Clinical application and effect analysis of remote multi-disciplinary team in the treatment of bubonic plague secondary to septicemic plague
10.3760/cma.j.cn231583-20220127-00023
- VernacularTitle:远程多学科诊疗在腺鼠疫继发败血型鼠疫救治中的临床应用及作用分析
- Author:
Shuaiwei LIU
1
;
Xiuru MO
;
Long HAI
;
Wanlong MA
;
Huijuan LIU
;
Xia LUO
;
Xiangchun DING
Author Information
1. 宁夏医科大学总医院感染性疾病科，银川 750004
- Keywords:
Plague;
Remote multi-disciplinary team;
Septicemia;
Clinical effects
- From:
Chinese Journal of Endemiology
2023;42(8):663-667
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the remote multi-disciplinary team (MDT) model in diagnosis and treatment of plague, in order to provide scientific basis for clinical treatment of plague.Methods:A retrospective analysis was made on the diagnosis and treatment process of a case of bubonic plague, a sudden imported Class A infectious disease, which was secondary to septicemic plague, involving a remote MDT team consisting of the Infectious Diseases Department, Intensive Care Unit, Respiratory and Critical Care Department, Cardiology Department, Pharmacy Department, and Nosocomial Infection Department of the General Hospital of Ningxia Medical University.Results:The patient was a middle-aged female who was engaged in herding work on the grassland. The first symptom was a sudden pain in the left lower abdomen for three days, accompanied by chest tightness and shortness of breath. After hospitalization, blood culture indicated Yersinia, abdominal CT indicated left lower abdominal lymph node enlargement, and lymph node puncture fluid was positive for Yersinia pestis nucleic acid. Combined with clinical symptoms and signs, the patient was diagnosed as bubonic plague secondary to septicemic plague, and was isolated for treatment. After remote MDT consultation, comprehensive treatment was given, including anti-infection treatment of streptomycin and ciprofloxacin, short-term application of hormones, nutritional support, and local application of chloramphenicol ointment, etc. Secondary acute pancreatitis occurred during the course of the disease, which improved after symptomatic treatment. Finally, after 20 days of treatment, MDT expert group assessed that it met the discharge criteria. No abnormalities were found in follow-up visits outside the hospital. Conclusion:The remote MDT is effective in the treatment of bubonic plague secondary to septicemic plague, which is worth popularizing.
