie varie, mais elle est souvent de 0,5 à 1,0 mg par inhalation, selon les besoins."
}
},
{
"@type": "Question",
"name": "Quels autres traitements peuvent être combinés avec la racépinéfrine ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des corticostéroïdes inhalés peuvent être utilisés en complément pour un meilleur contrôle de l'asthme."
}
},
{
"@type": "Question",
"name": "Quand faut-il éviter d'utiliser la racépinéfrine ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elle doit être évitée en cas d'hypersensibilité connue ou de maladies cardiaques sévères."
}
},
{
"@type": "Question",
"name": "Comment évaluer l'efficacité du traitement par racépinéfrine ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'efficacité peut être évaluée par l'amélioration des symptômes et des tests de fonction pulmonaire."
}
},
{
"@type": "Question",
"name": "Quelles sont les complications possibles de l'asthme non contrôlé ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent des crises d'asthme sévères, des infections pulmonaires et des hospitalisations."
}
},
{
"@type": "Question",
"name": "Comment la racépinéfrine peut-elle affecter le cœur ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elle peut provoquer des palpitations et une augmentation de la fréquence cardiaque chez certains patients."
}
},
{
"@type": "Question",
"name": "Quels risques sont associés à une surutilisation de la racépinéfrine ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une surutilisation peut entraîner une tachyphylaxie, réduisant son efficacité et augmentant les effets secondaires."
}
},
{
"@type": "Question",
"name": "Quelles sont les conséquences d'une mauvaise utilisation des inhalateurs ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une mauvaise utilisation peut entraîner un contrôle insuffisant des symptômes et des exacerbations fréquentes."
}
},
{
"@type": "Question",
"name": "Quels sont les risques d'une dépendance aux bronchodilatateurs ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une dépendance peut conduire à une mauvaise gestion de l'asthme et à des crises plus fréquentes."
}
},
{
"@type": "Question",
"name": "Quels facteurs augmentent le risque d'asthme ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les antécédents familiaux, l'exposition à des allergènes et la pollution de l'air sont des facteurs de risque."
}
},
{
"@type": "Question",
"name": "Comment le tabagisme influence-t-il l'asthme ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le tabagisme aggrave les symptômes de l'asthme et augmente le risque de complications."
}
},
{
"@type": "Question",
"name": "Quel rôle joue l'obésité dans l'asthme ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'obésité peut aggraver l'asthme en augmentant l'inflammation et en réduisant la fonction pulmonaire."
}
},
{
"@type": "Question",
"name": "Quels environnements sont à risque pour les asthmatiques ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les environnements avec des allergènes élevés, comme les moisissures et les pollens, sont à risque."
}
},
{
"@type": "Question",
"name": "Comment le stress affecte-t-il l'asthme ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le stress peut déclencher des crises d'asthme en augmentant l'inflammation et la réactivité bronchique."
}
}
]
}
]
}
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...