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Articolul urmator |
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SM ISO690:2012 PALEGA, Daniela, PALII, Ina, CEPRAGA, Victoria, TONTICI, Ecaterina, CEBOTARI, Corina, LEAHU, Alina, ŞCIUCA, Svetlana. Mixed chronical pulmonary infections in child with cystic fibrosis. In: Cercetarea în biomedicină și sănătate: calitate, excelență și performanță, Ed. 1, 20-22 octombrie 2021, Chişinău. Chișinău, Republica Moldova: 2021, p. 386. ISBN 978-9975-82-223-7 (PDF).. |
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Cercetarea în biomedicină și sănătate: calitate, excelență și performanță 2021 | ||||||
Conferința "Cercetarea în biomedicină și sănătate: calitate, excelență și performanță" 1, Chişinău, Moldova, 20-22 octombrie 2021 | ||||||
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Pag. 386-386 | ||||||
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Rezumat | ||||||
Background. The association of mixed pulmonary infections represents an aggravating factor of the natural course of Cystic Fibrosis (CF) thus the appearance of chronic bronchopulmonary processes induces antibiotic resistance, rapid health deterioration and significant decrease in quality of life. Objective of the study. Presentation of a case of CF in a child with chronical mixed pulmonary infection determined by Pseudomonas aeruginosa, Staphylococcus aureus, Aspergillus. Material and Methods. The patient was completely investigated by CT, lung scintigraphy, ECHO, laboratory examinations, bacteriological analysis of sputum, serological tests for Aspergilusfumigatus. Clinical cases of CF without mixed infections and other scientific data were studied. Results. A 12 years old girl with CF diagnosed at 5 years was hospitalized in a critical condition caused by bronchiectasis and pleurisy. The dynamics of CT and lung scintigraphy revealed the total loss of left lung function and an important alteration of the right one in last 5 years when there were multiple episodes of lung infections without professional care. Repeated sputum bacteriologies found antibiotic resistant strains of Ps. aeruginosa and S. Aureus, in serological test - Aspergilusfumigatus. Dispite the complex treatment with carbapenems, aminoglycosides, antifungal and Colistin the prognosis remained reserved because of long time inefficient control of chronic lung infections. Conclusion. Patients with CF require systematic medical supervision with regular treatment adjustment in order to control the chronic pulmonary infection that can lead to antibiotic resistance, clinical complications, organic and functional loss and rapid induction of the terminal phase of disease |
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Cuvinte-cheie child, cystic fibrosis, mixed infection, antibiotic resistance, copil, Fibroza chistică, infecție mixtă, antibiorezitență |
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