Diagnostic Challenges inInfections related to Spinal Cord Injury
Spinal cord injury (SCI) is an ancient disease, described by Hippocrates and traction techniques were recommended to straighten the spine. Motor vehicle accidents, falls, attempted suicide, gunshot wounds, military conflicts and support injuries are most common cause of SCIs. Most hospitalized SCI p...
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| Format: | Article |
| Language: | English English |
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2016
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| Online Access: | https://eprints.ums.edu.my/id/eprint/21439/1/Diagnostic%20Challenges%20inInfections%20related%20to%20Spinal%20Cord%20Injury.pdf https://eprints.ums.edu.my/id/eprint/21439/7/Diagnostic%20Challenges%20inInfections%20related%20to%20Spinal%20Cord%20Injury.pdf |
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| author | Murtaza Mustafa Muhammad Iftikhar Firdaus Hayati Mohanmad Illzam Elahee |
| author_facet | Murtaza Mustafa Muhammad Iftikhar Firdaus Hayati Mohanmad Illzam Elahee |
| author_sort | Murtaza Mustafa |
| collection | UMS |
| description | Spinal cord injury (SCI) is an ancient disease, described by Hippocrates and traction techniques were recommended to straighten the spine. Motor vehicle accidents, falls, attempted suicide, gunshot wounds, military conflicts and support injuries are most common cause of SCIs. Most hospitalized SCI patients have nosocomial infection. SCI Patients may suffer from stress, malnutrition, renal failure; receive medications that impair immune responses. Frequent insertion of urologic, vascular, orthopedic, respiratory, gastrointestinal, and neurosurgical devices predispose to various prosthesis-related infections. Diagnostic challenges include inability to recognize the signs and symptoms of cord damage, and delay in diagnosing spinal epidural abscess. Treatment of infection e.g., two opposing factors resulting from changes in body composition in following SCI can alter the disposition of systematically administered antibiotics, such as vancomycin and aminoglycosides. Frequently diagnosed infections in SCI patients are urinary tract infection (UTI), pneumonia, pressure sores, osteomyelitis, infection due to multi-resistant organisms, and intra-abdominal infection. SCI patients are at high risk for Fournier gangrene that affects the perineal and genital regions and usually results from polymicrobial infection.Common pathogens are Staphylococcus aureus, including methicillin resistant Staphylococcus aureus(MRSA),Streptococci, vancomycin resistant Enterococcus(VRE)gram-negative bacilli including ESBL producing Klebsiella pneumoniae and Escherichia coli. Earlydiagnosis, gram negative coverage when initiating empirical antibiotic therapy has lower mortality and better outcomes. |
| first_indexed | 2024-03-06T02:58:30Z |
| format | Article |
| id | ums.eprints-21439 |
| institution | Universiti Malaysia Sabah |
| language | English English |
| last_indexed | 2024-03-06T02:58:30Z |
| publishDate | 2016 |
| record_format | dspace |
| spelling | ums.eprints-214392020-12-26T06:13:59Z https://eprints.ums.edu.my/id/eprint/21439/ Diagnostic Challenges inInfections related to Spinal Cord Injury Murtaza Mustafa Muhammad Iftikhar Firdaus Hayati Mohanmad Illzam Elahee RD Surgery Spinal cord injury (SCI) is an ancient disease, described by Hippocrates and traction techniques were recommended to straighten the spine. Motor vehicle accidents, falls, attempted suicide, gunshot wounds, military conflicts and support injuries are most common cause of SCIs. Most hospitalized SCI patients have nosocomial infection. SCI Patients may suffer from stress, malnutrition, renal failure; receive medications that impair immune responses. Frequent insertion of urologic, vascular, orthopedic, respiratory, gastrointestinal, and neurosurgical devices predispose to various prosthesis-related infections. Diagnostic challenges include inability to recognize the signs and symptoms of cord damage, and delay in diagnosing spinal epidural abscess. Treatment of infection e.g., two opposing factors resulting from changes in body composition in following SCI can alter the disposition of systematically administered antibiotics, such as vancomycin and aminoglycosides. Frequently diagnosed infections in SCI patients are urinary tract infection (UTI), pneumonia, pressure sores, osteomyelitis, infection due to multi-resistant organisms, and intra-abdominal infection. SCI patients are at high risk for Fournier gangrene that affects the perineal and genital regions and usually results from polymicrobial infection.Common pathogens are Staphylococcus aureus, including methicillin resistant Staphylococcus aureus(MRSA),Streptococci, vancomycin resistant Enterococcus(VRE)gram-negative bacilli including ESBL producing Klebsiella pneumoniae and Escherichia coli. Earlydiagnosis, gram negative coverage when initiating empirical antibiotic therapy has lower mortality and better outcomes. 2016 Article PeerReviewed text en https://eprints.ums.edu.my/id/eprint/21439/1/Diagnostic%20Challenges%20inInfections%20related%20to%20Spinal%20Cord%20Injury.pdf text en https://eprints.ums.edu.my/id/eprint/21439/7/Diagnostic%20Challenges%20inInfections%20related%20to%20Spinal%20Cord%20Injury.pdf Murtaza Mustafa and Muhammad Iftikhar and Firdaus Hayati and Mohanmad Illzam Elahee (2016) Diagnostic Challenges inInfections related to Spinal Cord Injury. IOSR Journal of Dental and Medical Sciences, 15. pp. 114-120. |
| spellingShingle | RD Surgery Murtaza Mustafa Muhammad Iftikhar Firdaus Hayati Mohanmad Illzam Elahee Diagnostic Challenges inInfections related to Spinal Cord Injury |
| title | Diagnostic Challenges inInfections related to Spinal Cord Injury |
| title_full | Diagnostic Challenges inInfections related to Spinal Cord Injury |
| title_fullStr | Diagnostic Challenges inInfections related to Spinal Cord Injury |
| title_full_unstemmed | Diagnostic Challenges inInfections related to Spinal Cord Injury |
| title_short | Diagnostic Challenges inInfections related to Spinal Cord Injury |
| title_sort | diagnostic challenges ininfections related to spinal cord injury |
| topic | RD Surgery |
| url | https://eprints.ums.edu.my/id/eprint/21439/1/Diagnostic%20Challenges%20inInfections%20related%20to%20Spinal%20Cord%20Injury.pdf https://eprints.ums.edu.my/id/eprint/21439/7/Diagnostic%20Challenges%20inInfections%20related%20to%20Spinal%20Cord%20Injury.pdf |
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