Nā maʻi maʻi Harvard i nā mākua 2021

Na ke Kula Lapaʻau ʻo Harvard 2021

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E mālama ʻia nā maʻi maʻi i nā mākua ma ka pūnaewele i kēia makahiki, me ka hoʻohana ʻana i ke kahe ola, uila Q&A, a me nā ʻenehana aʻo mamao aku. 

Hōʻuluʻulu manaʻo

Mālama kēia papahana CME ākea i ka poʻe i hele pū me nā ala o ka wā e pale aku ai, ʻike, ʻike, a me ka mālama ʻana i nā maʻi lele. Hōʻike ʻia nā mea hou, nā hana ʻoi loa, a me nā alakaʻi hou e nā poʻe loea ID a ʻike ʻia i ka lāhui. He mea hiki ke aʻo a me nā hopena i kipaku ʻia:

• ʻO ka hoʻoholo kūpono loa i ka pale ʻana, ka hōʻoia ʻana, a me ka mālama ʻana i nā maʻi maʻi
• ʻO nā antimicrobial hou a me nā hoʻolālā lapaʻau no nā maʻi kūpilikiʻi
• COVID-19: nā mea hou loa
• Kāohi a me ka mālama ʻana i ka maʻi i nā pūʻali pale pale pale
• Ke hoʻokokoke aku nei ka state-of-the-art i nā maʻi maʻamau
• ʻO nā hoʻokokoke ʻana i nā maʻi paʻakikī, kākaʻikahi, "mai-haʻo"
• Nā maʻi lele hou, e ulu nei, a e kū nei
• Hoʻohou i nā diagnostics antifungal a me ka therapy
• Hoʻokele maikaʻi loa o ʻO Staph aureus infections
• Nā maʻi i loko o nā kānaka me ka maʻi maʻi hoʻohana
• He aha ka mea hou o ka pale aku a me ka mālama ʻana i ka maʻi HIV
• Nā maʻi infectious Musculoskeletal

Ke hōʻike ʻia nei nā hoʻolālā hoʻomaʻamaʻa hou, nā hōʻike diagnostics hou, a me nā alakaʻi, hoʻohui ʻia lākou me nā ʻōlelo kikoʻī no ka hoʻokomo ʻana i kēia mau mea hou i kāu hana o kēlā me kēia lā.

Nā mea nui o ka Polokalamu 2021

Hoʻonui ʻia ka hihia hihia a me ka hoʻoponopono pilikia 

Hōʻike ka papahana 2021 i kahi laulā o ka launa kamaʻilio ʻana, ka hihia a me ka hoʻoponopono pilikia ʻana. Ke komo nei nā ʻōnaehana a paipai ʻia ka poʻe e komo i nā nīnau a ko mākou poʻe loea kūloko ma nā kau Q a me A ma hope o nā haʻiʻōlelo a me nā papa aʻo.

Ke mālama nei i nā maʻi kūpaʻa kiʻekiʻe, me:

• MRSA a me VISA (vancomycin-intermediate ʻO Staph aureus)
• Hoʻonui i ka spectrum beta-lactamase (ESBL) -e hana ana i nā koʻokoʻo maikaʻi ʻole gram
• Ke hana nei ʻo Carbapenemase i nā koʻokoʻo maikaʻi ʻole gram, e like me nā mea hana NDM-1 metallo-beta-lactamase
• Enterococci kūpaʻa ʻo Vancomycin (VRE)
• ʻO Aspergillus a me nā maʻi maʻi non-aspergillus punahelu
• ʻO Candida auris
• Mycobacteria nonontercercious (NTM)

Nā maʻi laha maʻamau: nā mea hou i ka Kāohi, Diagnosis, a me ka mālama ʻana

Nā mea hou e hoʻomau iā ʻoe i kēia manawa ma nā hoʻolālā hou, nā hana o ka manawa, a me nā alakaʻi hou loa e kamaʻilio ai:

• Nā maʻi i loko o nā lehulehu e hoʻonui nei o nā pūʻali kūpaʻa immunocompromised
• Nā maʻi i nā poʻe me nā maʻi hoʻohana o ka lāʻau
• Nā maʻi o nā huakaʻi a me nā kānaka hānau haole
• Nā maʻi lele ʻōnaehana
• Nā maʻi maʻi orthopedic e pili ana i ka ʻōiwi a me nā hāmeʻa
• Nā maʻi maʻi ʻōnaehana waena (CNS)
• ʻO ka pepeiao, ka ihu a me ka ʻāʻī (ENT) a me nā maʻi o ka maka
• ʻO Bronchiectasis a me ka niumonia
• ʻO ka maʻi HIV a me nā maʻi kūlohelohe a me nā noninfectious
• PEP (Post-Exposure Prophylaxis) a me PrEP (Pre-Exposure Prophylaxis) e pale aku i ka maʻi HIV
• ʻO nā maʻiʻelima
• Nā maʻi Hepatitis B a me C
• Nā maʻi maʻi a me nā maʻi i hāpai ʻia e ka makika
• ʻO nā maʻi āpau a me nā maʻi hiki ʻole ke pale ʻia
• Difficile ʻo Clostridioides maʻiʻaʻai

Nā maʻi kūlohelohe, laha ʻole, a me nā maʻi kūlohelohe e kū mai nei

Hōʻike hou ma:

• Covid-19
• EEE, Zika, Ebola, Middle East Respiratory Syndrome (MERS), a me nā maʻi lele e kū mai nei.
• Kū hou o nā maʻi pale-pale
• Pulcaryary and extrapulmonary non-tubercious ("atypical") mycobacteria, pū me Mycessobacterium abscessus
• Nā maʻi infectious ākea o ka nui koʻikoʻi

Hoʻoholo Hoʻoholo Haukino

E hoʻolohe pololei mai nā loea kaulana a kaulana loa o ka honua i kā lākou hoʻokokoke ʻana a me nā koho hoʻoholo no:

• Koho i ka antimicrobial ʻoi loa a me ka lōʻihi o ka mālama ʻana
• ʻImi wikiwiki a me ka mālama ʻana empiric o nā maʻi lele e hoʻoweliweli nei i ke ola
• Ka lāʻau maʻi a i ʻole ka mālama maʻi, a me ka neʻe ʻana o ka lāʻau antibiotic i waho: IV a i ʻole ka waha?
• Ke hoʻonui nei i ka empiric antimicrobial therapy: he aha ka mea e hoʻomaka ai, i ka manawa e hoʻokī a paʻa ai paha

Hoʻokomo kā mākou mau kamaʻilio multidisciplinary a me nā papa hana i ka palekana, ka maikaʻi, a me ka hoʻomaikaʻi hoʻomaʻamaʻa i nā maʻi lele, e like me:

• ʻO ka lawelawe antimicrobial e pale i ke kūpaʻa a hoʻemi i ke kumukūʻai
• Ka maʻi maʻi maʻi, me nā biothreats
• Nā kūkākūkā ID inpatient mua e hoʻomaikaʻi i nā hopena