Harvard Inotapukira Zvirwere muVakuru 2021

NaHarvard Medical Chikoro 2021

UCHAWANYA KOSHESA VIA HERE HUPENYU KUSVIRA DZIDZISO (FAST SPEED) PASI PAYMENT

Zvirwere zvinotapukira muVakuru zvichaitirwa online gore rino, vachishandisa kutepfenyura kwepamoyo, Q&A yemagetsi, uye mamwe matekinoroji ekudzidza ari kure. 

MASHOKO ANOBATA NYAYA

Iyi yakazara CME chirongwa chinovimbisa vanopinda varipo neazvino-e-iyo-maitiro nzira dzekudzivirira, kuona, kuongororwa, uye kurapwa kwezvirwere zvinotapukira. Mhinduro, maitiro akanakisa, uye nhungamiro nyowani dzinounzwa nenyanzvi dzinozivikanwa munyika dzese ID uye varapi vakuru. Dzidzo inoshanda uye mhedzisiro inotyairwa:

• Kugadzirisa zvakakwana kuita sarudzo mukudzivirira, kuongororwa, uye kurapwa kwezvirwere zvinotapukira
• Maantimicrobial matsva uye nzira dzekurapa hutachiona husinga shande
• COVID-19: iyo yazvino inogadziridza
• Kudzivirira uye kurapwa kwehutachiona muma immunocompromised mauto
• State-of-the-art nzira dzezvirwere zvakajairika
• Nzira dzekuchipatara kune dzakaoma, zvisingawanzo, "usapotse" hutachiona
• Nyowani, dziri kubuda, uye dziri kubuda zvirwere zvinotapukira
• Kwidziridzo pane antifungal diagnostics uye kurapwa
• Yakanakisa manejimendi ye Staph aureus zvirwere
• Zvirwere muvanhu vane kusagadzikana kwekushandisa zvinodhaka
• Chii chitsva mukudzivirira kweHIV uye manejimendi
• Musculoskeletal hutachiona hutachiona

Sezvo marongero akagadziridzwa ekurapa, bvunzo nyowani dzekuongorora, uye nhungamiro zvinoratidzwa, zvinowirirana pamwe nematanho akasarudzika ekubatanidza izvi zvitsva mune rako zuva nezuva basa.

Zvakajeka zveiyo 2021 Chirongwa

Yakawedzeredzwa Nyaya-Yakavakirwa uye Dambudziko-Kugadzirisa Dzidzo 

Iyo 2021 chirongwa inoratidzira yakawedzera huwandu hwenzvimbo yekudyidzana, kesi-yakavakirwa uye kugadzirisa matambudziko. Iwo mafomati ari kuita uye varipo vanokurudzirwa kubvunza mibvunzo yenyanzvi dzenyika yedu muzvikamu zveQ neA zvichitevera hurukuro nemisangano.

Kurapa Zvirwere Zvakanyanya Kuramba, kusanganisira:

• MRSA uye VISA (vancomycin-yepakati Staph aureus)
• Yakawedzerwa spectrum beta-lactamase (ESBL) -kugadzira gramu isina tsvimbo
• Carbapenemase-inogadzira gramu isina tsvimbo, kusanganisira iyo NDM-1 metallo-beta-lactamase-inogadzira zvipenyu.
• Vancomycin nemishonga enterococci (VRE)
• Aspergillus uye asiri-aspergillus mold hutachiona
• Candida auris
• Nontuberculous mycobacteria (NTM)

Zvakajairika Zvirwere Zvirwere: Ongororo muKudzivirira, Kuongorora, uye Kurapa

Kugadziridzwa kwekukuchengeta iwe parizvino pamaitiro matsva, mamiriro-e-iyo-maitiro maitiro, uye nazvino nhungamiro yekugadzirisa:

• Zvirwere muhuwandu hwekuwedzera hwevasina kusimba masimba
• Zvirwere muvanhu vane dambudziko rekushandisa zvinodhaka
• Zvirwere zvevafambi uye vanhu vekune dzimwe nyika
• Zvirongwa zvefungal fungidziro
• Native uye mudziyo-zvine chekuita nehutachiona hutachiona
• Central nervous system (CNS) hutachiona
• Nzeve, mhino nehuro (ENT) uye hutachiona hwemaziso
• Bronchiectasis uye mabayo
• HIV nehutachiona hwayo uye hutachiona hwehutachiona
• PEP (Post-Exposed Prophylaxis) uye PrEP (Pre-Exposure Prophylaxis) kudzivirira hutachiona hweHIV
• Zvirwere zvinotapuriranwa pabonde
• Hepatitis B uye C hutachiona
• Nezvikwekwe- uye mosquito-inotapukira zvirwere
• Mishonga yekudzivirira uye inodzivirira jekiseni
• Clostridioides difficile chirwere

Dzinonetsa, dzakajairika, uye dzichiri kubuda Zvirwere Zvirwere

Nzwisisika inogadziridza pa:

• Covid-19
• EEE, Zika, Ebola, Middle East Respiratory Syndrome (MERS), uye zvimwe zvirwere zvinotapukira zvinobuda
• Kubuda zvekare kwezvirwere-zvinodzivirirwa zvirwere
• Pulmonary uye extrapulmonary isiri-tuberculous ("atypical") mycobacteria, kusanganisira Mycobacterium abscessus
• Zvirwere zvepasi rose zvinotapukira zvekukosha kwekukiriniki

Clinical Sarudzo-Kugadzira

Inzwa zvakananga kubva kune vanonyanya kuzivikanwa mazvikokota uye vatenzi vanachiremba pamaitiro avo uye maitiro ekutora sarudzo e:

• Kusarudza yakanakira antimicrobial uye nguva yekurapa
• Kukurumidza kuona uye empiric kurapwa kweanotyisidzira hupenyu hutachiona hutachiona
• Inpatient kana outpatient kurapwa, uye wekunze kwemishonga inorwisa mabhakitiriya: IV kana muromo?
• Kugadziridza empiric antimicrobial therapy: chii chekutanga, nguva yekudzikisa kana kumira

Nhaurirano dzedu dzakasiyana siyana nedzidziso dzinosanganisira kuchengetedzeka, hunhu, uye tsika yekuvandudza muzvirwere zvinotapukira, zvinosanganisira:

• Antimicrobial utariri kudzivirira kuramba uye kudzikisa mutengo
• Kudzora hutachiona, kusanganisira biothreats
• Pakutanga inpatient ID kubvunzana kuvandudza mhedzisiro