RESUMO
Chronic kidney disease patients are at high risk for infections because of multidrug-resistant organisms. Infections are the second most common cause of death in patients with ESRD. Patients with ESRD are prone to infections given alterations in immunity, increased rates of colonization with multidrug-resistant organisms, increased hospitalizations, and interactions with health care systems. Infections range from urinary tract infections, pneumonia, skin and soft tissue infections, central line-associated bloodstream infections to sepsis. A coordinated collaborative effort using a multipronged approach must be stressed to reduce the burden of infections. Preventive measures such as hand hygiene, antibiotic stewardship, immunizations, and minimizing central venous catheters are critical to curtail infections with multidrug-resistant organisms. Empirical and targeted treatment for multidrug-resistant organisms may require collaboration with infectious disease providers to improve outcomes in these serious infections. It is imperative to address multidrug-resistant organisms in ESRD patients at this juncture to improve medical outcomes now and for the future.
Assuntos
Antibacterianos/uso terapêutico , Infecções Bacterianas/prevenção & controle , Farmacorresistência Bacteriana Múltipla , Falência Renal Crônica/terapia , Gestão de Antimicrobianos , Infecções Bacterianas/tratamento farmacológico , Infecções Bacterianas/microbiologia , Infecções Relacionadas a Cateter/microbiologia , Infecções Relacionadas a Cateter/prevenção & controle , Desinfecção , Higiene das Mãos , Humanos , Isolamento de Pacientes , Pneumonia/microbiologia , Pneumonia/prevenção & controle , Diálise Renal , Sepse/microbiologia , Sepse/prevenção & controle , Infecções Urinárias/microbiologia , Infecções Urinárias/prevenção & controleRESUMO
Infections with chlorophyllic algae are uncommon. Invasive infection with Desmodesmus armatus developed in two patients independently after they each sustained a penetrating freshwater injury.
Assuntos
Clorófitas , Traumatismos do Pé/complicações , Água Doce , Traumatismos do Joelho/complicações , Infecções dos Tecidos Moles/etiologia , Ferimentos Penetrantes/complicações , Adulto , Sequência de Bases , Clorófitas/anatomia & histologia , Clorófitas/genética , Fraturas do Fêmur/complicações , Humanos , Luxações Articulares/complicações , Masculino , Filogenia , Adulto JovemRESUMO
A 52-year-old male patient with a history of sarcoidosis and over 10â years of chronic low-dose glucocorticoid use, cirrhosis and type 2 diabetes mellitus presented with two painful, enlarging subcutaneous nodules ultimately identified as Colletotrichum gloeosporioides. Two attempts at needle aspiration of the larger nodule resulted in rapid reaccumulation. Complete surgical excision of both nodules resulted in complete resolution without the use of any concomitant antifungals. Patient had no recurrence at 2â years of follow-up.
Assuntos
Colletotrichum , Hospedeiro Imunocomprometido , Micoses/imunologia , Micoses/cirurgia , Infecções dos Tecidos Moles/imunologia , Infecções dos Tecidos Moles/cirurgia , Diabetes Mellitus Tipo 2/complicações , Humanos , Cirrose Hepática/complicações , Masculino , Pessoa de Meia-Idade , Micoses/complicações , Paracentese , Sarcoidose/complicações , Infecções dos Tecidos Moles/complicações , Resultado do TratamentoRESUMO
Extraintestinal manifestatation such as prosthetic joint infection due to Clostridium difficile is a rare diagnosis. A 47-year-old female patient presented with chronic pain in left shoulder prosthetic joint. Plain roentgenogram of left shoulder prosthetic joint revealed anterior dislocation and loosening of prosthesis. The synovial fluid cultures and intraoperative deep joint cultures repeatedly grew Clostridium difficile. Patient was treated with antimicrobial therapy and surgical debridement with complete removal of hardware and revision arthroplasty.