Сomparing research of treatment infectious heat diseases in traditional medicine reference source / Шинэ санаа Шинэ нээлт

Background@#Ecology, climate, atmosphere, human living conditions in the world are changing, and many factors affecting human health are both quantitative and qualitative changes, viruses and bacteria have evolved, and viruses that have never developed, including viral infections, are healthy . the medical and economic consequences of this disease are increasingly needed to study infectious diseases. We can consider the rich treasures of traditional medicine and the treatment of infectious diseases as an important source of many problems in the future. Therefore, in order to deepen the significance of traditional medicine and interpretative work, we set the goal to study the treatment of infectious diseases as an important theory and practice.@*Methods@#The study group selected the 23-27th group for “The Four Roots of Medicine” and Tibetan, Mongolian 7 interpretations of the sages using the Comparison of reference and source studies” and Trial ranking, “Method of summation” were conducted.@*Results@#Treatment of infectious diseases fever is the very first. The Four Roots of Medicine was written with a detailed description of abdominal pain, hoarseness, heaviness and sweating, which have been reported recently and associated with infectious and febrile diseases, as well as the type of treatment. In addition, sources and explanations are important in theory and practice, which clearly identify problems with the treatment of infectious phases and diseases. On the therapeutic treatment of infectious diseases, this is the first written in the Four Roots of Medicine and the Golden Tassel in combination with incense and mantra treatment, as well as Lhanthav therapy and the most difficult treatment. It was originally written on the most famous invention such as “Enchantment’s of Ocean” by Jambalchoijidanzanperenlei, one of the wise men of Mongolia, which includes eight types of extravagant works, such as elves, sweat, rash, sweatshirts, weightlifting, incense, mantra and sucking elements.

Causes of fever in 26 patients after the surgery for congenital heart disease / 中国感染控制杂志

Objective To explore causes of fever in patients after the surgery for congenital heart disease(CHD), and put forward corresponding prevention and control measures.Methods Clinical data of patients undergoing sur-gery for CHD in the department of pediatric surgery of a hospital between January and May 2013 were analyzed ret-rospectively,the whole process of operation and postoperative nursing were observed,environmental hygiene moni-toring was performed at the same time.Results 26 patients all had fever after operation,fever in 21 cases (80.77%)was caused by non-infectious factors,5(19.23%)by infectious factors (ventilator-associated pneumonia in 4 cases,type I incision infection in 1 case).6 cases were absorption fever,20 were abnormal fever,difference in patients’age,duration of invasive manipulation (ventilator,urinary catheter,gastric tube)between two groups of patients were all statistically significant (all P <0.05),patients in the absorption fever group were with older age and short invasive manipulation time.Bacteriological detection rate in 26 patients was 76.92% (n=20),a total of 58 specimens were detected,7 were positive (from sputum specimens of 4 patients),5 isolates (71 .43%)were Pseudomonas aeruginosa .A total of 52 environmental specimens were collected for detection,the qualified rate was 80.77% (n =42).Conclusion Non-infectious factors are the main causes of postoperative fever in patients with CHD,health care workers should enhance the awareness of sterilization,standardize all kinds of medical manipula-tion,and reduce postoperative fever.

Significance of serum procalcitonin for the differential diagnosis and the use of antibiotics in acute fever / 中国医师杂志

Objective To evaluate the clinical significance and choicing antibiotics of serum procalcitonin (PCT) in acute fe-ver.Methods To make a retrospective analysis of 170 cases of febriledisease from January 2013 to January 2014.According to clini-cal causes of fever, the cases were divided between infectious fever group and non -infected group.The infectious group was divided by bacterial(A group) and viral infectious(B) groups.The bacterial group(A group) was divided by bloodstream infectious (A1) and fo-cal infectious(A2) groups.Tests of blood routine and CRP and PCT before or used antibiotics were analyzed and compared between the different groups.Results The PCT serum concentration of bacterial infectious gloup was higher than the viral infectious group and non-infected group( P 0.05). In bacterial infectious gloup, the area under ROC of PCT was 0.950 and CRP was 0.943, if PCT≥ 0.25ng/ml was regard as the cut-ff value, the sensitivity was 91.6% and the specificity was 93.3% ; if PCT≥ 0.5ng/ml was regard as the cut-ff value, the sensitivity was 95.2% and the specificity was 77.6%.Conclusions PCT tests are helpful to identify bacterial infection in patients with infec -tious fever .The more serious the higher PCT level , the earlier using antibiotics ,it is the most in bloodstream infection.There is an important significance for choicing antibiotics by the guidance of PCT ≥ 0.25ng/ml.

Fiebre postoperatoria en cirugía ortopédica y urológica / Postoperative fever in orthopedic and urologic surgery

La incidencia de fiebre en el postoperatorio varía ampliamente. En la cirugía limpia y la limpia-contaminada, la fiebre no infecciosa es más frecuente que la infecciosa. Fueron estudiados prospectivamente 303 pacientes operados en forma programada de cirugía ortopédica y urológica. Se investigó la incidencia de fiebre postoperatoria, su etiología, la relación entre el momento de su aparición y su origen y la utilidad del pedido empírico de estudios para determinar infección postoperatoria. El 14% (42/303) de los pacientes tuvieron fiebre postoperatoria. En el 81% (34/42) su etiología fue no infecciosa y en el 19% (8/42) infecciosa. Su origen fue siempre no infeccioso dentro de las primeras 48 horas del postoperatorio (p<0.001). A 19 pacientes con fiebre después de las 48 horas y examen clínico normal, se les realizó radiografía de tórax, hemocultivos (2) y cultivo de orina. Las radiografías de tórax fueron normales en todos los casos, fueron positivos 4 urocultivos (21%, IC 95%: 6-45) y un hemocultivo (5%, IC 95%: 0.1-26). Siete pacientes tuvieron infecciones postoperatorias sin fiebre. La causa de fiebre postoperatoria más frecuente fue no infecciosa, causada por respuesta normal inflamatoria al trauma quirúrgico. La realización de estudios de rutina en pacientes con examen clínico normal y fiebre posterior a las 48 horas, de acuerdo a lo observado en este estudio, no permite sacar conclusiones definitivas. El diagnóstico de las infecciones postoperatorias se basó en el seguimiento clínico- quirúrgico y en la interpretación de los síntomas y signos del paciente.

Post-operative fever incidence varies widely. In clean and clean-contaminated surgery the non-infectious fever is more frequent than the infectious fever. We performed a prospective study including 303 patients who underwent orthopedic and urologic elective surgery. The aims of our study were to investigate the incidence of post-operative fever, its etiology, the relationship between time of onset and the etiology, and the usefulness of extensive fever work-up to determine post-operative infection. The incidence of post-operative fever was 14% (42/303) of which 81% (34/42) was noninfectious and 19% (8/42) was infectious. The etiology of the fever in the first 48 hours after surgery was always non-infectious (p<0.001). An extensive fever work-up was performed in patients who presented fever only after the initial 48 hours of surgery with normal physical examination (n=19) consisting of chest x-ray, blood (2) and urine cultures. The chest x-ray was normal in all the patients, the urine cultures were positive in four cases (21%, IC 95%: 6-45) and the blood cultures in only one case (5%, IC 95%: 0.1-26). Seven patients had post-operative infections without fever as a clinical sign. The most frequently observed etiology of post-operative fever was non-infectious, related to the normal inflammatory host response to surgery. Based on the present results, the extensive fever work-up performed to investigate post-operative infection does not seem to be a useful tool. The diagnosis of post-operative infection was based on clinical follow up and the correct interpretation of the patient's symptoms and signs.

Clinical Feature and Bacterial Resistance among Patients with Infectious Fever:An analysis / 中华医院感染学杂志

OBJECTIVE To study the clinical feature among patients with infectious fever and the antimicrobial resistance of infection pathogens.METHODS A retrospective analysis was carried out among 70 cases during recent 3 years.RESULTS The 70 strains of pathogens were isolated from blood and/or bone marrow cultures of 70 patients with infectious fever,40 strains(57.1%) were Gram-positive cocci,in which 8 strains were Staphylococcus aureus,and 32 strains were coagulase negative staphylococci(CONS);30 strains(42.9%) were Gram-negative bacilli,of which the Salmonella and Escherichia coli were the main microorganisms,53.1% of CONS were resistant to oxacillin.There were 5 strains of Gram-negative bacilli that were suspected to produce extended spectrum ?-lactamases(ESBLs),which were resistant to multiple antibiotics,the most active agent against these Gram-negative bacilli with ESBLs was imipenem.CONCLUSIONS The bacteria are mainly Grampositive cocci for the patients with infectious fever in the infectious wards.The Gram-negative bacilli with ESBLs show more multi-drug resistance,we should rationally select antibiotics and decrease the occurrence of drug resistant strains.