keyword
https://read.qxmd.com/read/38179027/transperineal-laser-ablation-as-treatment-for-benign-prostatic-obstruction-safety-feasibility-and-functional-outcomes-a-pilot-study
#21
JOURNAL ARTICLE
Rob van Kollenburg, Luigi van Riel, Paul Bloemen, Theo de Reijke, Harrie Beerlage, Daniel de Bruin, Jorg Oddens
BACKGROUND: Standard surgical treatment for lower urinary tract symptoms (LUTS) due to benign prostatic obstruction (BPO) requires anaesthesia and hospitalization. Transperineal laser ablation (TPLA) is a novel minimally invasive treatment for BPO, which has been performed using local anaesthetics and conscious sedation. OBJECTIVES: The aim of this study is to assess safety, feasibility and functional outcomes of TPLA for the treatment of LUTS in men fit also for standard surgery...
January 2024: BJUI compass
https://read.qxmd.com/read/38178877/evaluating-indwelling-devices-and-other-risk-factors-for-mortality-in-invasive-carbapenem-resistant-enterobacterales-infections-in-georgia-2012-2019
#22
JOURNAL ARTICLE
Lucy S Witt, Mary Elizabeth Sexton, Gillian Smith, Monica Farley, Jesse T Jacob
OBJECTIVE: Carbapenem-resistant Enterobacterales (CRE) infections are a public health threat due to the risk of transmission between patients and high associated mortality. We sought to identify risk factors for mortality in patients with invasive CRE infections and to specifically evaluate whether there was an association between indwelling medical devices and 90-day mortality. DESIGN: Retrospective observational cohort study of patients infected with CRE in the eight-county metropolitan Atlanta area between 2012 and 2019...
2024: Antimicrob Steward Healthc Epidemiol
https://read.qxmd.com/read/38169299/the-role-of-palliative-care-in-cardiovascular-disease
#23
JOURNAL ARTICLE
John Arthur McClung, William H Frishman, Wilbert S Aronow
The American Heart Association has recommended that palliative care be integrated into the care of all patients with advanced cardiac illnesses. Notwithstanding, the number of patients receiving specialist palliative intervention worldwide remains extremely small. This review examines the nature of palliative care and what is known about its delivery to patients with cardiac illness. Most of the published literature on the subject concern advanced heart failure; however, some data also exist regarding patients with heart transplantation, pulmonary hypertension, valvular disease, congenital heart disease, indwelling devices, mechanical circulatory support, and advanced coronary disease...
January 3, 2024: Cardiology in Review
https://read.qxmd.com/read/38161188/infection-associated-with-invasive-devices-in-pediatric-health-care-a-meta-analysis
#24
JOURNAL ARTICLE
Mari Takashima, Areum Hyun, Grace Xu, Adriana Lions, Victoria Gibson, Marilyn Cruickshank, Amanda Ullman
CONTEXT: Indwelling invasive devices inserted into the body for extended are associated with infections. OBJECTIVE: This study aimed to estimate infection proportion and rates associated with invasive devices in pediatric healthcare. DATA SOURCES: Medline, CINAHL, Embase, Web of Science, Scopus, Cochrane CENTRAL, clinical trial registries, and unpublished study databases were searched. STUDY SELECTION: Cohort studies and trials published from January 2011 to June 2022, including (1) indwelling invasive devices, (2) pediatric participants admitted to a hospital, (3) postinsertion infection complications, and (4) published in English, were included...
January 1, 2024: Hospital Pediatrics
https://read.qxmd.com/read/38161187/device-related-thrombosis-and-bleeding-in-pediatric-health-care-a-meta-analysis
#25
JOURNAL ARTICLE
Amanda Ullman, Areum Hyun, Victoria Gibson, Fiona Newall, Mari Takashima
CONTEXT: The risk of invasive device-related thrombosis and bleeding contributes to morbidity and mortality, yet their prevalence by device-types is poorly understood. OBJECTIVES: This study aimed to estimate pooled proportions and rates of thrombotic and bleeding complications associated with invasive devices in pediatric health care. DATA SOURCES: Medline, CINAHL, Embase, Web of Science, Scopus, Cochrane CENTRAL, clinical trial registries, and unpublished study databases were searched...
January 1, 2024: Hospital Pediatrics
https://read.qxmd.com/read/38152771/retracted-clinical-application-of-a-safe-blood-sampling-device-with-an-indwelling-needle
#26
Applied Bionics And Biomechanics
[This retracts the article DOI: 10.1155/2022/6362905.].
2023: Applied Bionics and Biomechanics
https://read.qxmd.com/read/38140065/local-drug-delivery-in-bladder-cancer-advances-of-nano-micro-macro-scale-drug-delivery-systems
#27
REVIEW
Irina V Marchenko, Daria B Trushina
Treatment of bladder cancer remains a critical unmet need and requires advanced approaches, particularly the development of local drug delivery systems. The physiology of the urinary bladder causes the main difficulties in the local treatment of bladder cancer: regular voiding prevents the maintenance of optimal concentration of the instilled drugs, while poor permeability of the urothelium limits the penetration of the drugs into the bladder wall. Therefore, great research efforts have been spent to overcome these hurdles, thereby improving the efficacy of available therapies...
December 3, 2023: Pharmaceutics
https://read.qxmd.com/read/38128885/stability-of-ranibizumab-during-continuous-delivery-from-the-port-delivery-platform
#28
JOURNAL ARTICLE
Aaron R Hieb, Judit Horvath, Jennifer Rea, Tammy Tam, Debby P Chang, Isabella de Jong, Kai Zheng, Stefan T Yohe, Shrirang V Ranade
The Port Delivery System with ranibizumab (PDS) is an innovative intraocular drug delivery system that has the potential to reduce treatment burden in patients with retinovascular diseases. The Port Delivery Platform (PD-P) implant is a permanent, indwelling device that can be refilled in situ through a self-sealing septum and is designed to continuously deliver ranibizumab by passive diffusion through a porous titanium release control element. We present results for the studies carried out to characterize the stability of ranibizumab for use with the PD-P...
December 19, 2023: Journal of Controlled Release
https://read.qxmd.com/read/38100906/glycocalyx-inspired-dynamic-antifouling-surfaces-for-temporary-intravascular-devices
#29
JOURNAL ARTICLE
Wentai Zhang, Linxian Cui, Chaoming Xie, Zeyu Du, Xiaohui Mou, You Ke, Qing Ma, Wenjie Tian, Zhilu Yang
Protein and cell adhesion on temporary intravascular devices can lead to thrombosis and tissue embedment, significantly increasing complications and device retrieval difficulties. Here, we propose an endothelial glycocalyx-inspired dynamic antifouling surface strategy for indwelling catheters and retrievable vascular filters to prevent thrombosis and suppress intimal embedment. This strategy is realized on the surfaces of substrates by the intensely dense grafting of hydrolyzable endothelial polysaccharide hyaluronic acid (HA), assisted by an amine-rich phenol-polyamine universal platform...
December 11, 2023: Biomaterials
https://read.qxmd.com/read/38097636/the-bactericidal-and-antibiofilm-effects-of-a-lysine-substituted-hybrid-peptide-cm-10k14k-on-biofilm-forming-staphylococcus-epidermidis
#30
JOURNAL ARTICLE
Natthaporn Klubthawee, Mathira Wongchai, Ratchaneewan Aunpad
Staphylococci, notably biofilm-forming Staphylococcus epidermidis, have been recognized as global nosocomial pathogens in medical device-related infections. Their potential to attach to and form biofilm on indwelling catheters are significant factors impeding conventional treatment. Due to their extensive antimicrobial and antibiofilm actions, antimicrobial peptides (AMPs) have attracted interest as promising alternative compounds for curing difficult-to-treat, biofilm-forming bacterial infections. Cecropin A-melittin or CM, a well-known hybrid peptide, exhibits broad-spectrum antimicrobial activity, however it also possesses high toxicity...
December 14, 2023: Scientific Reports
https://read.qxmd.com/read/38074110/characteristics-of-chryseobacterium-bacteremia-associated-risk-factors-and-their-antibiotic-susceptibility-pattern-at-a-university-hospital-a-descriptive-retrospective-study
#31
JOURNAL ARTICLE
Radhika Chaudhary, Mitra Kar, Ashima Jamwal, Akanksha Dubey, Romya Singh, Nidhi Tejan, Chinmoy Sahu, Sangram Singh Patel, Pooja Kumari, Malay Ghar
INTRODUCTION: Chryseobacterium species are emerging bacteria capable of causing nosocomial infections in immunocompromised patients or patients with indwelling medical devices. HYPOTHESIS/ GAP STATEMENT: Information about the incidence of Chryseobacterium bacteremia from worldwide literature is limited. AIM: We aimed to recognize the clinical characteristics, frequency of distribution of different Chryseobacterium species isolates, and their antimicrobial susceptibility profile from bloodstream infections...
2023: Access microbiology
https://read.qxmd.com/read/38064389/ochrobactrum-intermedium-septicemia
#32
JOURNAL ARTICLE
Pramodhini Subramanian, Namrata K Bhosale, Joshy M Easow, Chandni Chandramouli, K S Chenthil
Ochrobactrum species are emerging Gram-negative, non-fermenting bacteria with low virulence. Infection with the Ochrobactrum species is commonly nosocomial and has been reported in patients with indwelling medical devices and implants. Among the species of Ochrobactrum infecting humans, Ochrobactrum anthropic and Ochrobactrum intermedium are the commonest ones. We present a case of septicemia caused by Ochrobactrum intermedium in a 75-year-old patient with lower limb cellulitis. This report describes the epidemiology, clinical manifestations, laboratory diagnosis, antibiotic susceptibility pattern, and treatment of Ochrobactrum infections...
November 30, 2023: Journal of Infection in Developing Countries
https://read.qxmd.com/read/38056851/-crucial-techniques-for-chest-tube-placement-and-postoperative-management
#33
JOURNAL ARTICLE
Kodai Tsuruta, Masahiro Miyajima, Daichi Ishii, Takeshi Oyu, Taiki Sato, Yoshiki Chiba, Yuki Takahashi, Ryunosuke Maki, Yoshiaki Takase, Atsushi Watanabe
Postoperative management of thoracic surgery with an indwelling chest tube is common, and knowledge about it is essential. A postoperative chest tube has four roles:1) to reinflate the lung, 2) to observe the condition of the thoracic cavity and acquire information regarding the outcomes, 3) to prevent complications, and 4) to treat pulmonary air leaks and empyema (chemical pleurodesis et ct). Although postoperative complications have decreased in recent years following advances in video-assisted thoracoscopic surgery( VATS) and devices such as stapling devices and vascular sealing systems (VSS), postoperative chest tube placement is still common...
September 2023: Kyobu Geka. the Japanese Journal of Thoracic Surgery
https://read.qxmd.com/read/38048926/efficacy-of-lysostaphin-functionalized-silicon-catheter-for-the-prevention-of-staphylococcus-aureus-biofilm
#34
JOURNAL ARTICLE
Jayalakshmi Jayakumar, Vivek Vinod, Thennavan Arumugam, Binulal Nelson Sathy, Lalitha Biswas, V Anil Kumar, Raja Biswas
Staphylococcus aureus readily forms biofilms on tissue and indwelling catheter surfaces. These biofilms are resistant to antibiotics. Consequently, effective prevention and treatment strategies against staphylococcal biofilms are actively being pursued over the past two decades. One of the proposed strategies involve the incorporation of antibiotics and antiseptics into catheters, however, a persistent concern regarding the possible emergence of antimicrobial resistance is associated with these medical devices...
December 2, 2023: International Journal of Biological Macromolecules
https://read.qxmd.com/read/38047746/intestinal-retentive-systems-recent-advances-and-emerging-approaches
#35
REVIEW
Durva A Naik, Spencer Matonis, Gaurav Balakrishnan, Christopher J Bettinger
Intestinal retentive devices (IRDs) are devices designed to anchor within the lumen of the intestines for long-term residence in the gastrointestinal tract. IRDs can enable impactful medical device technologies including sustained oral drug delivery systems, indwelling sensors, or real-time diagnostics. The design and testing of IRDs present a myriad of challenges, including precise deployment of the device at desired intestinal locations, secure anchoring within the gastrointestinal tract to allow for natural function, and safe removal of the IRD at user-defined times...
December 4, 2023: Journal of Materials Chemistry. B, Materials for Biology and Medicine
https://read.qxmd.com/read/38046940/regional-variation-in-urinary-catheter-use-in-the-netherlands-from-2012-to-2021-a-population-based-cohort
#36
JOURNAL ARTICLE
Felice E E van Veen, Jeroen R Scheepe, Bertil F M Blok
OBJECTIVES: Our aim was to evaluate trends and regional differences in the use of indwelling and intermittent urinary catheters in the community setting in the Netherlands from 2012 to 2021. DESIGN AND METHODS: For this population-based cohort study, data on catheter use was collected from the Drug and Medical Devices Information System of the National Healthcare Institute of the Netherlands. This database contains information on the Dutch insured population, which was 100% of the total population in 2018...
2023: Therapeutic Advances in Urology
https://read.qxmd.com/read/38032880/transforming-medical-device-biofilm-control-with-surface-treatment-using-microfabrication-techniques
#37
JOURNAL ARTICLE
Mohammad T Al Bataineh, Anas Alazzam
Biofilm deposition on indwelling medical devices and implanted biomaterials is frequently attributed to the prevalence of resistant infections in humans. Further, the nature of persistent infections is widely believed to have a biofilm etiology. In this study, the wettability of commercially available indwelling medical devices was explored for the first time, and its effect on the formation of biofilm was determined in vitro. Surprisingly, all tested indwelling devices were found to be hydrophilic, with surface water contact angles ranging from 60° to 75°...
2023: PloS One
https://read.qxmd.com/read/38031607/the-inhibitory-effects-of-amylase-and-streptokinase-on-minimum-inhibitory-concentration-of-antibiotics-used-to-treat-gram-negative-bacteria-biofilm-infection-on-indwelling-devices
#38
JOURNAL ARTICLE
Nilay Aksoy, Cansu Vatansever, Ceren Adalı, Başak Adaklı Aksoy, Tunç Fışgın
The study evaluated and compared the effect of adding streptokinase and amylase to antibiotics that are already used in clinical practice to treat Gram negative bacteria biofilm infection on indwelling devices on the antibiotics' minimum inhibitory concentration (MIC). 24 h-old biofilms were developed on 96-well plate with eight clinical isolates. MIC of amikacin, cefepime, ceftazidime, colistin, meropenem, and piperacillin-tazobactam, on biofilms were measured before and after the addition of 25 U/ml streptokinase and 25 μg/ml amylase with microplate reader...
December 2023: Indian Journal of Microbiology
https://read.qxmd.com/read/38028904/operational-impact-of-decreased-turnaround-times-for-candida-auris-screening-tests-in-a-tertiary-academic-medical-center
#39
JOURNAL ARTICLE
Sebastian Arenas, Samira Patel, Spencer O Seely, Paola P Pagan, Prem R Warde, Labu J Tamrakar, Dipen J Parekh, Tanira Ferreira, Yi Zhou, Hayley B Gershengorn, Bhavarth S Shukla
OBJECTIVE: Assess turnaround time (TAT) and cost-benefit of on-site C. auris screening and its impact on length of stay (LOS) and costs compared to reference laboratories. DESIGN: Before-and-after retrospective cohort study. SETTING: Large-tertiary medical center. METHODS: We validated an on-site polymerase chain reaction-based testing platform for C. auris and retrospectively reviewed hospitalized adults who screened negative before and after platform implementation...
2023: Antimicrob Steward Healthc Epidemiol
https://read.qxmd.com/read/38027283/a-y-shape-connection-device-for-pediatric-patients-with-an-indwelling-catheter-dia%C3%A2-%C3%A2-8fr-during-urodynamic-studies-especially-for-filling-phase-measurements-a-single-center-prospective-study-for-safety-and-effectiveness
#40
JOURNAL ARTICLE
Shi-Qin Yang, Xiao Zeng, Liao Peng, Si-Hong Shen, Jie Zhang, Zhi-Hui Huang, Hong Shen, De-Yi Luo, Tao Jin
INTRODUCTION: This prospective study aimed to assess the effectiveness of a Y-shape connection device in reducing pain and bleeding in pediatric patients with indwelling catheters during urodynamic studies (UDS), while also obtaining effective results in the filling phase. METHODS: A total of 45 pediatric patients with a mean age of 13 years were included, all of whom underwent both a UDS with the Y-shape connection device (Method A) and a standard UDS procedure (Method B)...
2023: Frontiers in Pediatrics
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