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Polish Archives of Internal Medicine最新文献

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Molecular epidemiology and clinical significance of carbapenemase genes among carbapenem-resistant Acinetobacter baumannii isolates in southern Poland. 波兰南部耐碳青霉烯类鲍曼不动杆菌分离物中碳青霉烯酶基因的分子流行病学和临床意义。
Polish Archives of Internal Medicine Pub Date : 2024-04-23 DOI: 10.20452/pamw.16734
Piotr Serwacki, DA Hareza, Anna Kujawska, A. Pałka, E. Jachowicz-Matczak, Agata Rybka-Grymek, Wioletta Świątek-Kwapniewska, I. Pawłowska, Zofia Gniadek, Karolina Gutkowska, M. Gajda, J. Wójkowska-Mach
{"title":"Molecular epidemiology and clinical significance of carbapenemase genes among carbapenem-resistant Acinetobacter baumannii isolates in southern Poland.","authors":"Piotr Serwacki, DA Hareza, Anna Kujawska, A. Pałka, E. Jachowicz-Matczak, Agata Rybka-Grymek, Wioletta Świątek-Kwapniewska, I. Pawłowska, Zofia Gniadek, Karolina Gutkowska, M. Gajda, J. Wójkowska-Mach","doi":"10.20452/pamw.16734","DOIUrl":"https://doi.org/10.20452/pamw.16734","url":null,"abstract":"INTRODUCTION\u0000The complex interplay between Acinetobacter spp., patients, and the environment has made it increasingly difficult to optimally treat patients infected with Acinetobacter spp., mainly due to rising antimicrobial resistance and challenges with surveillance.\u0000\u0000\u0000OBJECTIVES\u0000This study evaluated carbapenem-resistance Acinetobacter baumannii (CRAB) isolates to determine their resistance profiles and the presence of specific β-lactamase enzymes to inform the use of CRAB surveillance upon hospital admission and regional empiric antibiotic therapies.\u0000\u0000\u0000PATIENTS AND METHODS\u0000The study was conducted at 4 hospitals in southern Poland between June 2022 and December 2022. Only healthcare-associated infections caused by Acinetobacter baumannii were considered. 82 CRAB isolates were included in the analysis. Species identification was performed by MALDI TOF, antimicrobial susceptibility was determined phenotypically, and PCR methods were performed to identify resistance genes.\u0000\u0000\u0000RESULTS\u0000Depending on the hospital, the ICU incidence of CRAB infections was from 428.6 to 759.5 per 10,000 admissions and from 0.3 to 21.0 per 10,000 admissions in non-ICUs. CRAB antibiotic susceptibility was highest with cefiderocol (100%), colistin (96%), tigecycline (77%), gentamicin (51%) and ampicillin / sulbactam (36%). The most prevalent blaOXA genes were blaOXA-66-1 (95%) and blaOXA-40 (71%) and additionally, the extended-spectrum β-lactamase gene blaTEM-1 (41%).\u0000\u0000\u0000CONCLUSION\u0000An unexpectedly high incidence of CRAB infections occurred in Polish hospitals. There is a need for effective CRAB prevention and control that includes effective hospital screening, national surveillance, and improved treatment options.","PeriodicalId":519222,"journal":{"name":"Polish Archives of Internal Medicine","volume":"45 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140671136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Previous hepatitis E virus infection is associated with increased liver stiffness in patients with autoimmune hepatitis. 戊型肝炎病毒感染与自身免疫性肝炎患者肝脏硬度增加有关。
Polish Archives of Internal Medicine Pub Date : 2024-04-23 DOI: 10.20452/pamw.16733
Maciej K. Janik, A. Kempińska-Podhorodecka, J. Raszeja-Wyszomirska, Marcin Krawczyk, M. Milkiewicz, Piotr Milkiewicz
{"title":"Previous hepatitis E virus infection is associated with increased liver stiffness in patients with autoimmune hepatitis.","authors":"Maciej K. Janik, A. Kempińska-Podhorodecka, J. Raszeja-Wyszomirska, Marcin Krawczyk, M. Milkiewicz, Piotr Milkiewicz","doi":"10.20452/pamw.16733","DOIUrl":"https://doi.org/10.20452/pamw.16733","url":null,"abstract":"INTRODUCTION\u0000Autoimmune hepatitis (AIH) is a chronic, progressive liver disease which, in most cases, may require lifelong immunosuppression. Hepatitis E virus (HEV) is a leading cause of acute, typically self-limited, hepatitis worldwide, although immunocompromised patients may develop chronic hepatitis.\u0000\u0000\u0000OBJECTIVES\u0000Here, we evaluated the impact of HEV seropositivity on the clinical course of AIH.\u0000\u0000\u0000PATIENTS AND METHODS\u0000A group of 374 adult patients with AIH (female 68%, age 34 (18-83) years, 38% with liver cirrhosis) was analyzed. Serum HEV IgG and IgM antibodies were measured by enzyme-linked immunosorbent assay, liver fibrosis was assessed by liver stiffness measurement (LSM), and liver cirrhosis was confirmed with liver histology or LSM.\u0000\u0000\u0000RESULTS\u0000Fifty-five (15%) patients with AIH were HEV IgG-positive. These patients were older (P <0.001) and had higher BMI and higher LSM (both P <0.05). In a multivariable model including ALT and immunoglobulin G, the HEV seropositive status was associated with an increased risk of advanced liver fibrosis with OR 3.69 (95% CI 1.26-10.77, P = 0.02) as reflected by liver stiffness ≥10.5 kPa. HEV IgG seropositivity was, however, not linked with the type of treatment or worse AIH outcome. The seroprevalence of HEV in patients with AIH was lower compared to results available for Polish blood donors (43%).\u0000\u0000\u0000CONCLUSIONS\u0000Patients with AIH and HEV IgG-positive status seem to be at risk of more advanced liver fibrosis. However, the overall seroprevalence of HEV IgG is a lower in patients with AIH than in the blood donors in Poland.","PeriodicalId":519222,"journal":{"name":"Polish Archives of Internal Medicine","volume":"134 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140668964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Neuroendocrine tumor of the middle ear. 中耳神经内分泌肿瘤。
Polish Archives of Internal Medicine Pub Date : 2024-04-22 DOI: 10.20452/pamw.16732
Agnieszka Niewiadomska, A. Grażyńska, Anna Barczyk-Gutkowska, Karol Ludwik, Aleksandra Kuźbińska, Katarzyna Steinhof-Radwańska
{"title":"Neuroendocrine tumor of the middle ear.","authors":"Agnieszka Niewiadomska, A. Grażyńska, Anna Barczyk-Gutkowska, Karol Ludwik, Aleksandra Kuźbińska, Katarzyna Steinhof-Radwańska","doi":"10.20452/pamw.16732","DOIUrl":"https://doi.org/10.20452/pamw.16732","url":null,"abstract":"","PeriodicalId":519222,"journal":{"name":"Polish Archives of Internal Medicine","volume":"58 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140675815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Minimally invasive treatment of gallstone ileus. 胆石性回肠炎的微创治疗。
Polish Archives of Internal Medicine Pub Date : 2024-04-19 DOI: 10.20452/pamw.16731
Marek Stańczyk, Antoni Błaszak, Jacek Dudzik
{"title":"Minimally invasive treatment of gallstone ileus.","authors":"Marek Stańczyk, Antoni Błaszak, Jacek Dudzik","doi":"10.20452/pamw.16731","DOIUrl":"https://doi.org/10.20452/pamw.16731","url":null,"abstract":"","PeriodicalId":519222,"journal":{"name":"Polish Archives of Internal Medicine","volume":" 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140684623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Papular-purpuric "gloves and socks" syndrome in systemic mastocytosis treated with imatinib: a diagnostic challenge. 接受伊马替尼治疗的系统性肥大细胞增多症中的丘疹-脓疱 "手套和袜子 "综合征：诊断难题。
Polish Archives of Internal Medicine Pub Date : 2024-04-17 DOI: 10.20452/pamw.16730
A. Jaworek, Tomasz Sacha, Martyna Woźniak-Knop, Przemysław Hałubiec, Agnieszka Giza, A. Wojas-Pelc
{"title":"Papular-purpuric \"gloves and socks\" syndrome in systemic mastocytosis treated with imatinib: a diagnostic challenge.","authors":"A. Jaworek, Tomasz Sacha, Martyna Woźniak-Knop, Przemysław Hałubiec, Agnieszka Giza, A. Wojas-Pelc","doi":"10.20452/pamw.16730","DOIUrl":"https://doi.org/10.20452/pamw.16730","url":null,"abstract":"","PeriodicalId":519222,"journal":{"name":"Polish Archives of Internal Medicine","volume":" 16","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140692672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Post-COVID-19 syndrome in everyday clinical practice: interdisciplinary expert position statement endorsed by the Polish Society of Civilization Diseases. 日常临床实践中的后 COVID-19 综合征：波兰文明病学会批准的跨学科专家立场声明。
Polish Archives of Internal Medicine Pub Date : 2024-04-15 DOI: 10.20452/pamw.16728
Krzysztof Tomasiewicz, Jaroslaw Woron, Adam Kobayashi, Zbigniew Krasinski, Grażyna Rydzewska, Filip M Szymanski
{"title":"Post-COVID-19 syndrome in everyday clinical practice: interdisciplinary expert position statement endorsed by the Polish Society of Civilization Diseases.","authors":"Krzysztof Tomasiewicz, Jaroslaw Woron, Adam Kobayashi, Zbigniew Krasinski, Grażyna Rydzewska, Filip M Szymanski","doi":"10.20452/pamw.16728","DOIUrl":"https://doi.org/10.20452/pamw.16728","url":null,"abstract":"Post-COVID-19 syndrome, also known as long-COVID-19 syndrome, is a complex set of symptoms that persist for weeks or months after recovery from the acute phase of COVID-19. These symptoms can affect various body systems, including the respiratory, nervous, cardiovascular, and digestive systems. The most common complaints are fatigue, shortness of breath, joint pain, taste and smell disorders, as well as problems with memory and concentration. The pathogenesis of the post-COVID-19 syndrome is complicated and not fully understood, but it is likely related to an overactive immune system, disturbances in the intestinal microbiome, and cell and tissue damage caused by the virus. Incorporating a multidisciplinary approach to treating and rehabilitating patients and further research into this syndrome's underlying mechanisms and therapy is crucial for understanding and effectively treating this complex and multi-faced condition.","PeriodicalId":519222,"journal":{"name":"Polish Archives of Internal Medicine","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140603491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Computed tomography-guided percutaneous biopsy of pancreatic masses. 计算机断层扫描引导下的胰腺肿块经皮活检术。
Polish Archives of Internal Medicine Pub Date : 2024-04-12 DOI: 10.20452/pamw.16727
Grzegorz Rosiak, Jakub Franke, K. Milczarek, D. Konecki, Dennis K Bielecki, Magdalena Januszewicz
{"title":"Computed tomography-guided percutaneous biopsy of pancreatic masses.","authors":"Grzegorz Rosiak, Jakub Franke, K. Milczarek, D. Konecki, Dennis K Bielecki, Magdalena Januszewicz","doi":"10.20452/pamw.16727","DOIUrl":"https://doi.org/10.20452/pamw.16727","url":null,"abstract":"","PeriodicalId":519222,"journal":{"name":"Polish Archives of Internal Medicine","volume":"3 30","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140712270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Therapeutic plasma exchange in catastrophic antiphospholipid syndrome: a rare case with concomitant systemic lupus erythematosus and infection. 灾难性抗磷脂综合征的治疗性血浆置换：一例并发系统性红斑狼疮和感染的罕见病例。
Polish Archives of Internal Medicine Pub Date : 2024-04-11 DOI: 10.20452/pamw.16724
Anita Wach, Joanna Kosałka-Węgiel, K. Wawrzycka-Adamczyk, Mariusz Korkosz
{"title":"Therapeutic plasma exchange in catastrophic antiphospholipid syndrome: a rare case with concomitant systemic lupus erythematosus and infection.","authors":"Anita Wach, Joanna Kosałka-Węgiel, K. Wawrzycka-Adamczyk, Mariusz Korkosz","doi":"10.20452/pamw.16724","DOIUrl":"https://doi.org/10.20452/pamw.16724","url":null,"abstract":"","PeriodicalId":519222,"journal":{"name":"Polish Archives of Internal Medicine","volume":"13 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140712698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Life-saving treatment with the use of anakinra in severe relapse of Still disease with perimyocarditis and aseptic pneumonia. 使用 Anakinra 治疗伴有心包炎和无菌性肺炎的 Still 病严重复发患者，挽救了他们的生命。
Polish Archives of Internal Medicine Pub Date : 2024-04-11 DOI: 10.20452/pamw.16725
Anna Panejko, Bogusława Ołpińska, Maria Łoboz-Rudnicka, K. Gruszecka, Joanna Jaroch
{"title":"Life-saving treatment with the use of anakinra in severe relapse of Still disease with perimyocarditis and aseptic pneumonia.","authors":"Anna Panejko, Bogusława Ołpińska, Maria Łoboz-Rudnicka, K. Gruszecka, Joanna Jaroch","doi":"10.20452/pamw.16725","DOIUrl":"https://doi.org/10.20452/pamw.16725","url":null,"abstract":"","PeriodicalId":519222,"journal":{"name":"Polish Archives of Internal Medicine","volume":"16 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140715574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mitral valve-in-valve rescue: managing dislodged first prosthesis with transcatheter second valve implantation. 二尖瓣瓣中瓣抢救：通过经导管第二瓣膜植入术处理脱位的第一人工瓣膜。
Polish Archives of Internal Medicine Pub Date : 2024-04-11 DOI: 10.20452/pamw.16726
P. Kralisz, Marek Frank, Adrian Stankiewicz, Krzysztof Struniawski, S. Dobrzycki, Tomasz Hirnle
{"title":"Mitral valve-in-valve rescue: managing dislodged first prosthesis with transcatheter second valve implantation.","authors":"P. Kralisz, Marek Frank, Adrian Stankiewicz, Krzysztof Struniawski, S. Dobrzycki, Tomasz Hirnle","doi":"10.20452/pamw.16726","DOIUrl":"https://doi.org/10.20452/pamw.16726","url":null,"abstract":"","PeriodicalId":519222,"journal":{"name":"Polish Archives of Internal Medicine","volume":"108 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140713633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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