Practica 6 Hemocultivo

 

SGDQCRUDMNM GNEDJGNH KJRFC BNUNMRC FRJ@JONGG  

Aneuhtnm Mc Edcgedns Mc Hn Unhum - Cseuchn Mc Anronedn T Bdjquïoden

SGDQCRUDMNM GNEDJGNH KJRFC BNUNMRC MC FRJ@ONGG Aneuhtnm mc Edcgedns mc hny Unhum Cseuchn \rjacsdjgnh mc Anronedn Bdjquïoden

NGNHDUDU EHDGDEJU DD-\RNE]DEN G¼ 6->23< 23 odgutj.

QJHSOCG MC HN OSCU]RN   Gcjgntjs j > nþj ( y 1 nþjs (>oh) mdvdmdmj cg 2 arnsejs.  Kõvcgcs (0 ->< oh mdvdmdmj cg 2 arnsejs). 

Nmuhtjs (>< oh) mdvdmdmjs cg 2 j 5 arnsejs.

 

SGDQCRUDMNM GNEDJGNH KJRFC BNUNMRC FRJ@JONGG  

Aneuhtnm Mc Edcgedns Mc Hn Unhum - Cseuchn Mc Anronedn T Bdjquïoden j

\NUJU N UCFSDR  >. Uc cxt cxtrnc rnc sng sngfrc frc mch ngt ngtcbr cbrnzj nzj.. 2. Ucobrnr 3->< oh mc sngfrc (onyjr engtdmnm pjsdbhc) 5. Ch o ocm cmdj dj mmcc ch chce ceed edõg õg sscc en enhdc hdcgt gtnn n 56»E cg ugn cstuan mc euhtdvj, y sc ahnocn ch tnpõg pnrn mcstrudr hjs oderjjrfng oderj jrfngdsojs dsojs ejgtn ejgtnodgngt odgngtcs cs cg hn supcradedc. =. \nrn \nrn hh hhcv cvnr nr ch aarn rnse sejj n hn en enbc bcec ecrn rn mch pnedcgtc sc eubrc ch tnpõg ejg ug nhfjmõg ejg nhej`jh. 3. Jbtcg Jbtcgdmn dmn hn oucst oucstrn rn mc ssngfrc ngfrc,, sc rrctdrn ctdrn cchh nhfj nhfjmõg mõg sscc dgtr dgtrjmuec jmuec hn nfukn mc hn kcrdgfn y sc cxpuhsn hn sngfrc cg ch ocmdj, sc rctdrn hn nfukn y sc oczehn ch ejgtcgdmj mch arnsej.

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OC]JMJ EJGQCGEDJGNH MC ESH]DQJ  Uc bnsn cg hn jbscrvnedõg onerjseõpden mc hjs sdfgjs mc ercedodcgtj mc ug pnr mc arnsejs ejg ocmdj mc euhtdvj hdqudmj cg hjs quc sc `n dgjeuhnmj hn sngfrc mch pnedcgtc.  Hjs arnsejs mc `cojeuhtdvj hhcvng dgejrpjrnmj ug ngtdejnfuhngtc. Uc ercn ugn ntojsacrn ncrjbdn y ugn ngncrjbdn pnrn ch euhtdvj mc arnsejs.  Hn tcopcrnturn mc dgeubnedõg jsedhn cgtrc hjs 53» n 56 »E  Cxnodgnr ch arnsej mdnrdnocgtc murngtc hn prdocrn scongn pnrn mctcetnr hn npnrdedõg mc turbdmcz cg ch ocmdj, `coõhdsds, sdfgjs mc  prjmueedõg mc fns j ercedodcgtj mc ejhjgdns mdrcetnocgtc cgedon mc hn sngfrc.  Ud hjs euhtdvjs sjg gcfntdvjs mcbcg scfudr cg jbscrvnedõg `nstn pjr  2> mïns ngtcs mc dgajronrsc ejoj gcfntdvjs.  Hjs `cojeuhtdvjs ‘vdsunhocgtc pjsdtdvjs‟ (turbdmcz) mcbcg tcþdrsc  pjr ch oätjmj mc Frno y subeuhtdvnrsc (rcsdcobrn (rcsdcobrn))  Rctdrnr ugn fjtn mch `cojeuhtdvj utdhdzngmj ugn kcrdgfn.  Ucob Ucobrn rnrr cg oc ocmd mdjs js mc nfnr nfnr sngf sngfrc rc y jtrj jtrjss oc ocmd mdjs js schc schcet etdv dvjs js mcpcgmdcgmj mc hjs rcsuhtnmjs mc ejhjrnedõg Frno.

ESH]DQJ MC UCERCEDJGCU j

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]RNE]J RCU\DRN]JRDJ  Uc jbtdcgc hn scercedõg anrïgfcn.  \nedcgtc scgtnmj, nbrc hn bjen, bnkn hn hcgfun.  Dgtrjmuec ch `dsjpj cvdtngmj tjenr hn hcgfun, ûvuhn  Dgtrjmuec ch `dsjpj ejg hn scercedõg cg ch ocmdj mc euhtdvj UCERCEDJG J]DEN  Ud ch pus snhc nh cxtcrdjr, cs prcacrdbhc chdodgnrhj ejg nhfjmõg cstärdh.  Dgtrjmuec ch `dsjpj cg ch ENC, cg mdrceedõg jbhdeun mc ntrîs `nedn mchngtc y mc nbnkj `nedn nrrdbn.  Dgtrjmuec ch `dsjpj ejg hn oucstrn cg ch tubj cstärdh.

 

SGDQCRUDMNM GNEDJGNH KJRFC BNUNMRC FRJ@JONGG  

Aneuhtnm Mc Edcgedns Mc Hn Unhum - Cseuchn Mc Anronedn T Bdjquïoden

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UCERCEDJG QNFDGNH  Hn oucstrn cs tjonmn mch E. ecrvdenh.  Cg fjgjrrcn; ngtcs j dgocmdntj mcspuäs mc hn ocgstrunedõg.  Ejhjen nh pnedcgtc cg pjsdedõg fdgcejhõfden, cgtrcnbrdr hn vuhvn  Dgtrjmuedr ch cspäeuhj `uocmcedmj cg nfun tdbdn cg hn vnfdgn, 

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gj usnr hubrdengtc. Qdsunhdznr ch euchhj utcrdgj Dgtrjmuedr ch `dsjpj cstärdh mcgtrj mch engnh ecrvdenh rjtîgmjhj sunvcocgtc y cg ug tdcopj mc >< n 5< scf, rctdrnr y ejhjenr cg ch tubj cstärdh.

UCERCEDJG SRC]RNH  Uc tjon hn oucstrn n prdocrn `jrn mc hn onþngn, ngtcs quc ch  pnedcgtc `nyn jrdgnmj  Hdopdnr ch ocntj ejg nhfjmõg `uocmcedmj cg sjh. snhdgn cstärdh.  Nphdenr nh pcgc ugn hdfcrn prcsdõg mcsmc ntrîs, mc ongcrn quc snhfn ugn fjtn mc scercedõg (pus) pjr ch ocntj.  Ud hn fjtn gj npnrcec, dgtrjmuedr ch `dpjsj cstärdh cg ch E. urctrnh ngtcrdjr `nstn ugn  prjaugmdmnm mc 2,3 eo nprjx. pnrn jbtcgcr  hn oucstrn. ]jonr ch pus ejg ch `dsjpj j nsn c dgtrjmuedr cg ch tubj ejg ocmdj mc trngspjrtc. Ckco; Gcdscrdn (Nfnr ]`nycrOnrtdg Onr tdg), ), Hcv Hcvnmu nmurn rn (Nf (Nfnrnr-fhu fhuejs ejsn, n, Nfn Nfnr  r  schcetdvj pnrn engmdmn) HD^SDMJ EÄANHJ RN^SÏMCJ  Sgn pugedõg huobnr (cspdgnh) cs ch ocmdj oîs ejoûg pnrn rcejhcetnr  ugn oucstrn mc HER y fcgcrnhocgtc sc rcnhdzn mc hn sdfudcgtc ongcrn; sc hc sjhdedtn nh pnedcgtc quc sc neucstc mc hnmj ejg hns rjmdhhns cgejfdmns `nedn ch nbmjocg y hn bnrbdhhn pcfnmn nh tõrnx.  Uc dgycetn ngcstcsdn hjenh cg hn pnrtc dgacrdjr mc hn ejhuogn. Uc dgscrtn hn nfukn cspdgnh fcgcrnhocgtc cgtrc hn tcrecrn y eunrtn vcrtcbrn huobnr  y sc cxtrnc ch hïqudmj pnrn cvnhunrhj.  Ch pnedcgtc mcbc pcrongcecr cg pjsdedõg `jrdzjgtnh j ensd `jrdzjgtnh murngtc pjr hj ocgjs scds u je`j `jrns mcspuäs mch cxnocg.

 

SGDQCRUDMNM GNEDJGNH KJRFC BNUNMRC FRJ@JONGG  

Aneuhtnm Mc Edcgedns Mc Hn Unhum - Cseuchn Mc Anronedn T Bdjquïoden

Ud ch pnedcgtc prcscgtn ug prjbhcon ejoj mcajrodmnm huobnr j dgaceedõg, dopjsdbdhdtn hn pugedõg huobnr j `necrhn gj ejgadnbhc. Hn pugedõg edstcrgnh dophden hn dgscredõg mc ugn nfukn mcbnkj mch `ucsj jeedpdtnh (pnrtc pjstcrdjr mch erîgcj). Cstj pucmc scr pchdfrjsj  pjrquc hn nfukn sc dgscrtn dgscrtn ecren mch trjgej cgecaîhdej. Hn pu puge gedõ dõgg vcgt vcgtrd rdeu euhn hnrr cs nûg nûg oc ocgj gjss ejoû ejoûg, g, pcrj pcrj sc pu pucm cmcc rcejoc rce jocgmn gmnrr eun eungmj gmj cs gce gcecsn csnrdj rdj jbt jbtcgc cgcrr hn ouc oucstr strnn mc HER cg  pcrsjgns ejg pjsdbhc `crgdn ecrcbrnh dgodgcgtc. Uc rcnhdzn fcgcrnhocgtc cg ch qudrõangj. Uc pcrajrn ug jrdadedj cg ch erîgcj y sc dgscrtn ugn nfukn mdrcetnocgtc cg ch vcgtrïeuhj hntcrnh mch ecrcbrj. \jstcrdjrocgtc sc hhcvn ch HER nh hnbjrntjrdj pnrn su cvnhunedõg.

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Q.

RCUSH]NMJU 

@COJESH]DQJ j

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@COJESH]DQJ \JUD]DQJ; Uc nspdrng 5-3 oh mc enhmj mch arnsej  pnrn dgtrjmuedrhjs cg ug tubj cstärdh. Mc cstn oucstrn sc rcnhdzn ugn tdgedõg y ug subeuhtdvj. USBESH]DQJ MCH @COJESH]DQJ; Ch ontcrdnh nspdrnmj mcbc scr  subeuhtdvnmj cg mdstdgtjs ocmdjs (ejoj ch nfnr sngfrc, nfnr e`jejhntc y nfnr sngfrc cgrdqucedmj) quc sc dgeubnrng n 53-56 »E cg mdacrcgtcs ntoj ntojsa sacr crns ns.. Uc mcbc mcbcgg rcnh rcnhdz dznr nr,, nmco nmcoîs îs su sube beuh uhtdv tdvjs js cg oc ocmd mdjs js cspceïadejs quc mcpcgmcrîg mc su ojrajhjfïn. ]DGEDJG T \RSCBNU \RCHDODGNRCU; \RCHDODGNRCU; Uc mcbc mcpjsdtnr ugn fjtn mc ug pjrtnjbkctjs y sc rcnhdzn ugn tdgedõg frno, sd gj sc jbscrvng oderjjrfngdsojs cg ch frno sc rcnhdzn ugn tdgedõg ejg gnrngkn mc nerdmdgn. Nh tdcopj quc sc prjecmc n hn dmcgtdadenedõg, n pnrtdR mch enhmj mc euhtdv euh tdvjj tno tnobdä bdägg mcb mcbcc rcn rcnhdzn hdznrsc rsc ug ngt ngtdbd dbdjfr jfrnon non prc prchdo hdodgn dgnr, r, quc  pcrodtn mdspjgcr hj ons rîpdmj pjsdbhc hn scgsdbdhdmnm mch oderjjrfngdsoj.

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DGAJROC MCADGD]DQJ Hjs `cojeuhtdvjs cg hjs quc gj sc nïshng oderjjrfngdsoj, trngseurrdmj ch pcrdjmj mc dgeubnedõg cstnbhcedmj, sc dgajronrng pjr cserdtj ejoj cstcrhdgcs cstcr hdgcsdjs j gcfnt gcfntdvjs. dvjs. ch erced ercedodcgt odcgtj oderjjrfn oderjjrfngdsoj gdsojs cg hjs ocm ocmdjs mc euh euhtdv tdvjj]rns sc dmc dmcgtd gtdade adenrî nrîgg jy mcschjs rcn rcnhdz hdznrî nrîgg pru prucbn cbnsss mc

 

SGDQCRUDMNM GNEDJGNH KJRFC BNUNMRC FRJ@JONGG  

Aneuhtnm Mc Edcgedns Mc Hn Unhum - Cseuchn Mc Anronedn T Bdjquïoden scgs scgsdb dbdh dhdm dmnm nm pj pjrr hjs hjs oä oätj tjmj mjss cs cstî tîgm gmnr nr pnrn pnrn rc rcnh nhdz dznr nr ch dgaj dgajro rocc ejrrcspjgmdcgtc. ]nobdäg sc mcbc mctcrodgnr sd ch euhtdvj cs dgmdentdvj mc ugn bnetcrdcodn vcrmnmcrn.

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ESH]DQJ HER   Ch HER fcgcrnhocgtc sc jbtdcgc n trnväs mc ugn pugedõg huobnr (cspdgnh).  Ch euhtdvj sc rcnhdzn cg ch hnbjrntjrdj.  Ch oderjbdõhjfj hj cxnodgn tjmjs hjs mïns y cg ensj mc prcscgtnrsc ercedodcgtj (ug "euhtdvj pjsdtdvj"), sc dmcgtdadeng hjs oderjjrfngdsojs y sc vcrdaden hn susecptdbdhdmnm n hjs ngtdbdõtdejs, pcrodtdcgmj hn ockjr schceedõg mc ästjs.  Qnhjrcs gjronhcs; Cs gjronh hn nuscgedn mc ercedodcgtj mc jrfngdsojs (gcfntdvj).

QD.

EJGEHSUDJGCU Sg rcsuhtnmj pjsdtdvj pnrn hn odson bnetcrdn cg mjs j oîs `cojeuhtdvjs cs nhtnocgtc sufcstdvj mc dgaceedõg pjr csc oderjjrfngdsoj. Hns dgaceedjgcs mc hn sngfrc sjg ouy frnvcs y mcbcg trntnrsc dgocmdntnocgtc, gjronhocgtc cg ug `jspdtnh. Sgn scpsds supjgc ug pchdfrj pnrn hn vdmn mch dgmdvdmuj, cspcednhocgtc cg pcrsjgns dgougjsuprdodmns. N hn cspcrn mch rcsuhtnmj mch `cojeuhtdvj, ch oämdej dgstnurn yn mc cgtrnmn ug trntnodcgtj ngtdbdõtdej mc nophdj cspcetrj, cacetdvj ngtc ugn frng vnrdcmnm mc färocgcs. Sgn vcz sc mdspjgfn mch rcsuhtnmj mcadgdtdvj mch ngtdbdjfrnon, cs  pjsdbhc quc ch oämdej mcedmn enobdnr ch trntnodcgtj y utdhdznr ug ngtdbdõtdej cspceïadej pnrn hn bnetcrdn dmcgtdadenmn. Ud ug rcsuhtnmj cs pjsdtdvj y ch jtrj gcfntdvj, pucmc tngtj trntnrsc mc ugn dgaceedõg ejoj mc ugn ejgtnodgnedõg. Ch oämdej cs qudcg mcbcrî dgtcrprctnr hjs rcsuhtnmjs mc neucrmj nh ejgtcxtj ehïgdej mc enmn dgmdvdmuj. Ud tjmjs hjs rcsuhtnmjs sjg gcfntdvjs, hn prjbnbdhdmnm mc tcgcr ugn scpsds cs bnkn.  Gj jbstngtc, n vcecs cs mdaïedh dmcgtdadenr edcrtjs oderjjrfngdsojs, oderjjrfngdsojs, y pjr hj tngtj sc rcqudcrc mc prucbns nmdedjgnhcs, quc tnobdäg sc rcnhdznrîg sd ch dgmdvdmuj sdfuc ejg sïgtjons, ejoj pjr ckcophj adcbrc.

QDD.

RCEJOCGMNEDJGCU Nhfugns rnzjgcs quc pucmcg cxphdenr hn pcrsdstcgedn mc sïgtjons n pcsnr mc quc hjs `cojeuhtdvjs `nyng rcsuhtnmj gcfntdvjs dgehuycg; N nhfugjs oderjjrfngdsojs hcs eucstn oîs ercecr cg euhtdvj9 pjr chhj sc cophcng ocmdjs mc euhtdvj ejg gutrdcgtcs cspcednhcs pnrn anedhdtnr ch mcsnrrjhhj mc hjs pntõfcgjs c dmcgtdadenrhjs Hjs vdrus pucmcg gj mctcetnrsc cg hjs ocmdjs mc euhtdvj rutdgnrdjs mcstdgnmjs n dmcgtdadenr bnetcrdns. Ud ch oämdej sjspce`n quc hjs sïgtjons mch dgmdvdmuj

 

SGDQCRUDMNM GNEDJGNH KJRFC BNUNMRC FRJ@JONGG  

Aneuhtnm Mc Edcgedns Mc Hn Unhum - Cseuchn Mc Anronedn T Bdjquïoden  pucmcg ntrdbudrsc n ugn dgaceedõg vïrden, cgtjgecs pucmcg scr gcecsnrdns jtrns  prucbns mc hnbjrntjrdj9 ch oämdej oämdej snbrî eunhcs mc chhns sjhdedtnr sjhdedtnr cg enmn ensj. Hjs rcsuhtnmjs mc jtrns prucbns rcnhdznmns kugtj ejg ch `cojeuhtdvj pucmcg dgmdenr  scpsds n pcsnr mc quc hjs `cojeuhtdvjs `nyng sdmj gcfntdvjs. Cgtrc cstns prucbns sc dgehuyc; @cojfrnon - ug nuocgtj mch rceucgtj mc hcuejedtjs pucmc cstnr dgmdengmj ugn dgaceedõg Ejophcocgtj - hjs gdvchcs mch anetjr E5 pucmcg cstnr nuocgtnmjs Hn jbtcgedõg mc euhtdvjs mc csputj j mc jrdgn (urdgjeuhtdvj) pjsdtdvjs dgmdenrïn ch pjsdbhc jrdfcg mc hn dgaceedõg Ch ngîhdsds mc hïqudmj ecanhjrrnquïmcj tnobdäg pucmc prjpjredjgnr dgajronedõg necren mch jrdfcg mc hn dgaceedõg

QDD DDD. D.

DO DO\J \JR] R]NG NGE EDN CG HN EN ENRR RRCR CRN N Cg ugn scpsds, ch sdstcon dgougc cstî dgtcgtngmj ejobntdr hn dgaceedõg prjmuedcgmj ouhtdtum mc anetjrcs mcstdgnmjs n chdodgnr hns bnetcrdns9 cstns sustngedns tnobdäg pucmcg enusnr, cg ejgtrnpnrtdmn, ug frng onhcstnr nh dgmdvdmuj. Hn scptdecodn pucmc hhcvnr n ug cstnmj mc s`jei (enïmn mc hn prcsdõg nrtcrdnh), nuocgtj mc hn arceucgedn enrmïnen (tnqudenrmdn) y mdsodguedõg mch ahukj sngfuïgcj `nedn ch ecrcbrj, ejrnzõg j rdþjgcs. ]nobdäg pucmc nhtcrnr ejopjgcgtcs mc hn ejnfuhnedõg sngfuïgcn pumdcgmj enusnr cg ûhtdon dgstngedn ugn EDM, y ästn n su vcz jensdjgnr sngfrnmjs fcgcrnhdznmjs. Hns  bnetcrdns edreuhngtcs cg hn sngfrc pucmcg nhengznr hns nrtdeuhnedjgcs jrdfdgngmj nrtrdtds säptdens. Netunhocgtc sc mdspjgc mc prucbns rîpdmns quc pcrodtcg mctcetnr hn prcscgedn mc mdstdgtjs tdpjs mc bnetcrdns cg sngfrc, y quc sjg mc frng utdhdmnm cg ch scfudodcgtj mc  pcrsjgns ejg `cojeuhtdvjs pjsdtdvjs yn quc pcrodtcg dmcgtdadenr rîpdmnocgtc hns  bnetcrdns prcscgtcs. \jr ckcophj, pucmcg dmcgtdadenr oderjjrfngdsojs ejoj ch Utnp`yhjejeeus nurcus rcsdstcgtc n octdedhdgn (ORUN) quc cs ug oderjjrfngdsoj ouy mdaïedh mc trntnr, y bnetcrdns frno gcfntdvns ejoj C. ejhd quc vdvcg cg ch trnetj fnstrjdgtcstdgnh. Hn dmcgtdadenedõg rîpdmn pucmc anedhdtnr ch trntnodcgtj ejg ngtdbdõtdejs cspceïadejs. Hjs dgvcstdfnmjrcs oämdejs tnobdäg cstîg mcsnrrjhhngmj prucbns quc pucmcg nyumnr n quc ch mdnfgõstdej scn oîs rîpdmj;   

DP.

Dmcgtdadenedõg mc oderjbdjs pntõfcgjs ejougcs mdrcetnocgtc mc hn sngfrc (cg hufnr mc j nmcoîs mc ug `cojeuhtdvj) Nyumnr n mcsenrtnr hn scpsds mdstdgfudcgmj cgtrc dgahnonedõg pjsdtdvn pnrn dgaceedõg c dgahnonedõg gcfntdvn pnrn dgaceedõg Mctcrodgnedõg oîs rîpdmn mc hn susecptdbdhdmnm n hjs ngtdbdõtdejs (trntnodcgtj ngtdbdõtdej nprjpdnmj)

]NBHN HNU UM MC CO ODE DER RJJ JJR RFN FNG GDUOJ DUOJU U

 

SGDQCRUDMNM GNEDJGNH KJRFC BNUNMRC FRJ@JONGG  

Aneuhtnm Mc Edcgedns Mc Hn Unhum - Cseuchn Mc Anronedn T Bdjquïoden

 

SGDQCRUDMNM GNEDJGNH KJRFC BNUNMRC FRJ@JONGG  

Aneuhtnm Mc Edcgedns Mc Hn Unhum - Cseuchn Mc Anronedn T Bdjquïoden

 

SGDQCRUDMNM GNEDJGNH KJRFC BNUNMRC FRJ@JONGG  

Aneuhtnm Mc Edcgedns Mc Hn Unhum - Cseuchn Mc Anronedn T Bdjquïoden

 

SGDQCRUDMNM GNEDJGNH KJRFC BNUNMRC FRJ@JONGG  

Aneuhtnm Mc Edcgedns Mc Hn Unhum - Cseuchn Mc Anronedn T Bdjquïoden

]NBHN EJO\HC]N MC ]JMJU HJU ODERJRFNGDUOJU CG CU]C CGHNEC; `ttps;//www.umjez.ejo/pc/rcnm/>0235=22