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89例药疹患者的致敏药物分析
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作者 张亚丽 李君 +3 位作者 梁粟 王雪 曹娟梅 贾雪松 《皮肤性病诊疗学杂志》 2024年第9期588-594,共7页
目的探讨药疹住院患者的临床特征及常见致敏药物、药疹类型,分析药疹的相关诱发因素,为临床合理用药及预防药疹的发生提供参考。方法回顾性分析2019年4月至2023年12月底石河子大学第一附属医院确诊为药疹的患者临床数据,包括药疹类型、... 目的探讨药疹住院患者的临床特征及常见致敏药物、药疹类型,分析药疹的相关诱发因素,为临床合理用药及预防药疹的发生提供参考。方法回顾性分析2019年4月至2023年12月底石河子大学第一附属医院确诊为药疹的患者临床数据,包括药疹类型、使用致敏药物原因、致敏药物、潜伏期、发热情况、住院时间、治疗与转归等。结果药疹患者共89例,占皮肤科同期住院总病例的2.90%。轻症药疹63例(70.79%),以发疹型为主;重症药疹26例(29.21%),以重症多形红斑(SJS)为主。使用致敏药物原因以感染性疾病最多(44例,占49.44%)。63例(70.79%)为单一药物致敏,其中前3位的致敏药物类别为抗生素类(33.33%)、中成药(26.98%)、抗癫痫药(14.29%)。轻症药疹潜伏期平均(4.56±6.14)d,重症药疹潜伏期平均(9.35±11.33)d,差异有统计学意义(t=2.03,P=0.025)。19.05%轻症药疹以及46.15%重症药疹患者初期并发高热。89例药疹平均住院(9.02±3.58)d,轻症药疹与重症药疹患者住院时间无统计学差异(t=3.06,P=0.05)。89例患者中,有46例(51.69%)系统应用糖皮质激素,其中2例重症药疹联用丙种球蛋白治疗,2例重症药疹联用肿瘤坏死因子(TNF)-α拮抗剂。未随访到死亡病例。结论本地区药疹类型以发疹型为主,抗生素类、中成药、抗癫痫药是前3位的致敏药物种类。多数药疹初期并发高热,尤其是重症药疹,但重症药疹与轻症药疹间住院时间无差异。早期足量应用糖皮质激素或联合治疗可缩短重症药疹的住院时间。 展开更多
关键词 药疹 β类酰胺类 卡马西平 拉莫三嗪 糖皮质激素
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Isolation of Multi-Drug Resistant Paenibacillus sp. from Fertile Soil: An Imminent Menace of Spreading Resistance
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作者 Pallavi B. Pednekar Roopesh Jain +1 位作者 Narsinh L. Thakur Girish B. Mahajan 《Journal of Life Sciences》 2010年第5期15-19,共5页
There are a good number of reports in the literature stating spread of resistance from normal soil flora to nosocomial microorganism through various ways. Similarly during the study of antimicrobial susceptibility pat... There are a good number of reports in the literature stating spread of resistance from normal soil flora to nosocomial microorganism through various ways. Similarly during the study of antimicrobial susceptibility pattern in the microflora, a multidrug resistant bacterium has been isolated from soil collected in Maharashtra state (India). The bacterium exhibited a resistance to various classes of antibiotics namely glycopeptide, beta-lactams, aminoglycosides, macrolides and lincosomides. The bacterial strain showed its resemblance to the genus Paenibacillus. This constitutes the first report of its kind as to the multi-drug resistance trait in the genus Paenibacillus phenotype, especially in close phylogenetic neighbour of Paenibacillus daejeonensis. The resistance pattern displayed by this strain particularly highlights the possible presence of multiple resistant determinants in microflora of the soil rhizosphere. In view of the recent reports about the Paenibacillus spp. in clinical derived strains, such multi-drug resistance factors in this genus adds to menace of transmission of resistance to common soil originating pathogen. The data also supports the fact that the resistances to certain antibiotics need not always be due to exposure to particular antibiotic or similar substance. 展开更多
关键词 Paenibacillus daejeonensis multi-drug resistant PAENIBACILLUS
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