Page 343 - 2021 IDMT Digital
P. 343
TOXIC SHOCK SYNDROME
Introduction:
• 7R[LF VKRFN V\QGURPH 766 LV FDXVHG E\ VWDSK\ORFRFFDO RU VWUHSWRFRFFDO H[RWR[LQV
• :RPHQ ZLWK SUHH[LVWLQJ VWDSK\ORFRFFDO FRORQL]DWLRQ RI WKH YDJLQD XVLQJ WDPSRQV DUH DW
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• $Q\ IRFXV QDVRSKDU\Q[ ERQH UHFWXP ZRXQG KDUERULQJ D WR[LQ SURGXFLQJ S aureus
VWUDLQ FDQ FDXVH 766
Subjective:
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o 6XGGHQ RQVHW ZLWK IHYHU RI ) WR )
o +\SRWHQVLRQ GLIIXVH PDFXODU HU\WKURGHUPD DQG LQYROYHPHQW RI DW OHDVW 3 RWKHU
RUJDQ V\VWHPV
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5HQDO LPSDLUPHQW LV IUHTXHQW DQG FRPPRQ
o 7KH V\QGURPH PD\ SURJUHVV ZLWKLQ KRXUV WR V\QFRSH VKRFN DQG GHDWK
Objective:
• 3K\VLFDO ([DP
o 5HYLHZ YLWDO VLJQV IRU DEQRUPDOLWLHV
o +HDG WR WRH H[DP DVVHVVLQJ IRU PXOWLV\VWHP RUJDQ LQYROYHPHQW DQG V\PSWRPV RI
VKRFN
Assessment:
• 'LIIHUHQWLDO
o .DZDVDNL GLVHDVH FRPPRQ LQ FKLOGUHQ ZLWK D PDFXORSDSXODU UDVK
'RHV QRW FDXVH VKRFN
o 0HQLQJRFRFFHPLD IHYHU QDXVHD YRPLWLQJ KHDGDFKH DQG SHWHFKLDO UDVK
o 6FDUOHW IHYHU D GLIIXVH HU\WKHPDWRXV HUXSWLRQ WKDW JHQHUDOO\ RFFXUV LQ
DVVRFLDWLRQ ZLWK group A streptococcal SKDU\QJLWLV
Plan:
• 0HGLFDWLRQV
o 6WDUW ,9 antibiotics LPPHGLDWHO\ XQGHU SUHFHSWRU JXLGDQFH
• 3DWLHQWV VXVSHFWHG RI KDYLQJ 766 VKRXOG EH KRVSLWDOL]HG HYDFXDWHG LPPHGLDWHO\
o 3UHSDUH IRU $&/6 LQWHUYHQWLRQ
• 7DPSRQV GLDSKUDJPV DQG RWKHU IRUHLJQ ERGLHV VKRXOG EH UHPRYHG LPPHGLDWHO\
• 6XVSHFWHG SULPDU\ VLWHV VKRXOG EH GHFRQWDPLQDWHG RU GHEULGHG WKRURXJKO\
• /RFDO PHDVXUHV LQFOXGH IOXLG UHVXVFLWDWLRQ DQG FLUFXODWRU\ VXSSRUW
• (YDFXDWH KRVSLWDOL]H SDWLHQWV LPPHGLDWHO\ LI \RX VXVSHFW 766
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