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Pediatric HAI

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https://www.readbyqxmd.com/read/27903112/bypass-surgery-to-treat-symptomatic-fusiform-dilation-of-the-internal-carotid-artery-following-craniopharyngioma-resection-report-of-2-cases
#1
Long Wang, Xiang'en Shi, Fangjun Liu, Hai Qian
Fusiform dilation of the internal carotid artery (FDICA) is an infrequent vascular complication following resection of suprasellar lesions in the pediatric population, and its course appears to be benign without apparent clinical symptoms. However, data correlating symptomatic FDICA with bypass surgery are scarce. The authors here report 2 symptomatic cases that were treated using internal maxillary artery bypass more than 5 years after total removal of a craniopharyngioma at an outside institution. Both cases of FDICA were resected to relieve the mass effect and to expose the craniopharyngioma...
December 2016: Neurosurgical Focus
https://www.readbyqxmd.com/read/27902749/risk-factors-associated-with-renal-involvement-in-childhood-henoch-sch%C3%A3-nlein-purpura-a-meta-analysis
#2
Han Chan, Yan-Ling Tang, Xiao-Hang Lv, Gao-Fu Zhang, Mo Wang, Hai-Ping Yang, Qiu Li
BACKGROUND AND OBJECTIVE: Henoch-Schönlein purpura (HSP) is an important cause of chronic kidney disease in children. This meta-analysis identified risk factors associated with renal involvement in childhood HSP. METHODS: PubMed, Embase, and Web of Science were searched. The quality of all eligible studies was assessed using the Newcastle-Ottawa scale criteria. An analysis of possible risk factors was conducted to report the odds ratio (OR) and weighted mean difference (WMD)...
2016: PloS One
https://www.readbyqxmd.com/read/27886037/hospital-acquired-infection-in-public-hospital-buildings-in-the-philippines-is-the-type-of-ventilation-increasing-the-risk
#3
Godofreda Ruiz Vergeire-Dalmacion, Jill Rafols Itable, Emmanuel Saporna Baja
INTRODUCTION: Hospital-acquired infections (HAIs) are associated with increased morbidity and mortality, especially in developing countries. However, limited information is available about the risk of HAIs in naturally ventilated wards (NVWs) and mechanically ventilated intensive care units (MVICUs) of public hospitals in the Philippines. We aimed to assess the association between HAIs and type of ventilation in an urban tertiary care hospital in the Philippines. METHODOLOGY: A cross-sectional point-prevalence survey of infections was done in NVWs and MVICUs of a tertiary care hospital in December 2013...
November 24, 2016: Journal of Infection in Developing Countries
https://www.readbyqxmd.com/read/27882056/pediatric-isolated-sinonasal-schwannoma-a-new-case-report-and-literature-review
#4
Xiao-Hui Ma, Hai-Chun Zhou, Can Lai, Kun Zhu, Xuan Jia
Schwannomas of the paranasal sinus are uncommon. Less than 4% of schwannomas involve the nasal cavity and paranasal sinuses, even less in the pediatric age group. A case of schwannoma arising in maxillary sinus in a 2.5-year-old Chinese boy is reported. The basis for discussion of this case is the exceptional rarity of sinonasal schwannoma in pediatric patients.
2016: Case Reports in Medicine
https://www.readbyqxmd.com/read/27798979/role-of-radiological-parameters-in-predicting-overall-shunt-outcome-after-ventriculoperitoneal-shunt-insertion-in-pediatric-patients-with-obstructive-hydrocephalus
#5
Devi Prasad Patra, Shyamal C Bir, Tanmoy K Maiti, Piyush Kalakoti, Hugo Cuellar, Bharat Guthikonda, Hai Sun, Christina Notarianni, Anil Nanda
OBJECTIVE Despite significant advances in the medical field and shunt technology, shunt malfunction remains a nightmare of pediatric neurosurgeons. In this setting, the ability to preoperatively predict the probability of shunt malfunction is quite compelling. The authors have compared the preoperative radiological findings in obstructive hydrocephalus and the subsequent clinical course of the patient to determine any association with overall shunt outcome. METHODS This retrospective study included all pediatric patients (age < 18 years) who had undergone ventriculoperitoneal shunt insertion for obstructive hydrocephalus...
November 2016: Neurosurgical Focus
https://www.readbyqxmd.com/read/27581317/epidemiology-of-adult-onset-hydrocephalus-institutional-experience-with-2001-patients
#6
Shyamal C Bir, Devi Prasad Patra, Tanmoy K Maiti, Hai Sun, Bharat Guthikonda, Christina Notarianni, Anil Nanda
OBJECTIVE Adult-onset hydrocephalus is not commonly discussed in the literature, especially regarding its demographic distribution. In contrast to pediatric hydrocephalus, which is related to a primary CSF pathway defect, its development in adults is often secondary to other pathologies. In this study, the authors investigated the epidemiology of adult-onset hydrocephalus as it pertains to different etiologies and in reference to age, sex, and race distributions. METHODS The authors retrospectively reviewed the clinical notes of 2001 patients with adult-onset hydrocephalus who presented to Louisiana State University Health Sciences Center within a 25-year span...
September 2016: Neurosurgical Focus
https://www.readbyqxmd.com/read/27562132/effectiveness-of-radiofrequency-catheter-ablation-of-outflow-tract-ventricular-arrhythmias-in-children-and-adolescents
#7
Xiao-Mei Li, He Jiang, Yan-Hui Li, Yan Zhang, Hai-Ju Liu, Hai-Yan Ge, Yi Zhang, Mei-Ting Li
Outflow tract ventricular arrhythmias (OTVAs) are common in children; however, experience is limited on their radiofrequency catheter ablation (RFCA). The purpose of this study was to assess the outcomes of mapping and ablation of pediatric OTVAs and to evaluate the role of ECG algorithms in distinguishing the origin of OTVAs. We compared retrospectively collected single-center data on 92 consecutive pediatric patients (58 male; age, 8.2 ± 2.9 [range 3.6-18] years) who underwent RFCA for OTVAs from 2009 to 2015...
December 2016: Pediatric Cardiology
https://www.readbyqxmd.com/read/27513983/peak-systolic-velocity-measurements-with-transcranial-doppler-ultrasound-is-a-predictor-of-incident-stroke-among-the-general-population-in-china
#8
Hai-Bo Wang, Daniel T Laskowitz, Jodi A Dodds, Gao-Qiang Xie, Pu-Hong Zhang, Yi-Ning Huang, Bo Wang, Yang-Feng Wu
BACKGROUND AND OBJECTIVE: It is necessary to develop an effective and low-cost screening tool for identifying Chinese people at high risk of stroke. Transcranial Doppler ultrasound (TCD) is a powerful predictor of stroke in the pediatric sickle cell disease population, as demonstrated in the STOP trial. Our study was conducted to determine the prediction value of peak systolic velocities as measured by TCD on subsequent stroke risk in a prospective cohort of the general population from Beijing, China...
2016: PloS One
https://www.readbyqxmd.com/read/27511591/healthcare-associated-infections-in-pediatric-and-neonatal-intensive-care-units-impact-of-underlying-risk-factors-and-antimicrobial-resistance-on-30-day-case-fatality-in-italy-and-brazil
#9
Laura Folgori, Paola Bernaschi, Simone Piga, Michaela Carletti, Filippe Pirrone Cunha, Paulo Henrique Rodriguez Lara, Nicholas Cafieiro de Castro Peixoto, Bárbara Gomes Alves Guimarães, Mike Sharland, André Ricardo Araujo da Silva, Marta Ciofi Degli Atti
OBJECTIVES To describe trends in the epidemiology of healthcare-associated Infections (HAIs) in pediatric/neonatal intensive care units (ICUs) and to evaluate risk factors and impact of multidrug resistance in children admitted to ICUs. DESIGN Multicenter, retrospective, cohort study with a nested case-control study conducted from January 1, 2010, through December 31, 2014. SETTING Three tertiary care pediatric hospitals in Italy and Brazil with a total of 103 ICU beds. PATIENTS Inclusion criteria were admission to ICU during the study period, age at onset less than 18 years, and microbiologically confirmed HAI...
November 2016: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/27506402/choroid-plexus-papillomas-of-the-cerebellopontine-angle
#10
Wei Luo, Hai Liu, Jiaxin Li, Jun Yang, Yulun Xu
OBJECTIVE: Choroid plexus papillomas (CPPs) of the cerebellopontine angle (CPA) are extremely rare. In this article, we present a series of twenty-one cases operated on in the last eight years at our institution. METHODS: During the 8-year period from January 2008 to October 2015, we encountered 102 histologically established cases of CPPs, of which 21 located in the CPA region. Clinical profiles, radiological features, surgical procedures, intraoperative findings and outcomes were extracted from the patient records and neuroimaging data...
August 6, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27500954/respiratory-syncytial-virus-and-other-viral-infections-among-children-under-two-years-old-in-southern-vietnam-2009-2010-clinical-characteristics-and-disease-severity
#11
Lien Anh Ha Do, Juliet E Bryant, Anh Tuan Tran, Bach Hue Nguyen, Thi Thu Loan Tran, Quynh Huong Tran, Quoc Bao Vo, Nguyen Anh Tran Dac, Hong Nhien Trinh, Thi Thanh Hai Nguyen, Bao Tinh Le Binh, Khanh Le, Minh Tien Nguyen, Quang Tung Thai, Thanh Vu Vo, Ngoc Quang Minh Ngo, Thi Kim Huyen Dang, Ngoc Huong Cao, Thu Van Tran, Lu Viet Ho, Jeremy Farrar, Menno de Jong, H Rogier van Doorn
BACKGROUND: Despite a high burden of respiratory syncytial virus (RSV) infections among children, data on demographic and clinical characteristics of RSV are scarce in low and middle income countries. This study aims to describe the viral etiologies, the demographic, epidemiological, and clinical characteristics of children under two years of age who were hospitalized with a lower respiratory tract infections (LRTI), focusing on RSV (prevalence, seasonality, subgroups, viral load) and its association with disease severity...
2016: PloS One
https://www.readbyqxmd.com/read/27412542/-change-in-serum-intestinal-fatty-acid-binding-protein-and-its-significance-in-children-with-pneumonia-and-gastrointestinal-injury
#12
Xiao-Lei Fan, Hai-Ying Li, Xiao-Xin Chen, Lei Xie, Huai-Li Wang
OBJECTIVE: To study the change in serum intestinal fatty acid binding protein (IFABP) in children with pneumonia and its correlation with gastrointestinal injury. METHODS: A total of 82 children with community-acquired pneumonia who were treated from January to October, 2015 were enrolled, among whom 34 had mild pneumonia and 48 had severe pneumonia. According to pediatric critical illness score (PCIS), the children with severe pneumonia were further divided into non-critical group (25 patients) and critical group (23 patients)...
July 2016: Zhongguo Dang Dai Er Ke za Zhi, Chinese Journal of Contemporary Pediatrics
https://www.readbyqxmd.com/read/27399106/high-prevalence-of-hospital-acquired-infections-caused-by-gram-negative-carbapenem-resistant-strains-in-vietnamese-pediatric-icus-a-multi-centre-point-prevalence-survey
#13
Ngai Kien Le, Wertheim Hf, Phu Dinh Vu, Dung Thi Khanh Khu, Hai Thanh Le, Bich Thi Ngoc Hoang, Vu Thanh Vo, Yen Minh Lam, Dung Tien Viet Vu, Thu Hoai Nguyen, Tung Quang Thai, Lennart E Nilsson, Ulf Rydell, Kinh Van Nguyen, Behzad Nadjm, Louise Clarkson, Håkan Hanberger, Mattias Larsson
There is scarce information regarding hospital-acquired infections (HAIs) among children in resource-constrained settings. This study aims to measure prevalence of HAIs in Vietnamese pediatric hospitals.Monthly point prevalence surveys (PPSs) in 6 pediatric intensive care units (ICUs) in 3 referral hospitals during 1 year.A total of 1363 cases (1143 children) were surveyed, 59.9% male, average age 11 months. Admission sources were: other hospital 49.3%, current hospital 36.5%, and community 15.3%. Reasons for admission were: infectious disease (66%), noninfectious (20...
July 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27367002/device-associated-infections-in-the-pediatric-intensive-care-unit-at-the-american-university-of-beirut-medical-center
#14
Ali Ismail, Abdul-Karim El-Hage-Sleiman, Marianne Majdalani, Rima Hanna-Wakim, Souha Kanj, Rana Sharara-Chami
INTRODUCTION: Device-associated healthcare-associated infections (DA-HAIs) are the principal threat to patient safety in intensive care units (ICUs).  The primary objective of this study was to identify the most common DA-HAIs in the pediatric intensive care unit (PICU) at the American University of Beirut Medical Center (AUBMC). Length of stay (LOS) and mortality, antimicrobial resistance patterns, and suitability of empiric antibiotic choices for DA-HAIs according to the local resistance patterns were also studied...
2016: Journal of Infection in Developing Countries
https://www.readbyqxmd.com/read/27353558/minimal-access-posterior-approach-for-extrapleural-thoracic-sympathectomy-a-cadaveric-study-and-cases
#15
Jeffrey S Raskin, Jesse J Liu, Hai Sun, Andrew Nemecek, Seshadri Balaji, Ahmed M Raslan
OBJECTIVE: Operatively, video-assisted thoracoscopic sympathectomy (VATS) involves pleural entry and poses risk in small children and patients with pulmonary disease. A conventional posterior sympathectomy is more invasive than VATS. We investigated a cadaveric feasibility study of a minimal access posterior approach for endoscopic extrapleural sympathectomy and discuss this minimal approach in children with cardiac sympathectomy. METHODS: A posterior endoscopic extrapleural approach for thoracic sympathectomy was performed using lightly embalmed cadavers; surgical corridor depth, width, and associated pleural violation were recorded...
September 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27318524/potential-effectiveness-of-copper-surfaces-in-reducing-health-care-associated-infection-rates-in-a-pediatric-intensive-and-intermediate-care-unit-a-nonrandomized-controlled-trial
#16
Bettina von Dessauer, Maria S Navarrete, Dona Benadof, Carmen Benavente, Michael G Schmidt
BACKGROUND: Studies have consistently shown that copper alloyed surfaces decrease the burden of microorganisms in health care environments. This study assessed whether copper alloy surfaces decreased hospital-associated infections in pediatric intensive and intermediate care units. METHODS: Admitted infants were assigned sequentially to a room furnished with or without a limited number of copper alloyed surfaces. Clinical and exposure to intervention data were collected on a daily basis...
August 1, 2016: American Journal of Infection Control
https://www.readbyqxmd.com/read/27261611/protection-of-rats-spinal-cord-ischemia-reperfusion-injury-by-inhibition-of-mir-497-on-inflammation-and-apoptosis-possible-role-in-pediatrics
#17
Meng Xu, Hai-Feng Wang, Ying-Ying Zhang, Hui-Wen Zhuang
MicroRNAs are extensively included in the pathogenesis and progression of many diseases by inhibiting target gene expression. Recently, studies have demonstrated that microRNA-497 (miR-497) may be implicated in human breast cancer that miR-497 predicts the prognosis of breast cancer patients from the posttranscriptional level. However, the specific function of miR-497 in spinal cord ischemia-reperfusion (IR) injury is far from clear nowadays. The present study was designed to determine the role of miR-497 in spinal cord IR injury and investigate the underlying spinal cord protective mechanism...
July 2016: Biomedicine & Pharmacotherapy, Biomédecine & Pharmacothérapie
https://www.readbyqxmd.com/read/27172664/-benefit-of-post-circumcision-application-of-skin-wound-induction-gel-in-the-treatment-of-phimosis-in-children
#18
RANDOMIZED CONTROLLED TRIAL
Yong-liang Ni, Hai-xin Wang, Yan Xu, Shou-bin Jiao
OBJECTIVE: To study the effects of skin wound induction gel on the glans scabbing rate, class-A wound healing rate, and wound healing time of circumcision for phimosis in pediatric patients. METHODS: We randomly assigned 48 six to thirteen years old children with phimosis to an experimental group (n = 25) and a control group (n = 23) to be treated by circumcision. After surgery, the patients in the experimental group received application of skin wound induction gel while those in the control group received that of povidone iodine only to the glans and incision...
March 2016: Zhonghua Nan Ke Xue, National Journal of Andrology
https://www.readbyqxmd.com/read/27042818/the-current-state-of-pediatric-hospital-medicine-fellowships-a-survey-of-program-directors
#19
Neha H Shah, Hai Jung H Rhim, Jennifer Maniscalco, Karen Wilson, Caroline Rassbach
BACKGROUND: Pediatric hospital medicine (PHM) fellowship programs have grown rapidly over the last 20 years and have varied in duration and content. In an effort to standardize training in the absence of a single accrediting body, PHM fellowship directors now meet annually to discuss strategies for standardizing and enhancing training. OBJECTIVES: To explore similarities and differences in curricular structure among PHM fellowship programs in an effort to inform future curriculum standardization efforts...
May 2016: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/27031457/healthcare-associated-infections-in-a-newly-opened-pediatric-intensive-care-unit-in-turkey-results-of-four-year-surveillance
#20
Serkan Atici, Ahmet Soysal, Eda Kepenekli Kadayifci, Ayşe Karaaslan, Gülşen Akkoç, Nurhayat Yakut, Sevliya Öcal Demir, Feyza İnceköy Girgin, Gülcan Çulha, Gülşen Altınkanat, Nilüfer Öztürk, Güner Söyletir, Mustafa Bakır
INTRODUCTION: Healthcare-associated infections (HAIs) are important causes of morbidity and mortality, especially in critically ill patients in intensive care units. The aim of this study was to assess the rate and distribution of HAIs, pathogens, and antimicrobial susceptibility patterns in a newly opened pediatric intensive care unit (PICU). METHODOLOGY: The infection control team detected and recorded HAI cases according to the Centers for Disease Control and Prevention's criteria in the PICU of Marmara University Pendik Training and Research Hospital over a four-year period following its opening...
March 2016: Journal of Infection in Developing Countries
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