Antibiotic Stewardship in the Pediatric Dialysis Unit

2021 ◽  
pp. 101-111
Author(s):  
Jason G. Newland ◽  
Alicia M. Neu
Keyword(s):  
Antibiotic Stewardship ◽  
Dialysis Unit ◽  
Pediatric Dialysis

Referral to the pediatric dialysis unit – The earlier the better?

2005 ◽  
Vol 117 (19-20) ◽  
pp. 702-706 ◽  
Author(s):  
Michael Böhm ◽  
Klaus Arbeiter ◽  
Thomas Müller ◽  
Niclas Raffelsberger ◽  
Jutta Falger ◽  
...  
Keyword(s):  
Dialysis Unit ◽  
Pediatric Dialysis

Successful collaboration in the pediatric dialysis unit.

2001 ◽  
Vol 19 (2) ◽  
pp. 229-230
Author(s):  
Helen Rauch-Elnekave ◽  
Irith Weissman ◽  
Marcello Spitz ◽  
Ada Chemny ◽  
Neomi Gabbai
Keyword(s):  
Dialysis Unit ◽  
Pediatric Dialysis ◽  
Successful Collaboration

Administration of a Pediatric Dialysis Unit: The Basics

Renal Failure ◽  
2010 ◽  
Vol 32 (1) ◽  
pp. 10-13
Author(s):  
Deepa H. Chand
Keyword(s):  
Dialysis Unit ◽  
Pediatric Dialysis

Implementation of clinical pharmacy services in a pediatric dialysis unit

2014 ◽  
Vol 29 (7) ◽  
pp. 1259-1264 ◽  
Author(s):  
Radwa El Borolossy ◽  
Lamia El Wakeel ◽  
Ihab El Hakim ◽  
Osama Badary
Keyword(s):  
Clinical Pharmacy ◽  
Pharmacy Services ◽  
Dialysis Unit ◽  
Pediatric Dialysis ◽  
Clinical Pharmacy Services

scholarly journals Asymptomatic Seroconversion of Immunoglobulins to SARS-CoV-2 in a Pediatric Dialysis Unit

JAMA ◽  
2020 ◽  
Vol 323 (23) ◽  
pp. 2424 ◽  
Author(s):  
David S. Hains ◽  
Andrew L. Schwaderer ◽  
Aaron E. Carroll ◽  
Michelle C. Starr ◽  
Amy C. Wilson ◽  
...  
Keyword(s):  
Dialysis Unit ◽  
Pediatric Dialysis

Peritoneal Transport Kinetics of Proteins in Children on Chronic Peritoneal Dialysis

2003 ◽  
Vol 23 (2) ◽  
pp. 162-168 ◽  
Author(s):  
Klaus Arbeiter ◽  
Regina Stemberger ◽  
Laurence Greenbaum ◽  
Thomas Mueller ◽  
Andrea Konstantin ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Close Correlation ◽  
Cross Sectional Study ◽  
Transport Kinetics ◽  
Chronic Peritoneal Dialysis ◽  
Cross Sectional ◽  
Dialysis Unit ◽  
Pediatric Dialysis ◽  
Molecular Weights ◽  
Peritoneal Transport

Objective This study describes a modified 4-hour peritoneal equilibration test (PET) for analyzing peritoneal transport characteristics of proteins with different molecular weights and predicting daily peritoneal protein losses in children on chronic peritoneal dialysis (PD). Design Cross-sectional study. Setting A single regional pediatric dialysis unit in a teaching hospital. Patients 9 stable pediatric dialysis patients; 4 were on continuous ambulatory PD, 5 were on continuous cycling PD. Main Outcome Measures Serum and dialysate concentrations of IgG, albumin, β2-microglobulin, and transferrin were determined during a PET. Changes in dialysate-to-plasma (D/P) ratios were determined hourly. Agreement between PET-derived and measured daily peritoneal protein losses was examined. Results The D/P ratio decreased with increased molecular radius ( p < 0.0001). Many children had low plasma levels of IgG, albumin, and transferrin, but elevated levels of β2-microglobulin. The D/P ratio increased linearly during the PET for all measured proteins, regardless of molecular weight. There was close correlation between 4-hour PET protein losses and 24-hour losses during routine PD. Conclusions Proteins are lost through the peritoneum according to their size, demonstrating linear transport kinetics during a 4-hour PET. The PET-derived data predicted daily protein losses in children on chronic PD. This approach might help to eliminate inaccuracies due to incomplete dialysate collection.

scholarly journals Longitudinal SARS-CoV-2 seroconversion and functional heterogeneity in a pediatric dialysis unit

2021 ◽  
Vol 99 (2) ◽  
pp. 484-486
Author(s):  
Jorge J. Canas ◽  
Michelle C. Starr ◽  
Jenaya Hooks ◽  
Samuel Arregui ◽  
Amy C. Wilson ◽  
...  
Keyword(s):  
Functional Heterogeneity ◽  
Dialysis Unit ◽  
Pediatric Dialysis

USB Drives for Communication of Medical Information in a Pediatric Dialysis Unit

2009 ◽  
Vol 155 (3) ◽  
pp. 444-445 ◽  
Author(s):  
Christine B. Sethna ◽  
Christine Breen ◽  
Madhura Pradhan ◽  
Cynthia Green ◽  
Bernard S. Kaplan ◽  
...  
Keyword(s):  
Medical Information ◽  
Dialysis Unit ◽  
Pediatric Dialysis

scholarly journals First Reported Nosocomial Outbreak of Severe Acute Respiratory Syndrome Coronavirus 2 in a Pediatric Dialysis Unit

2020 ◽  
Author(s):  
Vera Schwierzeck ◽  
Jens Christian König ◽  
Joachim Kühn ◽  
Alexander Mellmann ◽  
Carlos Luis Correa-Martínez ◽  
...  
Keyword(s):  
Severe Acute Respiratory Syndrome ◽  
Clinical Symptoms ◽  
Hospital Setting ◽  
Index Patient ◽  
High Viral Load ◽  
Single Step ◽  
University Hospital ◽  
Nosocomial Outbreak ◽  
Dialysis Unit ◽  
Pediatric Dialysis

Abstract Background Coronavirus disease 2019 (COVID-19) is a life-threatening respiratory condition caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and was initially detected in China in December 2019. Currently, in Germany &gt;140 000 cases of COVID-19 are confirmed. Here we report a nosocomial outbreak of SARS-CoV-2 infections in the pediatric dialysis unit of the University Hospital Münster (UHM). Methods Single-step real-time reverse-transcription polymerase chain reaction (rRT-PCR) from nasopharyngeal swabs was used to diagnose the index patient and identify infected contacts. Epidemiological links were analyzed by patient interviews and medical record reviews. In addition, each contact was assessed for exposure to the index case and monitored for clinical symptoms. Cycle threshold (Ct) values of all positive test results were compared between symptomatic and asymptomatic cases. Results Forty-eight cases were involved in this nosocomial outbreak. Nine contact cases developed laboratory-confirmed COVID-19 infections. Two SARS-CoV-2–positive cases remained clinically asymptomatic. Eleven cases reported flulike symptoms without positive results. Ct values were significantly lower in cases presenting typical COVID-19 symptoms, suggesting high viral shedding (P = .007). Conclusions Person-to-person transmission was at the heart of a hospital outbreak of SARS-CoV-2 between healthcare workers (HCWs) and patients in the pediatric dialysis unit at UHM. Semiquantitative rRT-PCR results suggest that individuals with high viral load pose a risk to spread SARS-CoV-2 in the hospital setting. Our epidemiological observation highlights the need to develop strategies to trace and monitor SARS-CoV-2–infected HCWs to prevent COVID-19 outbreaks in the hospital setting.

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