Hutachiona hutachiona hwehutachiona muvarwere vane COVID-19: chinyorwa "Kana maviri pamutengo weimwe isiri yekutengeserana: kufungidzira kuwanda uye hutachiona hwehutachiona hwehutachiona hwehutachiona mune varwere vane COVID-19" (PDF kumagumo), kubva kwarakatorwa chikamu chemusoro wenyaya, chinotungamira mukufungisisa chaiko pamusoro penyaya yekubatana-hutachiona uye COVID-19 iyo inofanirwa kudzikiswa uye inoratidza kuverenga kwekuongororwa kwenyaya pachinhu ichi.

Kuwanda uye hutachiona hwehutachiona hwehutachiona hwehutachiona hwevarwere vane chirwere cheSARS-CoV-2 hachisati chazivikanwa.

Isu tinoziva kuti kune vanhu vane hutachiona hwehutachiona hwehutachiona hwehutachiona, kuvepo kwehutachiona hwehutachiona hwakabatana kwakabatana nemhedzisiro yakaipa yekiriniki.

Semuenzaniso, muvarwere vefuruwenza, hutachiona hunoputika huripo muna 20-30% yevarwere uye hwave hwakabatana nekuwedzera kushamisika, mechina kufefetedza, uye kufa kwenzvimbo.

Saizvozvowo, muvana vane hutachiona hwakanyanya hwehutachiona hwe syncytial virus (RSV), ongororo dzinoverengeka dzakaratidza kuwanda kwemabhakitiriya pneumonia mitengo inopfuura makumi matatu muzana, uye izvi zvakabatanidzwa nekuwedzera kwenguva yekufemereka kwemuchina

Kudzidza mitengo uye microbiology yebhakitiriya co-hutachiona muvarwere vane hutachiona hwehutachiona hutachiona hunogona kubatsira kuona empirical inorwisa mabhakitiriya kurapwa, kunzwisisa kufungidzira uye kuona pathogenesis muhutachiona-hwebhakitiriya co-hutachiona.

Coinfections uye COVID-19: "inorarama nekukurumidza kuongorora" ine meta-ongororo yekuenderera mberi kugadzirisa

Kurarama Kuongorora wongororo dzinoenderera mberi dzichimisikidzwa nekubatanidza humbowo hutsva hunokodzera pazvinowanikwa.

Langford nevamwe vake vakaita ongororo yekurarama nekukurumidza ("Bacterial co-hutachiona uye hutachiona hwechipiri kune varwere vane COVID-19: kurarama nekukurumidza kuongorora uye meta-ongororo" / PDF) yezvidzidzo zvakaongorora huwandu hwehutachiona pneumonia kana hutachiona hwekuyerera kweropa. mune varwere vane COVID-19.

Izvo zvidzidzo zvaiverengerwa mukuwongorora kana:

• vakaongorora varwere vane COVID-19 yakasimbiswa uye
• vakataura kuwanda kwehutachiona hwakanyanya hwehutachiona.

Pazvidzidzo zana nemakumi matatu nezvisere zvakatanga kusarudzwa, makumi maviri nemana aikodzera uye akaiswamo mukuwongorora, kwevarwere ve1308 vane COVID-24 vakaongororwa hutachiona hwakanyanya.

Mune meta-ongororo, bhakitiriya co-hutachiona (inofungidzirwa pakuratidzwa) yakaonekwa mu3.5% yevarwere (95% CI 0.4-6.7%) uye yechipiri hutachiona hutachiona mu14.3% yevarwere (95% CI 9.6-18.9%).

Iyo yakazara chikamu chevarwere veCOVID-19 vane hutachiona hutachiona hwaive 6.9% (95% CI 4.3-9.5%). Hutachiona hwehutachiona hwaive hwakajairika muvanonetsa varwere (8.1%, 95% CI 2.3-13.8%).

Mhando dzakasiyana dzebhakitiriya co-pathogen dzakashumwa muzvidzidzo zve11 / 24 (45.8%), inomiririra isingasviki 14% yevarwere vane hutachiona hwakataurwa.

Zvisikwa zvakajairika zvinonzi zvaive Mycoplasma (11 varwere, 3 yakaratidzwa saM. Pneumoniae), Haemophilus influenzae (5 varwere), uye Pseudomonas aeruginosa (5 varwere).

Muzvidzidzo gumi nemana chikamu chevarwere vanowana maantibhakitiriya chakataurwa. Mune izvi zvidzidzo, ruzhinji rwevarwere vakagamuchira mishonga inorwisa mabhakitiriya (14%, CI 71.8% 95, uye 56.1%).

Mishonga inorwisa mabhakitiriya yaiwanzo kuve yakapararira, ine fluoroquinolones uye yechitatu-chizvarwa cephalosporins, inoita 74% yemishonga inorwisa mabhakitiriya.

Sekureva kwevanyori, bhakitiriya co-hutachiona hahuwanzoitika kune varwere vakaiswa muchipatara neCOVID-19, uye vazhinji vevarwere vanogona kunge vasingade kurapwa kwemishonga inorwisa mabhakitiriya.

Iyo Toronto Antimicrobial Resistance Research Network (TARRN) yakagadzirira chimwe chikamu chewebhu webhusaiti, kwechinguvana ine isina-kukwana mifananidzo, uko izvo zvekuvandudzwa kweichi chiono chekurarama zvichaburitswa.

Iyo yakaderera muzana yeCOVID-19 varwere vane mabhakitiriya co-hutachiona: imwe synthesis yedata

Kumwe kuongorora kwakarongeka uye meta-ongororo Co-hutachiona muvanhu vane COVID-19: ongororo yakarongeka uye meta-ongororo yakaburitswa muna Nyamavhuvhu, asi izvo zvaisanganisira zvidzidzo zvakawanikwa kusvika munaKubvumbi, zvinoratidzira pakati pezvakakosha:

• hutachiona co-hutachiona hwave huchibatanidzwa nekufa mune dzakapfuura furuwenza madenda
• iyo chikamu chevarwere veCOVID-19 vane hutachiona hwehutachiona hwehutachiona hwakadzikira pane hwechirwere chefuruwenza
• chikamu chepamusoro chevarwere vakakosha vane hutachiona hwehutachiona
• ma profiles ebhakitiriya co-pathogens akasiyana neaya ehutachiona co-hutachiona
• kuongororwa kwefungal co-hutachiona kwakaoma, asi inofungidzirwa zvakanyanya muvarwere mune yakaoma mamiriro

 

Mufananidzo uyu unoratidza hutachiona hutachiona hwakawanikwa muvarwere veCOVID-19, sepesenti (%) yehuwandu hwese hwekutsvaga (n = 27).

Legenda: M pneumoniae - Mycoplasma pneumoniae; P aeruginosa –Pseudomonas aeruginosa; H influenzae - Haemophilus influenzae; K pneumoniae -Klebsiella pneumoniae, A baumannii -Acinetobacter baumannii, S marcescens - Serratia marcescens, MRSA - Staphylococcus aureus resistente alla meticillina; E faecium –Enterococcus faecium.

Humwe hutachiona hutachiona hutachiona hunogadzirwawo.

Iyo meta-ongororo yakaratidza kuti yakazara 7% yeCOVID-19 varwere vari muchipatara vaive nehutachiona hwekubatira hutachiona, ichiwedzera kusvika pa14% muzvidzidzo zvaisanganisira chete varwere vakanyanya.

Zvakare mune iyi nyaya vanyori vanopedzisa kuti chikamu chakaderera chevarwere veCOVID vaive nehutachiona hwehutachiona hwehutachiona: hwakaderera pane hwapfuura furuwenza denda.

Mhedzisiro iyi haitsigire kushandiswa kwemaantibayoti mukutungamira kwehutachiona hweCOVID-19 hwakasimbiswa.

COVID-19 uye co-hutachiona: kushandiswa kwakajairika kwemishonga inorwisa mabhakitiriya uye muvengi anovandira

Vanyori vechidzidzo "Bacterial coinfections muCOVID-19: muvengi asingatarisirwe" (PDF) vanotaura kuti hutachiona hwechipiri hwebhakitiriya, kunyange husingawanzoitika kupfuura hwepakutanga furuwenza madenda, achiri kukanganisa vamwe varwere vane COVID-19.

Mycoplasma pneumoniae, Staphylococcus aureus, Legionella pneumophila, Streptococcus pneumoniae, Haemophilus, uye Klebsiella spp. ndiwo marudzi makuru ari ega, anotaurwa nevanyori; iyo co-hutachiona neMycobacterium tibhii inofanira kutaurwawo.

Hutachiona hwehutachiona hwehutachiona hunowedzera muvarwere vanobvumirwa kuzvikamu zvekuchengetedza zvakanyanya uye izvi zvirwere zvinogona kunge zvichikonzerwa nekutapukirwa noutachiona nemabhakitiriya asingagone nosocomial bacteria.

Izvi zvinoratidza kukasira kwekudzokorora kwakawanda uye kwakaomarara kuraira kwehutachiona hwehutachiona hwevarwere vane COVID-19, vachinyanya kutarisisa kune humbowo-hwakavakirwa muzvidzidzo uye kuremekedza misimboti yehutachiona hwehutachiona.

Kana maviri pamutengo weimwe isiri yekutengeserana: kufungidzira kuwanda uye hutachiona hwehutachiona hwehutachiona hwehutachiona mune varwere vane COVID-19 ″

Kana maviri pamutengo weimwe isiri yekufungidzira kuwanda uye hutachiona hwehutachiona hwehutachiona hwehutachiona muvarwere vane COVID-19

Hutachiona hwemakemikari mu COVID-19: an mushori anofungidzirwa

Hutachiona hwehutachiona mu COVID-19

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Source: 

Network Bibliotecario Sanitario Toscano