Nom anglais: Intraoperative Neurophysiological Monitoring
Descriptor UI:D064795
Tree Number:E04.510.500
Termes MeSH sélectionnés :
Staphylococcus aureus
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"name": "Diagnostic",
"headline": "Diagnostic sur Monitorage neurophysiologique peropératoire",
"description": "Qu'est-ce que le monitorage neurophysiologique ?\nQuand est-il utilisé en chirurgie ?\nQuels types de signaux sont surveillés ?\nComment est-il réalisé ?\nQui effectue le monitorage ?",
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"description": "Quels symptômes indiquent une lésion nerveuse ?\nComment le monitorage aide-t-il à détecter des symptômes ?\nQuels signes d'alerte sont surveillés ?\nPeut-on prévenir des symptômes avec ce monitorage ?\nQuels symptômes peuvent persister après la chirurgie ?",
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"description": "Comment le monitorage aide-t-il à prévenir les lésions ?\nQuelles sont les meilleures pratiques pour le monitorage ?\nQuels facteurs augmentent le risque de lésion nerveuse ?\nComment préparer un patient pour le monitorage ?\nQuelle est l'importance de l'équipe chirurgicale ?",
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"description": "Comment le monitorage influence-t-il le traitement chirurgical ?\nQuels traitements sont possibles après une lésion nerveuse ?\nLe monitorage peut-il réduire le besoin de traitements ultérieurs ?\nQuels médicaments peuvent être utilisés après une lésion ?\nComment évaluer l'efficacité du traitement post-opératoire ?",
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"description": "Quelles complications peuvent survenir avec le monitorage ?\nComment gérer une complication pendant la chirurgie ?\nLes complications sont-elles fréquentes ?\nQuelles sont les conséquences d'une lésion nerveuse non détectée ?\nComment minimiser les complications ?",
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"name": "Facteurs de risque",
"headline": "Facteurs de risque sur Monitorage neurophysiologique peropératoire",
"description": "Quels patients sont à risque élevé de lésions nerveuses ?\nComment l'âge influence-t-il le risque ?\nLes maladies préexistantes augmentent-elles le risque ?\nQuel rôle joue l'expérience du chirurgien ?\nComment le type de chirurgie affecte-t-il le risque ?",
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"@type": "Question",
"name": "Qu'est-ce que le monitorage neurophysiologique ?",
"position": 1,
"acceptedAnswer": {
"@type": "Answer",
"text": "C'est une méthode de surveillance de l'activité électrique du cerveau et des nerfs pendant la chirurgie."
}
},
{
"@type": "Question",
"name": "Quand est-il utilisé en chirurgie ?",
"position": 2,
"acceptedAnswer": {
"@type": "Answer",
"text": "Il est utilisé lors d'interventions à risque élevé de lésions nerveuses, comme la chirurgie de la colonne vertébrale."
}
},
{
"@type": "Question",
"name": "Quels types de signaux sont surveillés ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les signaux électriques des nerfs, des muscles et du cerveau sont surveillés pour détecter des anomalies."
}
},
{
"@type": "Question",
"name": "Comment est-il réalisé ?",
"position": 4,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des électrodes sont placées sur la peau ou à l'intérieur du corps pour enregistrer l'activité électrique."
}
},
{
"@type": "Question",
"name": "Qui effectue le monitorage ?",
"position": 5,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un neurophysiologiste ou un anesthésiste formé en monitorage neurophysiologique s'en charge."
}
},
{
"@type": "Question",
"name": "Quels symptômes indiquent une lésion nerveuse ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Engourdissements, faiblesse musculaire ou douleurs peuvent signaler une lésion nerveuse."
}
},
{
"@type": "Question",
"name": "Comment le monitorage aide-t-il à détecter des symptômes ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "Il permet de repérer des changements dans l'activité électrique qui peuvent précéder des lésions."
}
},
{
"@type": "Question",
"name": "Quels signes d'alerte sont surveillés ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des modifications des potentiels évoqués ou des réponses musculaires sont des signes d'alerte."
}
},
{
"@type": "Question",
"name": "Peut-on prévenir des symptômes avec ce monitorage ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, en identifiant rapidement les problèmes, les chirurgiens peuvent ajuster leur technique."
}
},
{
"@type": "Question",
"name": "Quels symptômes peuvent persister après la chirurgie ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des douleurs ou des engourdissements peuvent persister, nécessitant une évaluation post-opératoire."
}
},
{
"@type": "Question",
"name": "Comment le monitorage aide-t-il à prévenir les lésions ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "Il permet de détecter les signes de stress nerveux pendant la chirurgie, permettant des ajustements."
}
},
{
"@type": "Question",
"name": "Quelles sont les meilleures pratiques pour le monitorage ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Utiliser des électrodes de qualité et former le personnel sont des pratiques essentielles."
}
},
{
"@type": "Question",
"name": "Quels facteurs augmentent le risque de lésion nerveuse ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'âge, les antécédents de chirurgie et certaines conditions médicales augmentent le risque."
}
},
{
"@type": "Question",
"name": "Comment préparer un patient pour le monitorage ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Informer le patient sur la procédure et s'assurer qu'il n'a pas de contre-indications."
}
},
{
"@type": "Question",
"name": "Quelle est l'importance de l'équipe chirurgicale ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une communication efficace entre l'équipe chirurgicale et le neurophysiologiste est cruciale."
}
},
{
"@type": "Question",
"name": "Comment le monitorage influence-t-il le traitement chirurgical ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Il permet d'ajuster la technique chirurgicale en temps réel pour éviter des lésions nerveuses."
}
},
{
"@type": "Question",
"name": "Quels traitements sont possibles après une lésion nerveuse ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "La rééducation, la physiothérapie et parfois la chirurgie corrective peuvent être nécessaires."
}
},
{
"@type": "Question",
"name": "Le monitorage peut-il réduire le besoin de traitements ultérieurs ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, en prévenant les lésions, il peut réduire le besoin de traitements post-opératoires."
}
},
{
"@type": "Question",
"name": "Quels médicaments peuvent être utilisés après une lésion ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des analgésiques et des anti-inflammatoires sont souvent prescrits pour gérer la douleur."
}
},
{
"@type": "Question",
"name": "Comment évaluer l'efficacité du traitement post-opératoire ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des tests neurologiques et des évaluations fonctionnelles sont utilisés pour mesurer l'amélioration."
}
},
{
"@type": "Question",
"name": "Quelles complications peuvent survenir avec le monitorage ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des infections, des irritations cutanées ou des réactions allergiques aux électrodes peuvent survenir."
}
},
{
"@type": "Question",
"name": "Comment gérer une complication pendant la chirurgie ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Il est essentiel d'évaluer rapidement la situation et d'ajuster la technique chirurgicale."
}
},
{
"@type": "Question",
"name": "Les complications sont-elles fréquentes ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications sont rares, mais leur gestion est essentielle pour la sécurité du patient."
}
},
{
"@type": "Question",
"name": "Quelles sont les conséquences d'une lésion nerveuse non détectée ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Cela peut entraîner des douleurs chroniques, une faiblesse ou des troubles fonctionnels permanents."
}
},
{
"@type": "Question",
"name": "Comment minimiser les complications ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une préparation adéquate et un monitorage attentif pendant la chirurgie sont essentiels."
}
},
{
"@type": "Question",
"name": "Quels patients sont à risque élevé de lésions nerveuses ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les patients ayant des antécédents de chirurgie ou des maladies neurologiques sont à risque."
}
},
{
"@type": "Question",
"name": "Comment l'âge influence-t-il le risque ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les patients plus âgés ont souvent une récupération nerveuse plus lente, augmentant le risque."
}
},
{
"@type": "Question",
"name": "Les maladies préexistantes augmentent-elles le risque ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des conditions comme le diabète ou l'arthrite peuvent augmenter le risque de lésions nerveuses."
}
},
{
"@type": "Question",
"name": "Quel rôle joue l'expérience du chirurgien ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un chirurgien expérimenté peut réduire le risque de lésions nerveuses grâce à une technique précise."
}
},
{
"@type": "Question",
"name": "Comment le type de chirurgie affecte-t-il le risque ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Certaines chirurgies, comme celles de la colonne vertébrale, présentent un risque plus élevé de lésions."
}
}
]
}
]
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Paronychia is a common inflammatory condition of the nail fold that is often associated with infection. Causes can be fungal, viral, or most commonly, bacterial. Neonatal paronychia is a rare presenta...
The objective of this study was to examine the occurrence, determinants, and outcome of S. aureus bloodstream infections (BSI) diagnosed based on single versus multiple positive initial cultures....
All adults with first episodes of mono-microbial S. aureus BSI in Queensland during 2000-2019 were included....
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Fluoroquinolone (FQ) is a potent antibiotic class. However, resistance to this class emerges quickly which hinders its application. In this study, mechanisms leading to the emergence of multidrug-resi...
S. aureus ATCC 29213 was serially exposed to ciprofloxacin (CIP), ofloxacin (OFL), or levofloxacin (LEV) at sub-minimum inhibitory concentrations (sub-MICs) for 12 days to obtain S. aureus -1 strains ...
A strong and irreversible increase of MICs was observed in all applied FQs (32 to 128 times) in all S. aureus-1 and remained 16 to 32 times in all S. aureus-2. WGS indicated 10 noticeable mutations oc...
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The increasing prevalence of antimicrobial resistance (AMR) in Staphylococcus aureus against commonly used antibiotics is a major global health issue. To prevent the emergence of AMR and maintain the ...
To perform natural transformation, one of the three main Horizontal Gene Transfer mechanisms, bacteria need to enter a physiological differentiated state called genetic competence. Interestingly, new ...
Platelets are recognized as key immune effectors, but they are targets of bacterial virulence factors. In the present study, we aimed to examine the relationship between early platelet dynamics and th...
Electronic medical records of adult patients hospitalized for SAB between July 2012 and November 2020 were retrospectively reviewed for relevant demographic, laboratory, and clinical data. The outcome...
Among the 811 patients evaluated, 29% experienced thrombocytopenia on Day 1. Platelet count nadir occurred on Days 2-3 following SAB onset, and Day 4 was a determining point of platelet count trajecto...
Early platelet dynamics during SAB have prognostic significance and represent an early window for potential platelet-directed therapeutic interventions to improve outcome....
The aim was to compare the incidence of Staphylococcus aureus bacteremia in COVID-19 and non-COVID-19 adult patients during the pandemic period versus the previous two years. Also, we described the ch...
Retrospective study in our tertiary-care centre reviewing S. aureus bacteremia episodes in COVID-19 and non-COVID-19 patients through clinical records and the Microbiology Department database....
In 2018 and 2019, the incidence of S. aureus bacteremia episodes was 1.95 and 1.63 per 1000 admissions respectively. In the pandemic period, global incidence was 1.96 episodes per 1000 non-COVID-19 ad...
We showed a significantly high rates of S. aureus bacteremia incidence in COVID-19 patients and higher methicillin resistance and 15-day mortality rates than in non-COVID-19 patients....
The primary host response to Staphylococcus aureus infection occurs via complement. Complement is an elegant evolutionarily conserved system, playing essential roles in early defences by working in co...
Retrospective cohort study....
The aim was to compare the influence of 2 common vertebral osteomyelitis (VO) causing pathogens on treatment failure within the first year of diagnosis....
VO is mainly caused by Staphylococcus aureus (SA), while enterococci and streptococci (ENST) are also responsible for a significant proportion of VO, particularly in elderly patients. Data on VO cause...
We conducted a retrospective monocentric study including VO patients from 2008 to 2020. Primary outcome was treatment failure defined as death or relapse within 1 year (T1). We compared patients diagn...
Data of 130 VO patients (SA=95; ENST=35) were available at T1. Treatment failure occurred in 37% of SA patients and 23% of ENST patients. On multivariate analysis SA [odds ratio (OR): 3.12; 95% confid...
In our cohort every third patient with VO caused by SA or ENST dies within 1 year. Our findings indicate that patients with VO caused by SA, concomitant IE and/or a high Charlson comorbidity index sco...
Staphylococci and streptococci are the most frequent pathogens isolated from prosthetic joint infections (PJIs). The aim of this study was to analyze the outcome of streptococcal and methicillin-susce...
All monomicrobial streptococcal and MSSA PJIs managed in a French Referral Center (2010-2017) were sampled from the prospective PJIs cohort study. The primary outcome of interest was the cumulative re...
Two hundred and nine patients with 91 streptococcal and 132 staphylococcal infections were analyzed. Patients with streptococcal PJI were older, and infection was more frequently hematogenous. Reinfec...
Reinfection-free survival after DAIR and SAT was better for patients with streptococcal than those with MSSA PJIs. No difference was observed after prosthesis exchange....