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沙特阿拉伯一家三级医疗中心的肠外沙门氏菌病

Extra-intestinal Salmonellosis in a Tertiary Care Center in Saudi Arabia.

作者信息

Alharbi Nada A, Alsaeed Thamir S, Aljohany Arwa S, Alwehaibi Khulood K, Almasaad Munira A, Alotaibi Rawan M, Alotaibi Basil J, Alamoudi Ebtihal A

机构信息

Department of Basic Medical Sciences, Unaizah College of Medicine and Medical Sciences, Qassim University, Qassim, Kingdom of Saudi Arabia.

Department of Pathology and Laboratory Medicine, Microbiology, College of Medicine, King Saud University and King Saud University Medical City, Riyadh, Saudi Arabia.

出版信息

Sudan J Paediatr. 2021;21(2):152-161. doi: 10.24911/SJP.106-1594309379_SJP.

Abstract

infection is one of the most common causes of gastroenteritis worldwide. It is associated with high morbidity and mortality if not treated properly. It has developed resistance to multiple antibiotics. These developments are concerning. This study sought to observe common patterns of invasive infections, such as the common serotypes involved, presentation, sensitive investigations, and effective treatment. This study also aimed to examine the risk factors that can worsen the infection and increase morbidity and mortality. This retrospective analysis included all patients who were diagnosed with invasive infection at King Khalid University Hospital from May 2017 to December 2018. Most patients in this report were immunocompromised; however, a few previously healthy patients. Different types of specimens were collected. Twenty-two patients with invasive were included in this study. Sixteen of them had underlying conditions. The most common presenting symptoms of illness were fever ( = 13), vomiting ( = 6), and diarrhea ( = 4). Most blood samples (94%) were positive for . All patients were discharged except three who died; these were all older patients with comorbidities. Although four different antimicrobial resistance patterns were noticed in this study, ciprofloxacin was the highest significant percentage (62.5%). Of five patients initially treated with ciprofloxacin, three of them expressed resistance to this antibiotic. The findings of this study support that immunocompromised patients and people with extreme ages are more likely to have serious medical illnesses and at higher risk of infection with spp. Therefore, this study emphasises the importance of antimicrobial judicious utilisation. Tackling the escalating antibiotic resistance could be approached by implementing advanced public education levels to maintain high standards of food and water safety. Moreover, the urge to investigating newer drugs against with an acceptable safety profile is a cornerstone to attenuate the rapidly acquired bacterial resistance precisely for those who are immunocompromised. Furthermore, predicting the mortality, morbidity and the clinical response is feasible according to the patient parameters and comorbidities.

摘要

感染是全球范围内肠胃炎最常见的病因之一。若治疗不当,会导致高发病率和死亡率。它已对多种抗生素产生耐药性。这些情况令人担忧。本研究旨在观察侵袭性感染的常见模式,如涉及的常见血清型、临床表现、敏感的检查方法和有效的治疗手段。本研究还旨在探讨可能使感染恶化并增加发病率和死亡率的危险因素。这项回顾性分析纳入了2017年5月至2018年12月在哈立德国王大学医院被诊断为侵袭性感染的所有患者。本报告中的大多数患者免疫功能低下;不过,也有一些此前健康的患者。收集了不同类型的标本。本研究纳入了22例侵袭性感染患者。其中16例有基础疾病。最常见的疾病症状为发热(n = 13)、呕吐(n = 6)和腹泻(n = 4)。大多数血液样本(94%)检测[具体病菌名称]呈阳性。除3例死亡患者外,所有患者均已出院;这3例均为患有合并症的老年患者。尽管本研究发现了四种不同的抗菌药物耐药模式,但环丙沙星的耐药率最高(62.5%)。在最初接受环丙沙星治疗的5例患者中,有3例对该抗生素耐药。本研究结果表明,免疫功能低下的患者和高龄人群更易患严重疾病,感染[具体病菌名称]的风险更高。因此,本研究强调了合理使用抗菌药物的重要性。应对不断升级的抗生素耐药性问题,可以通过提高公众教育水平来维持食品和饮用水安全的高标准。此外,迫切需要研发针对[具体病菌名称]且安全性可接受的新型药物,这是精准减轻免疫功能低下患者迅速产生的细菌耐药性的基石。此外,根据患者参数和合并症预测死亡率、发病率及临床反应是可行的。

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