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"Central Line" OR "Central Venous Line"

Cheryl Battersby, Yevgeniy Statnikov, Shalini Santhakumaran, Daniel Gray, Neena Modi, Kate Costeloe
BACKGROUND: The National Neonatal Research Database (NNRD) is a rich repository of pre-defined clinical data extracted at regular intervals from point-of-care, clinician-entered electronic patient records on all admissions to National Health Service neonatal units in England, Wales, and Scotland. We describe population coverage for England and assess data completeness and accuracy. METHODS: We determined population coverage of the NNRD in 2008-2014 through comparison with data on live births in England from the Office for National Statistics...
2018: PloS One
Vidhi Jain, Chinmoy Sahu, Nayani Amrin Fatema Afzal Hussain, Malay Ghar, Kashi Nath Prasad
Background: Chryseobacterium indologenes is a hospital environment contaminant and can cause healthcare-associated infections. Methods: Patients with C. indologenes infections in a tertiary care center in North India for 6 months were evaluated for susceptibility patterns, comorbidities, mechanical devices, risk factors, and treatment outcomes. The organism was provisionally identified phenotypically, and identification was confirmed by the BD Phoenix automated microbiology system...
July 2018: Indian Journal of Critical Care Medicine
Elizabeth Mannino Avila, Erin Stucky Fisher, Kyung Rhee
OBJECTIVE: The objective of this study was to examine patient history as well as clinical and laboratory features associated with true bacteremia versus false bacteremia in previously healthy febrile children ages 0 to 36 months in the era of polyvalent conjugate pneumococcal immunization. METHODS: Using retrospective chart review, we examined history, physical examination, and laboratory characteristics associated with true and false bacteremia. We included subjects under 3 years old, with a positive blood culture obtained in the emergency department or clinic from July 2011 to July 2013, and fever defined as a temperature of greater than or equal to 100...
August 13, 2018: Pediatric Emergency Care
Ali R Ahmadi, Maria Chicco, Russell N Wesson, Robert A Anders, Frank J M F Dor, Jan N M IJzermans, Tyler J Creamer, George M Williams, Zhaoli Sun, Andrew M Cameron
INTRODUCTION: Acute liver failure (ALF) affects 2000 Americans each year with no treatment options other than liver transplantation. We showed previously that mobilization of endogenous stem cells is protective against ALF in rodents. The objective of this study was to assess whether stem cell mobilizing drugs are lifesaving in a large animal preclinical model of ALF, to assess readiness for a clinical trial. METHODS: Male Yorkshire pigs (14-18 kg) were divided into 2 groups, control (n = 6) and treatment (n = 6)...
August 10, 2018: Annals of Surgery
Mari Takashima, Jessica Schults, Gabor Mihala, Amanda Corley, Amanda Ullman
OBJECTIVES: To examine the proportion and rate of central venous access device failure and complications across central venous access device types in adult intensive care. DATA SOURCES: A systematic search was undertaken in the electronic databases Cochrane Central Register of Controlled Trials (CENTRAL), Embase, U.S. National Library of Medicine National Institutes of Health (MEDLINE), and Cumulative Index to Nursing and Allied Health (CINAHL) in September 2017...
August 7, 2018: Critical Care Medicine
Suganya Chandramohan, Bhagyashri Navalkele, Ammara Mushtaq, Amar Krishna, John Kacir, Teena Chopra
Background: Prolonged central line (CL) and urinary catheter (UC) use can increase risk of central line-associated bloodstream infection (CLABSI) and catheter-associated urinary tract infection (CAUTI). Methods: This interventional study conducted in a 76-bed long-term acute care hospital (LTACH) in Southeast Michigan was divided into 3 periods: pre-intervention (January 2015-June 2015), intervention (July-November 2015), and postintervention (December 2015-March 2017)...
July 2018: Open Forum Infectious Diseases
Muhammad U Butt, John C Gurley, Alison L Bailey, Claude S Elayi
BACKGROUND The persistence of a vein of Marshall (VoM) from the left subclavian vein to the coronary sinus is a rare cardiac anomaly known as a persistent left superior vena cava (PLVC). This anatomical variant is usually asymptomatic but can lead to serious complications during catheterization via the left subclavian or internal jugular vein, as described here. In our case, the patent vein of Marshall directly connected the coronary sinus with the left subclavian vein discovered in a cardiac arrest patient because of pericardial effusion during the insertion of a central venous catheter (CVC)...
August 9, 2018: American Journal of Case Reports
Amir Kugelman, Liron Borenstein-Levin, Huda Jubran, Gil Dinur, Shlomit Ben-David, Elena Segal, Julie Haddad, Fanny Timstut, Iris Stein, Imad R Makhoul, Ori Hochwald
Iatrogenesis is more common in neonatal intensive care units (NICUs) because the infants are vulnerable and exposed to prolonged intensive care. Sixty percent of extremely low-birth-weight infants are exposed to iatrogenesis. The risk factors for iatrogenesis in NICUs include prematurity, mechanical or non-invasive ventilation, central lines, and prolonged length of stay. This led to the notion that "less is more." In the delivery room delayed cord clamping is recommended for term and preterm infants, and suction for the airways in newborns with meconium-stained fluid is not performed anymore...
July 30, 2018: Rambam Maimonides Medical Journal
Theodore T Redman, Elliot M Ross
BACKGROUND: Cadaver training for prehospital surgical procedures is a valid training model. The limitation to date has been that perfused cadavers have only been used in wet laboratories in hospitals or university centers. We endeavor to describe a transportable central-perfused cadaver model suitable for training in the battlefield environment. Goals of design were to create a simple, easily reproducible, and realistic model to simulate procedures in field and austere conditions. METHODS: We conducted a review of the published literature on cadaver models, conducted virtual-reality simulator training, performed interviews with subject matter experts, and visited the laboratories at the Centre for Emergency Health Sciences in Spring Branch, TX, the Basic Endovascular Skills in Trauma laboratory in Baltimore, MD, and the Fresh Tissue Dissection Laboratory at Los Angeles County and University of Southern California, Keck School of Medicine, Los Angeles, CA...
July 28, 2018: Journal of Emergency Medicine
S Kouni, M Tsolia, E Roilides, G Dimitriou, S Tsiodras, A Skoutelis, E Kourkouni, D Gkentzi, E Iosifidis, N Spyridis, I Kopsidas, P Karakosta, G C Tsopela, I Spyridaki, G Kourlaba, S Coffin, E T Zaoutis
BACKGROUND: Healthcare-associated infections (HAIs) are associated with increased morbidity and mortality and with excess costs. Central line-associated bloodstream infections (CLABSI) are the most common HAI in neonates and children. AIM: The broad objective of this study was to establish national benchmark data around rates of CLABSI in neonatal and paediatric intensive care units (NICUs and PICUs) and paediatric oncology units (ONCs). METHODS: Active surveillance for CLABSI was conducted from June 2016 to February 2017...
July 27, 2018: Journal of Hospital Infection
Werner Keenswijk, Gina Sinclair, Marian Benetton, Mandi du Plessis, Peter Nourse, Deveshni Reddy, Mignon McCulloch
Peritoneal dialysis and kidney transplantation remain the preferred choices for renal replacement therapy in young children. These options, however, are not always feasible, and hemodialysis (HD) is therefore an accepted alternative. In small children presenting with end-stage renal disease, HD presents several challenges and is often unavailable in lower- and middle-income countries. To assess these challenges and outcomes of maintenance HD in young children, we performed an audit of children below 20 kg with end-stage renal disease, receiving HD for ≥4 weeks, from 1 January 2008 to 31 July 2016 at the Red Cross War Memorial Children's Hospital...
July 30, 2018: Therapeutic Apheresis and Dialysis
Abdulrahman Alshafei, Farhan Tareen, Nomsa Maphango, David White, Brendan O'Connor, Thambipillai Sriparan
BACKGROUND/PURPOSE: Tunneled central venous catheters (TCVCs) are commonly used to manage pediatric patients with chronic disease. The aim of this study is to compare the outcomes of external jugular vein (EJV) and internal jugular vein (IJV) tunneled catheters inserted using the open technique. METHODS: This is a single institution retrospective analysis of patients requiring an IJV or EJV TCVC in the period between 2009 and 2014. Data collected included the following: patient demographics, site/side of insertion, catheter size, number of lumens, duration of catheter in situ, and complications...
July 9, 2018: Journal of Pediatric Surgery
Liam O'Neill, Sae-Hwan Park, Frank Rosinia
Private hospital rooms are believed to offer some protective effect against hospital-acquired infections, including central line-associated bloodstream infections. Yet a recent meta-analysis found the evidence-base to be lacking from a policy perspective. We sought to determine whether private rooms were associated with a lower risk of central-line infections. We examined the discharge records of more than one million inpatients from 335 Texas hospitals to determine patients that stayed in private rooms. Patients who stayed in bay rooms had 64 percent more central line infections than patients who stayed in private rooms...
2018: PloS One
Stephanie So, Catherine Patterson, Cathy Evans, Paul W Wales
OBJECTIVE: Survival rates of children with intestinal failure have increased, however associated co-morbidities may impact long-term motor developmental outcomes. This study evaluates motor proficiency and generalized self-efficacy towards physical activity (PA) in children age 6-12 years with intestinal failure. METHODS: Observational, cross-sectional study of children followed in a multi-disciplinary intestinal rehabilitation program. Motor proficiency was assessed using the Bruininks-Oseretsky Test of Motor Proficiency-2 Short Form (BOT-2 SF) and the Scales of Independent Behavior (parent-proxy report)...
July 26, 2018: Journal of Pediatric Gastroenterology and Nutrition
Richa Dhawan, Sajid Shahul, Joseph Devin Roberts, Norm D Smith, Gary D Steinberg, Mark A Chaney
Purpose: Our prospective, randomized clinical study aims to evaluate the utility of intraoperative transesophageal echocardiography (TEE) in patients undergoing radical cystectomy. Materials and Methods: Eighty patients were randomized to a standard of care group or the intervention group that received continuous intraoperative TEE. Data are presented as means ± standard deviations, median (25th percentile, 75th percentile), or numbers and percentages. Characteristics were compared between groups using independent sample t-tests, Wilcoxon-Mann-Whitney tests or Chi-square tests, as appropriate...
July 2018: Annals of Cardiac Anaesthesia
Toshiki Maeda, Akira Babazono, Takumi Nishi, Hisatomi Arima, Masayoshi Tsuji, Miki Kawazoe, Atsushi Satoh
AIM: The present study aimed to investigate the effects of the 2014 Japanese fee schedule revision on trends in artificial nutrition routes, including gastrostomy, nasogastric tube and parenteral nutrition, among older people with dementia, using time series analysis. METHODS: The study used claim data in Japan submitted to Fukuoka Late Elders' Health Insurance from fiscal year 2010 to fiscal year 2016. We identified older people with dementia provided for the first time with artificial nutrition via gastrostomy, nasogastric tube or central venous line and aggregated their data by month...
July 25, 2018: Geriatrics & Gerontology International
Emine Alp, Barry Cookson, Hakan Erdem, Jordi Rello
AIM: This survey aimed to determine the status of infection prevention and control (IPC) bundle practice and the most frequent interventional variables in Low-Middle Income Countries (LMICs). METHODS: A questionnaire was emailed to Infectious Diseases International Research Initiative (ID-IRI) Group Members and dedicated IPC doctors working in LMICs to examine self-reported practices/policies regarding IPC bundles. Responding country incomes were classified by World Bank definitions into low, middle, and high...
July 20, 2018: Journal of Hospital Infection
Rafael Quaresma Garrido, Bruna Pessanha, Natalia Andrade, Marcelo Goulart Correia, Clara Weksler, Wilma Golebiovski, Giovanna Ferraiuoli Barbosa, Marianne Monteiro Garrido, Ianick Souto Martins, Cristiane da Cruz Lamas
BACKGROUND: Early onset prosthetic valve endocarditis (EO-PVE) is an infrequent complication of cardiac valve surgery. It is considered a healthcare-associated infection due to contamination of the prosthesis during the implant or in the early postoperative period. AIM: To evaluate which factors may be related to the acquisition of EO-PVE. METHODS: A nested case-control study was conducted from 2006 to 2016. Cases were patients who had definite prosthetic endocarditis by the modified Duke criteria up to 12 months of heart valve replacement...
July 16, 2018: Journal of Hospital Infection
Fuensanta Guerrero-Del-Cueto, Cyntia Ibanes-Gutiérrez, Consuelo Velázquez-Acosta, Patricia Cornejo-Juárez, Diana Vilar-Compte
This study assessed the microbiology, clinical syndromes, and outcomes of oncologic patients with viridans group streptococci (VGS) isolated from blood cultures between January 1st, 2013 and December 31st, 2016 in a referral hospital in Mexico using the Bruker MALDI Biotyper. Antimicrobial sensitivity was determined using BD Phoenix 100 according to CLSI M100 standards. Clinical information was obtained from medical records and descriptive analysis was performed. Forty-three patients were included, 22 females and 21 males, aged 42 ± 17 years...
July 16, 2018: Brazilian Journal of Infectious Diseases
John G Brock-Utne
No abstract text is available yet for this article.
August 2018: Anesthesiology
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