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Pulmonary bacterial co-infection in acute bronchiolitis

Sandrine Essouri, Philippe Durand, Laurent Chevret, Laurent Balu, Denis Devictor, Brigitte Fauroux, Pierre Tissières
PURPOSE: To determine the optimal level of nasal continuous positive airway pressure (nCPAP) in infants with severe hypercapnic viral bronchiolitis as assessed by the maximal unloading of the respiratory muscles and improvement of breathing pattern and gas exchange. METHODS: A prospective physiological study in a tertiary paediatric intensive care unit (PICU). Breathing pattern, gas exchange, intrinsic end expiratory pressure (PEEPi) and respiratory muscle effort were measured in ten infants with severe hypercapnic viral bronchiolitis during spontaneous breathing (SB) and three increasing levels of nCPAP...
December 2011: Intensive Care Medicine
G Poulakou, J Souto, J Balcells, M Pérez, C Laborda, O Roca, T Tórtola, M Pujol, M Palomar, J Rello
To assess potential differences in epidemiology and management of patients admitted with influenza infection in the intensive care unit (ICU) during the first post-pandemic influenza period. Observational prospective study comparing September 2009-January 2010 with September 2010-January 2011. Variables captured: demographics, co-morbidities, physiological parameters, outcomes and management. Analysis was performed using SPSS v. 13.0; significance was set at p 0.5. Data from 53 patients, 38 adults (age, median 41...
April 2012: Clinical Microbiology and Infection
J Eriksson, T Nordshus, K H Carlsen, I Orstadvik, J Westvik, J Eng
Respiratory syncytial virus (RSV) is a frequent cause of bronchiolitis leading to acute admission to hospital in the winter months. A wide range of findings accompanies this disease and the appearances are seldom completely diagnostic. Associated bacterial co-infections are common and we have shown an association with atelectasis among patients with pathogenic bacteria in the nasopharynx.
1986: Pediatric Radiology
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