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Pseudomonas aeruginosaAcquisition in Cystic Fibrosis Patients in Context of Otorhinolaryngological Surgery or Dentist Attendance: Case Series and Discussion of Preventive Concepts
- Source :
- Case Reports in Infectious Diseases, Case Reports in Infectious Diseases, Vol 2015 (2015)
- Publication Year :
- 2015
- Publisher :
- Hindawi Limited, 2015.
-
Abstract
- Introduction. P. aeruginosais the primary cause for pulmonary destruction and premature death in cystic fibrosis (CF). Therefore, prevention of airway colonization with the pathogen, ubiquitously present in water, is essential. Infection of CF patients withP. aeruginosaafter dentist treatment was proven and dental unit waterlines were identified as source, suggesting prophylactic measures. For their almost regular sinonasal involvement, CF patients often require otorhinolaryngological (ORL) attendance. Despite some fields around ORL-procedures with comparable risk for acquisition ofP. aeruginosa, such CF cases have not yet been reported. We present four CF patients, who primarily acquiredP. aeruginosaaround ORL surgery, and one around dentist treatment. Additionally, we discuss risks and preventive strategies for CF patients undergoing ORL-treatment. Perils include contact to pathogen-carriers in waiting rooms, instrumentation, suction, drilling, and flushing fluid, when droplets containing pathogens can be nebulized. Postsurgery mucosal damage and debridement impair sinonasal mucociliary clearance, facilitating pathogen proliferation and infestation. Therefore, sinonasal surgery and dentist treatment of CF patients without chronicP. aeruginosacolonization must be linked to repeated microbiological assessment. Further studies must elaborate whether all CF patients undergoing ORL-surgery require antipseudomonal prophylaxis, including nasal lavages containing antibiotics. Altogether, this underestimated risk requires structured prevention protocols.
- Subjects :
- Suction (medicine)
medicine.medical_specialty
Debridement
Pseudomonas aeruginosa
business.industry
Mucociliary clearance
medicine.drug_class
medicine.medical_treatment
Antibiotics
Dentistry
Case Report
Context (language use)
General Medicine
medicine.disease_cause
medicine.disease
Cystic fibrosis
lcsh:Infectious and parasitic diseases
Surgery
medicine
lcsh:RC109-216
business
Airway
Subjects
Details
- ISSN :
- 20906633 and 20906625
- Volume :
- 2015
- Database :
- OpenAIRE
- Journal :
- Case Reports in Infectious Diseases
- Accession number :
- edsair.doi.dedup.....d1227c7f3e83a6f000a198b18fbced5e