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RTI Surgical

Dan K Kisitu, Lauren E Eyler, Isaac Kajja, Gonzaga Waiswa, Titus Beyeza, David R Ragland, Isabelle Feldhaus, Catherine Juillard, Rochelle A Dicker
BACKGROUND: Musculoskeletal injuries are a common cause of morbidity after road traffic injury (RTI) in motorizing countries. District hospitals provide front-line orthopedic care in Uganda and other sub-Saharan African nations. Improving care at the district hospital level is an important component of the World Health Organization's strategy for surgical and trauma systems strengthening, but the data necessary to inform RTI safety and care initiatives has previously been insufficient at the district hospital level...
December 2016: Injury Epidemiology
A Marani, C Napoli, S Berdini, M Montesano, F Ferretti, F Di Ninno, R Orioli, A De Luca, L Sommella, G Tarsitani, G B Orsi
BACKGROUND: Healthcare acquired infections (HAI) are an important cause of morbidity and mortality in hospitals worldwide. Aim of the study was to analyze nine years surveillance activity, carried out by point prevalence surveys from 2007 to 2015, in a 450-bed teaching hospital in Rome. METHODS: Point prevalence surveys were carried out every year in the medical and surgical wards following the same methodology. In accordance with definitions used by the Centers for Disease Control, all infections occurred more than 48 hours after hospital admission were considered HAI, and included in the study...
July 2016: Annali di Igiene: Medicina Preventiva e di Comunità
S Getachew, E Ali, K Tayler-Smith, B Hedt-Gauthier, W Silkondez, D Abebe, W Deressa, F Enquessilase, J K Edwards
SETTING: The emergency department (ED) of Zewditu Memorial Hospital, Addis Ababa, Ethiopia. OBJECTIVE: To document the proportion, trend, characteristics and outcomes of road traffic injury (RTI) related ED admissions (⩾15 years) between 2014 and 2015. DESIGN: A retrospective, cross-sectional study using routinely collected ED data. RESULTS: Of 10 007 ED admissions, 779 (8%) were RTI cases; this proportion peaked in the month of January (11%)...
June 21, 2016: Public Health Action
Alireza Davoudi, Narges Najafi, Shahriar Alian, Atefe Tayebi, Fatemeh Ahangarkani, Samaneh Rouhi, Amirhosein Heydari
BACKGROUND: Patients who undergo cardiac surgery appear to be at increased risk for the development of Nosocomial infections (NIs). The development of antibiotic-resistant infections has been associated with significantly greater hospital mortality rates compared to similar infections caused by antibiotic-sensitive pathogens. OBJECTIVES: The purpose of this study is survey of Nis and antibiotic resistance patterns of causative bacteria among patients who underwent open heart surgery in the north of Iran during a 2-year period between September 2012 and September 2014...
2016: Global Journal of Health Science
Ian Williamson, Jane Vennik, Anthony Harnden, Merryn Voysey, Rafael Perera, Maria Breen, Brendan Bradley, Sadie Kelly, Guiqing Yao, James Raftery, David Mant, Paul Little
BACKGROUND: Otitis media with effusion (OME) is a very common problem in primary care, but one that lacks an evidence-based non-surgical treatment. OBJECTIVE: To determine the clinical effectiveness of nasal balloon autoinflation for the treatment of OME in children. DESIGN: A pragmatic, two-arm, open randomised controlled trial. SETTING: Forty-three general practices from 17 UK primary care trusts recruited between January 2012 and February 2013...
September 2015: Health Technology Assessment: HTA
C Schröder, F Schwab, M Behnke, A-C Breier, F Maechler, B Piening, M Dettenkofer, C Geffers, P Gastmeier
OBJECTIVE: To describe the epidemiology of healthcare-associated infections (HAI) in hospitals participating in the German national nosocomial infections surveillance system (KISS). METHOD: The epidemiology of HAI was described for the surveillance components for intensive care units (ITS-KISS), non-ICUs (STATIONS-KISS), very low birth weight infants (NEO-KISS) and surgical site infections (OP-KISS) in the period from 2006 to 2013. In addition, risk factor analyses were performed for the most important infections of ICU-KISS, NEO-KISS and OP-KISS...
October 2015: International Journal of Medical Microbiology: IJMM
A Iu Razumovskiĭ, I I Afukov, A D Kulaev, A B Alkhasov, Z B Mitupov, N V Kulikova, N S Stepanenko
AIM: To improve the results of surgical treatment of children with extended tracheal stenosis. MATERIAL AND METHODS: Since 2013 slidingtraсheal plasty under extracorporeal membrane oxygenation was performed in 4 children aged 1 year 2 months - 4.5 years with extended tracheal stenosis in Children's City Clinical Hospital №13. Patients' weight was from 10,5 to 16 kg. Extended tracheal stenosis and complete cartilag inousrings were confirmed in all patients after peoperative survey...
2015: Khirurgiia
Itsuro Kazama, Tsutomu Tamada, Toshiyuki Nakajima
BACKGROUND: Patients who were surgically treated for Cushing's syndrome postoperatively surrender to "primary" adrenal insufficiency. However, the preoperative over-secretion of cortisol or the postoperative administration of excessive glucocorticoids can cause "secondary" adrenal insufficiency, in which the prevalence of hyponatremia is usually lower than that of primary adrenal insufficiency. CASE REPORT: A 60-year-old woman with a past medical history of Cushing's syndrome developed hyponatremia with symptoms of acute glucocorticoid deficiency, such as prolonged general fatigue and anorexia, after upper respiratory tract infection...
2015: American Journal of Case Reports
N R Bhatt, G Sheridan, M Connolly, S Kelly, A Gillis, K C Conlon, S Lane, E Shanahan, P F Ridgway
INTRODUCTION: Pulmonary complications are a significant cause of morbidity, mortality and increased hospital stay following complex abdominal surgery. We investigated whether postoperative early aerobic activity with a pedal exerciser reduced respiratory morbidity and length of stay and improved pulmonary function. METHODS: A prospective case-control study on 30 cases and 30 case matched controls aged 18 years or more who underwent major surgery was conducted. Controls were case-mix matched prospectively from a similar general surgical service not utilising postoperative exercising...
August 14, 2015: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
Jessica M Stempel, Sarah P Hammond, Deanna A Sutton, Linda M Weiser, Francisco M Marty
Background.  Invasive fusariosis remains an aggressive, albeit infrequent infection in immunocompromised patients. Methods.  We identified all cases of invasive fusariosis between January 2002 and December 2014. We recorded patient characteristics including clinical presentation, treatment, and outcomes at 6 and 12 weeks after diagnosis, as well as species identification and antifungal drug susceptibilities. Results.  Fifteen patients were diagnosed with proven (12, 80%) or probable (3, 20%) fusariosis...
September 2015: Open Forum Infectious Diseases
Hironobu Tsubouchi, Nobuhiro Matsumoto, Shigehisa Yanagi, Jun-Ichi Ashitani, Masamitsu Nakazato
Primary ciliary dyskinesia (PCD) is a genetic disease associated with abnormalities in ciliary structure and function. Although recurrent respiratory infection associated with ciliary dysfunction is a common clinical feature, there is no standardized treatment or management of respiratory infection in PCD patients. Here, we report that respiratory infection with PCD and intralobar sequestration (ILS) were treated successfully with clarithromycin before the surgical resection of ILS. A 15-year-old non-smoking Japanese woman was admitted for productive cough and dyspnea on exertion...
2015: Respiratory Medicine Case Reports
Chandra Shekhar, Laxmi Narayan Gupta, Ishwar Chandra Premsagar, Madhu Sinha, Jugal Kishore
BACKGROUND: Trauma is one of the leading causes of death and disability in Indian population. AIM: To correlate various variables like epidemiology, clinical status, severity of TBI & associated co-morbid conditions and its outcome. SETTINGS AND DESIGN: This study involved retrospective collection, prospective management and follow up of 796 cases of TBI admitted to the neurosurgery department of a tertiary care hospital in New Delhi during one year study duration...
July 2015: Journal of Emergencies, Trauma, and Shock
Stefania Frasson, Gualberto Gussoni, Pierpaolo Di Micco, Raquel Barba, Laurent Bertoletti, Manuel J Nuñez, Beatriz Valero, Angel Luis Samperiz, Agustina Rivas, Manuel Monreal
Several risk assessment models include infection and immobility among the items to be considered for venous thromboembolism (VTE) prevention. However, information on patients with infection leading to immobility and developing VTE are limited, as well as on the role of specific types of infection. Data were collected from the worldwide RIETE registry, including patients with symptomatic objectively confirmed VTE, and followed-up for at least 3 months. The overall population of RIETE at June 2013 (n = 47,390) was considered...
April 2016: Journal of Thrombosis and Thrombolysis
Hajime Kanamori, David J Weber, Lauren M DiBiase, Emily E Sickbert-Bennett, Rebecca Brooks, Lisa Teal, David Williams, Elizabeth M Walters, William A Rutala
OBJECTIVE: Targeted surveillance has focused on device-associated infections and surgical site infections (SSIs) and is often limited to healthcare-associated infections (HAIs) in high-risk areas. Longitudinal trends in all HAIs, including other types of HAIs, and HAIs outside of intensive care units (ICUs) remain unclear. We examined the incidences of all HAIs using comprehensive hospital-wide surveillance over a 12-year period (2001-2012). METHODS: This retrospective observational study was conducted at the University of North Carolina (UNC) Hospitals, a tertiary care academic facility...
October 2015: Infection Control and Hospital Epidemiology
James Barry, Jared Fridley, Christina Sayama, Sandi Lam
Subgaleal hematoma (SGH), an uncommon but potentially dangerous complication, has been reported to occur with delivery in newborns, as well as in young patients following head trauma. Infection of a SGH is extremely rare, especially in cases where no disruption of the skin barrier occurs. We report a case of an infected SGH in an 8-month-old following closed skull fracture. The patient presented with scalp swelling 1 day after falling 3 feet. Initial evaluation found a nondisplaced skull fracture on computed tomography...
2015: Pediatric Neurosurgery
J Martins, S Almeida, P Nunes, F Prata, M L Lobo, J G Marques
We present a case report of a four-year-old boy with torcicollis and trismus after acute otitis media. Grisel Syndrome diagnosis in association with temporo-mandibular reactive arthritis was admitted, leading to early conservative treatment. GS should be suspected in a child presenting with torticollis after an upper respiratory tract infection or an ENT surgical procedure. The association with temporo-mandibular reactive findings is somehow rarer but not impossible, due to the close vascular communication between retropharyngeal and pterigoid spaces...
August 2015: International Journal of Pediatric Otorhinolaryngology
Andrew Kirby, Girvan Burnside, Laure Bretsztajn, Dermot Burke
A retrospective case note review of postoperative infections within 30 days of colorectal surgery was completed. Surgical site infections (SSIs) were identified in 22% of patients (84/378), with other infections, e.g. urinary tract infections, identified in 18.3% of patients. SSIs, urinary and respiratory tract infections were all associated with increased durations of hospital admission compared with non-infected patients. Consideration should be given to postoperative surveillance for all infections, using antibiotic consumption as an objective outcome measure...
2015: Infectious Diseases
Olof Jannasch, Bettina Kelch, Daniela Adolf, Ina Tammer, Uwe Lodes, Günter Weiss, Hans Lippert, Pawel Mroczkowski
BACKGROUND: The majority of infections treated by surgeons are nosocomial infections (NI). The frequency of these infections in relation to the organ operated on as well as the organisms involved are not well defined. Detailed knowledge of these issues is essential for optimal care of surgical patients. This study aimed to determine infection rates and the responsible pathogens after major elective surgery of the pancreas, liver, stomach, and esophagus. METHODS: Between January 1, 2005 and August 31, 2007, the records of all patients of the Department of General, Abdominal and Vascular Surgery, University Hospital Magdeburg (Germany) with elective resection of the pancreas, liver, stomach, and esophagus were evaluated retrospectively...
June 2015: Surgical Infections
A Buongiorno, N Pierossi
AIM: PFAPA (periodic fever, aphthous stomatitis, pharyngitis, and cervical adenitis) syndrome is the most common autoinflammatory syndrome in pediatrics, accepted as an hyperimmune condition. Pidotimod is a molecule with immunomodulatory activity on both innate and adaptive immune responses; it also has the capacity to modulate the function of the respiratory epithelial cells through the activation of a NK-KB pathway which would involve the host-virus interaction. Moreover, the proven beneficial effect of Pidotimod in enhancing the immune response during vaccination, and its benefits in the prevention of respiratory tract infections, should be noted...
June 2015: Minerva Pediatrica
Andrea Wolfler, Edoardo Calderini, Elisa Iannella, Giorgio Conti, Paolo Biban, Anna Dolcini, Nicola Pirozzi, Fabrizio Racca, Andrea Pettenazzo, Ida Salvo
OBJECTIVE: To assess how clinical practice of noninvasive ventilation has evolved in the Italian PICUs. DESIGN: National, multicentre, retrospective, observational cohort. SETTING: Thirteen Italian medical/surgical PICUs that participated in the Italian PICU Network. PATIENTS: Seven thousand one-hundred eleven admissions of children with 0-16 years old admitted from January 1, 2011, to December 31, 2012. INTERVENTIONS: None...
June 2015: Pediatric Critical Care Medicine
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