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Infection control in ultrasound

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https://www.readbyqxmd.com/read/27898181/endovenous-ablation-therapy-laser-or-radiofrequency-or-foam-sclerotherapy-versus-conventional-surgical-repair-for-short-saphenous-varicose-veins
#1
REVIEW
Sharath Chandra Vikram Paravastu, Margaret Horne, P Dominic F Dodd
BACKGROUND: Short (or small) saphenous vein (SSV) varices occur as a result of an incompetent sapheno-popliteal junction, where the SSV joins the popliteal vein, resulting in reflux in the SSV; they account for about 15% of varicose veins. Untreated varicose veins may sometimes lead to ulceration of the leg, which is difficult to manage. Traditionally, treatment was restricted to surgery or conservative management. Since the 1990s, however, a number of minimally invasive techniques have been developed; these do not normally require a general anaesthetic, are day-case procedures with a quicker return to normal activities and avoid the risk of wound infection which may occur following surgery...
November 29, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27875362/relationship-between-hiv-infection-antiretroviral-therapy-inflammatory-markers-and-cerebrovascular-endothelial-function-among-adults-in-urban-china
#2
Felicia C Chow, Yanling Li, Yinghuan Hu, Joy Chan, Huanling Wang, Weihai Xu, Richard W Price, Farzaneh A Sorond, Taisheng Li
BACKGROUND: Cerebrovascular risk is increased in people living with HIV infection compared with age-matched uninfected individuals. Cerebrovascular endothelial dysfunction related to antiretroviral therapy and inflammation may contribute to higher stroke risk in HIV infection. METHODS: We compared cerebral vasoreactivity-a measure of cerebrovascular endothelial function assessed by the breath holding index (BHI) using transcranial Doppler ultrasound-between virologically suppressed Chinese HIV-infected individuals followed in an HIV clinic in Beijing, China and uninfected controls...
November 21, 2016: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/27872616/novel-approach-for-evaluation-of-bacteroides-fragilis-protective-role-against-bartonella-henselae-liver-damage-in-immunocompromised-murine-model
#3
Chiara Pagliuca, Annunziata G Cicatiello, Roberta Colicchio, Adelaide Greco, Raimondo Cerciello, Luigi Auletta, Sandra Albanese, Elena Scaglione, Caterina Pagliarulo, Gabiria Pastore, Gelsomina Mansueto, Arturo Brunetti, Bice Avallone, Paola Salvatore
Bartonella henselae is a gram-negative facultative intracellular bacterium and is the causative agent of cat-scratch disease. Our previous data have established that Bacteroides fragilis colonization is able to prevent B. henselae damages through the polysaccharide A (PSA) in an experimental murine model. In order to determine whether the PSA is essential for the protection against pathogenic effects of B. henselae in immunocompromised hosts, SCID mice were co-infected with B. fragilis wild type or its mutant B...
2016: Frontiers in Microbiology
https://www.readbyqxmd.com/read/27870812/does-breastfeeding-protect-young-infants-from-pertussis-case-control-study-and-immunologic-evaluation
#4
Elisabetta Pandolfi, Francesco Gesualdo, Emanuela Carloni, Alberto Villani, Fabio Midulla, Rita Carsetti, Paola Stefanelli, Giorgio Fedele, Alberto Eugenio Tozzi
BACKGROUND: Pertussis infection can be severe in unvaccinated infants. A case control study was conducted to investigate the potential role of breastfeeding in protecting young, unvaccinated infants from pertussis. METHODS: Hospitalized infants < 6 months with positive RT-PCR for pertussis on nasopharyngeal aspirate were enrolled as cases; healthy controls were enrolled among patients admitted for ultrasound screening. Vaccinated infants were excluded. Sociodemographic, clinical and feeding information were collected...
November 18, 2016: Pediatric Infectious Disease Journal
https://www.readbyqxmd.com/read/27867824/safety-of-heparin-bridging-therapy-for-transrectal-ultrasound-guided-prostate-biopsy-in-patients-requiring-temporary-discontinuation-of-antithrombotic-agents
#5
Itsuto Hamano, Shingo Hatakeyama, Tohru Yoneyama, Yuki Tobisawa, Osamu Soma, Teppei Matsumoto, Hayato Yamamoto, Atsushi Imai, Takahiro Yoneyama, Yasuhiro Hashimoto, Takuya Koie, Chikara Ohyama
BACKGROUND: Safety of heparin bridging therapy for transrectal ultrasound-guided prostate (TRUS) biopsy in patients requiring temporary discontinuation of antithrombotic therapy is unknown. This study aimed to assess the relationship between heparin bridging therapy and the incidence of complications after TRUS biopsy. METHODS: From January 2005 to November 2015, we performed 1307 consecutive TRUS biopsies on 1134 patients in our hospital. The patients were assigned to two groups: those without heparin bridging (the control group) and those with temporary discontinuation of antithrombotic agents with heparin bridging therapy (the bridging group)...
2016: SpringerPlus
https://www.readbyqxmd.com/read/27835828/breast-cancer-and-fat-grafting-efficacy-safety-and-complications-a-systematic-review
#6
REVIEW
M De Decker, L De Schrijver, F Thiessen, T Tondu, M Van Goethem, W A Tjalma
Autologous fat grafting (AFG) or lipofilling is nowadays a popular technique for breast reconstruction after breast cancer surgery. There is debate regarding the oncological safety and risks of this procedure in breast cancer patients. A systematic review of the literature published between January first 1995 and October first 2016 was conducted regarding the efficacy, safety and complications of this technique in breast cancer patients after their cancer treatment. The databases PubMed, Science Direct and Thomson Reuters Web of Science were used to search for qualified articles...
October 28, 2016: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/27816660/diagnosing-schistosomiasis-induced-liver-morbidity-implications-for-global-control
#7
David U Olveda, Marianette Inobaya, Remigio M Olveda, Marilyn L Vinluan, Shu-Kay Ng, Kosala Weerakoon, Donald P McManus, Grant A Ramm, Donald A Harn, Yuesheng Li, Alfred K Lam, Jerric R Guevarra, Allen G Ross
BACKGROUND: Subclinical morbidity due to schistosomiasis was evaluated in 565 patients, and the enhanced liver fibrosis (ELF) test was assessed for the first time as a potential screening tool for disease. METHODS: The prevalence and intensity of infection were determined by Kato-Katz thick smear stool examination at baseline and 2 years after curative treatment. The degree of hepatic fibrosis was assessed by ultrasound. Non-invasive serum biomarkers of hepatic fibrosis were also evaluated...
November 2, 2016: International Journal of Infectious Diseases: IJID
https://www.readbyqxmd.com/read/27810098/usefulness-of-hand-held-ultrasonography-as-a-gatekeeper-to-standard-echocardiography-for-rarely-appropriate-echocardiography-requests
#8
Faraz Pathan, Ricardo Fonseca, Thomas H Marwick
Adoption of appropriate use criteria has not had a major impact on the frequency of "rarely appropriate" tests, with the rarely appropriate tests rate remaining at ∼20% in most institutions. We sought whether access to hand-held ultrasound (HHU) could be an alternative means of reducing rarely appropriate requests. We compared 2 approaches to rarely appropriate requests; "standard transthoracic echocardiography" (SE) as requested (control) and HHU as a gatekeeper (HHU). Patients were followed up for 6 months and assessed for end points including time until scan, repeat echocardiography/cost of either strategy, new major pathology, and change in management...
November 15, 2016: American Journal of Cardiology
https://www.readbyqxmd.com/read/27798497/recent-advances-in-the-diagnosis-and-management-of-tuberculous-meningitis
#9
Nguyen T H Mai, Guy E Thwaites
PURPOSE OF REVIEW: Tuberculous meningitis is a devastating infection that is hard to diagnose and treat. We have reviewed tuberculous meningitis original research published within the past 18 months, selecting studies which we consider have most advanced knowledge. RECENT FINDINGS: We review advances in diagnostic methods, anti-tuberculosis chemotherapy, and the common complications of tuberculous meningitis. New commercial molecular diagnostic tests, such as GeneXpert MTB/RIF, have an important role in tuberculous meningitis diagnosis, but as with all other available tests, they lack sensitivity and cannot rule out the disease...
October 27, 2016: Current Opinion in Infectious Diseases
https://www.readbyqxmd.com/read/27790336/efficacy-of-preoperative-color-doppler-sonography-of-lower-extremity-veins-on-postoperative-outcomes-in-candidates-of-saphenectomy-a-randomized-clinical-trial
#10
Rouhollah Zarepur, Saeed Kargar, Mehdi Hadadzadeh, Nooshin Hatamizadeh, Ehsan Zarepur, Seyed Khalil Forouzannia, Reza Faraji, Mohammadtaghi Sarebanhassanabadi
BACKGROUND: Doppler sonography is a type of sonography used for imaging the blood flow in the vessels and heart. This technique uses ultrasound waves with high frequency. In some patient candidates for venous graft, the identification of the suitable vein is not possible with clinical examination. OBJECTIVE: This study compared the effects of preoperative color Doppler sonography of lower extremity veins on the postoperative outcomes of saphenectomy. METHODS: This randomized clinical trial was conducted on 100 candidates of an off-pump coronary artery bypass graft (CABG) hospitalized in Afshar Hospital in Yazd in 2015...
September 2016: Electronic Physician
https://www.readbyqxmd.com/read/27778309/infection-prevention-and-ultrasound-probe-decontamination-practices-in-europe-a-survey-of-the-european-society-of-radiology
#11
Christiane Marita Nyhsen, Hilary Humphreys, Carlos Nicolau, Gerhard Mostbeck, Michel Claudon
OBJECTIVES: Although ultrasound (US) is considered one of the safest imaging modalities, concerns have been raised regarding potential infection transmission risks through US procedures. A survey was undertaken by the European Society of Radiology (ESR) to establish infection prevention and control measures in US and to highlight the importance of good medical practice. METHODS: An online survey was sent to all 22,000 full ESR members. RESULTS: The response rate of completed surveys was 4...
December 2016: Insights Into Imaging
https://www.readbyqxmd.com/read/27771601/r-gas-under-diaphragm
#12
Maddibande Ramachar Sreevathsa, Khyati Melanta
INTRODUCTION: The most common cause of gas under diaphragm is hollow viscous perforation. In 10% of cases it can be due to rare causes, both abdominal and extra-abdominal, one of them being intra abdominal infection by gas forming organisms. PRESENTATION OF THE CASE: A 51 year old male patient, a poorly controlled diabetic, presented with a second episode of severe pain abdomen and abdominal distention, with lower abdominal tenderness. Plain Xray of the abdomen in erect posture showed gas under the right dome of diaphragm and ultrasound abdomen confirmed gross pneumoperitoneum...
October 14, 2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27770534/clostridial-paraproctitis-with-gas-gangrene-of-front-lateral-abdominal-walls-and-necrotic-fascio-myositis-case-report
#13
N Didbaridze, N Lomidze, T Abuladze, G Qiliptari, T Didbaridze, I Gvasalia, Z Mkervalishvili, N Gogokhia
Anaerobic clostridial infection is the most severe form of paraproctitis. The incubation period is very short, from 3 to 6 hours, sometimes lasting for 1-2 days. Clostridial infection spreads rapidly and induces gas gangrene, causes destruction of cells and other intermediate substances, and impedes blood circulation. This paper presents a case study of an extremely severe form of anaerobic infection with spontaneous gas gangrene, cellulitis, fasciomyositic necrosis, severe intoxication and septic shock on the abdominal front and lateral surfaces...
September 2016: Georgian Medical News
https://www.readbyqxmd.com/read/27765515/rapid-percutaneous-nephrostomy-catheter-placement-in-neonates-with-the-trocar-technique
#14
O Ozbek, H E Kaya, A Nayman, T B Saritas, I Guler, O Koc, H Karakus
PURPOSE: The purpose of this study was to assess the efficacy of a modified percutaneous nephrostomy procedure for grade III-IV hydronephrosis in neonates. MATERIAL AND METHODS: Eleven neonates (five girls, six boys) with a mean age of 13.7days±9.9 (SD) (range, 4-28days) with pronounced hydronephrosis had percutaneous nephrostomy using a modified procedure. In all patients, percutaneous nephrostomy was performed with a trocar catheter under ultrasound guidance and then the catheter was placed into the collecting system without prior dilatation...
October 17, 2016: Diagnostic and Interventional Imaging
https://www.readbyqxmd.com/read/27717929/ultrasonographic-peculiarities-of-fetoplacental-complex-in-pregnancy-complicated-by-intrauterine-infection
#15
Nicholay A Shcherbina, Liudmyla A Vygovskaya
INTRODUCTION: the relevance of intrauterine infections is determined by significant peri- and postnatal loss as well as health impairment, which often results in disability and reduced quality of life. Ultrasonography is employed in order to provide a reliable assessment of the functional state of the fetoplacental system secondary to intrauterine fetal infection in the course of pregnancy. Ultrasound imaging is essential in diagnosis of various preclinical complications of pregnancy and detection of abnormalities in the developing fetus...
2016: Wiadomości Lekarskie: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/27622409/can-diagnostic-ultrasound-scanners-be-a-potential-vector-of-opportunistic-bacterial-infection
#16
Paweł Skowronek, Artur Wojciechowski, Piotr Leszczyński, Paweł Olszewski, Marcin Sibiński, Michał Polguj, Marek Synder
UNLABELLED: Ultrasound examinations are recognised as being safe. The greatest epidemiological threat during the performance of examination is the transfer of pathogenic and opportunistic microorganisms between patients and from personnel to patients. Colonization of the skin with opportunistic bacteria of immunocompromised and high risk patients may lead to infection following an ultrasound scan. AIM: To identify and evaluate the strains of bacteria occurring on ultrasound equipment subjected to unexpected control performed by a local infectious diseases control team...
September 2016: Medical Ultrasonography
https://www.readbyqxmd.com/read/27614887/parents-as-source-of-pertussis-transmission-in-hospitalized-young-infants
#17
Giorgio Fedele, Maria Carollo, Raffaella Palazzo, Paola Stefanelli, Elisabetta Pandolfi, Francesco Gesualdo, Alberto Eugenio Tozzi, Rita Carsetti, Alberto Villani, Ambra Nicolai, Fabio Midulla, Clara Maria Ausiello
PURPOSE: This study was planned to collect evidences of familial pertussis transmission to infants younger than 6 months of age. Understanding the dynamics of transmission of pertussis in families is essential to plan effective prevention strategies that could be integrated in pertussis control. METHODS: The seroprevalence of IgG antibodies to pertussis toxin (PT-IgG) and prolonged cough symptoms were evaluated in parents of 55 infants aged <6 months hospitalized for confirmed pertussis...
September 10, 2016: Infection
https://www.readbyqxmd.com/read/27595629/-assessment-before-surgical-treatment-for-pelvic-organ-prolapse-clinical-practice-guidelines
#18
L Donon, S Warembourg, J-F Lapray, A Cortesse, J-F Hermieu, B Fatton, M Cayrac, X Deffieux, M Geraud, L Le Normand
INTRODUCTION: The issue addressed in this chapter of recommendations is: What is the clinical and para-clinical assessment to achieve in women with genital prolapse and for whom surgical treatment has been decided. What are the clinical elements of the examination that must be taken into account as a risk factor of failure or relapse after surgery, in order to anticipate and evaluate possible surgical difficulties, and to move towards a preferred surgical technique? MATERIAL AND METHODS: This work is based on a systematic review of the literature (PubMed, Medline, Cochrane Library, Cochrane Database of Systemactic Reviews, EMBASE) for meta-analyzes, randomized trials, registries, literature reviews, controlled studies and major not controlled studies, published on the subject...
July 2016: Progrès en Urologie
https://www.readbyqxmd.com/read/27585457/rabbit-hunter-uveitis-case-report-of-tularemia-uveitis
#19
Céline Terrada, Said Azza, Bahram Bodaghi, Phuc Le Hoang, Michel Drancourt
BACKGROUND: Literature reports on ophthalmological manifestations related to tularemia, a zoonose caused by the bacterium Francisella tularensis, largely refer to Parinaud's oculoglandular syndrome, which consists of the association of conjunctivitis with preauricular lymphadenitis. In this paper, we report a case of intraocular inflammation during tularemia infection. CASE PRESENTATION: A 52-year-old Caucasian man was diagnosed with unilateral uveitis. The uveitis was posterior, with a 2+ vitritis and a large yellowish lesion involving the macula with an overlying sub-retinal detachment, extending inferiorly, and subretinal hemorrhages...
2016: BMC Ophthalmology
https://www.readbyqxmd.com/read/27564295/the-combination-of-urinary-il-6-and-renal-biometry-as-useful-diagnostic-tools-to-differentiate-acute-pyelonephritis-from-lower-urinary-tract-infection
#20
Sherif Azab, Mostafa Zakaria, Mona Raafat, Hadeel Seief
OBJECTIVE: To evaluate the role of renal ultrasound (RUS) and urinary IL-6 in the differentiation between acute pyelonephritis (APN) and lower urinary tract infection (LUTI). PATIENTS AND METHODS: This prospective study was carried out at the Pediatric and urology outpatient and inpatient departments of Cairo University Children's Hospital as well as October 6 University Hospital and it included 155 children between one month and fourteen years old with positive culture UTI...
July 2016: International Braz J Urol: Official Journal of the Brazilian Society of Urology
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