年轻患者手术部位感染 MRSA

A. Ademi, Ferizat Dika – Haxhirexha, Aulona Haxhirexha, Blerim Fejzuli, K. Haxhirexha, Teuta Emini – Rushiti
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引用次数: 0

摘要

导言:手术部位感染(SSI)是一个全球性的健康问题。虽然各种病原微生物都可能导致 SSI,但主要致病菌是金黄色葡萄球菌,尤其是耐甲氧西林菌株(MRSA)。MRSA 因其对多种抗生素的耐药性而闻名,大大增加了治疗方案的复杂性,导致发病率上升。在某些情况下,尤其是在已有合并症的患者中,MRSA 感染可能会致命。此外,从医院环境中根除 MRSA 也是一项艰巨的挑战。本研究旨在报告两名原本健康的年轻患者在住院期间因手术伤口感染 MRSA 的病例。病例描述:一名 22 岁的女性患者在阑尾切除术后出现 MRSA 感染,一名 12 岁的男性患者在肛门直肠切除术后出现类似并发症。在这两个病例中,MRSA 都是在手术后几天通过微生物培养证实的。根据抗生素图谱,在分离并开始针对性抗生素治疗后,重复培养显示 MRSA 已被成功根除。当患者的总体健康状况稳定后,他们就出院了,并在规定的时间内继续接受门诊抗生素治疗。结论这些病例强调,MRSA 感染通常与老年患者或有潜在健康问题的患者有关,但也可能发生在更年轻、更健康的人身上。对于遇到 MRSA 的医疗机构来说,根除这些感染仍是一项重大挑战。关键词:金黄色葡萄球菌金黄色葡萄球菌 耐甲氧西林 年轻患者 手术部位感染
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Surgical Site Infections with MRSA in young Patients
Introduction: Surgical site infections (SSIs) pose a global health concern. While various pathogenic microorganisms can cause SSIs, a predominant causative agent is Staphylococcus aureus, particularly its methicillin-resistant strain (MRSA). MRSA, known for its resistance to multiple antibiotics, significantly complicates treatment options, leading to increased morbidity. In some cases, particularly among patients with pre-existing comorbidities, MRSA infections can prove fatal. Moreover, eradicating MRSA from hospital settings presents a formidable challenge. This study aims to report on two young, otherwise healthy patients who developed MRSA infections in their surgical wounds during hospitalization. Case Descriptions: A 22-year-old female patient developed an MRSA infection following an appendectomy and a 12-year-old male patient exhibited similar complications post-orchiopexy. In both cases, MRSA presence was confirmed through microbiological cultures a few days post-surgery. Repeated cultures indicated successful MRSA eradication after isolation and initiation of targeted antibiotic therapy based on antibiograms. Once their general health stabilized, the patients were discharged and continued outpatient antibiotic treatment for a prescribed duration. Conclusion: These cases emphasize that MRSA infections, typically associated with elderly patients or those with underlying health conditions, can also occur in younger, healthier individuals. Eradicating these infections remains a significant challenge for healthcare facilities encountering MRSA. Keywords: Staphylococcus aureus, Methicillin-resistant, young patients, Surgical site infections.
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