Epidemiologic and clinical features of a sepsis caused by methicillin-resistant Staphylococcus epidermidis (MRSE) in a pediatric intensive care unit

2004 ◽  
Vol 32 (6) ◽  
pp. 362-364 ◽  
Author(s):  
Mehmet Sait Tekerekoglu ◽  
Riza Durmaz ◽  
Selma Ay ◽  
Aysegül Çiçek ◽  
Onur Kutlu
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Clinical Features ◽  
Staphylococcus Epidermidis ◽  
Pediatric Intensive Care ◽  
Methicillin Resistant

A STUDY ON ETIOLOGY, CLINICAL FEATURES, MANAGEMENT AND OUTCOME OF ACUTE LIVER FAILURE IN PAEDIATRIC INTENSIVE CARE UNIT OF BURDWAN MEDICAL COLLEGE

2021 ◽  
pp. 54-55
Author(s):  
Sankar narayan mishra ◽  
Kaustav nayek ◽  
Tamal kayal ◽  
Debarshi Jana
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Liver Failure ◽  
Acute Liver Failure ◽  
Pediatric Intensive Care Unit ◽  
Clinical Features ◽  
Paediatric Intensive Care Unit ◽  
Pediatric Intensive Care ◽  
Medical College ◽  
Bacterial Peritonitis

Introduction: In the present study, etiology, important clinical features, management and outcome of acute liver failure in children admitted in Pediatric Intensive Care Unit (PICU) of BURDWAN MEDICALCOLLEGE, WB are studied. Aims and objectives:To study different clinical features among those children having acute liver failure. I. To study the management and outcome of those children with acute liver failure in the Pediatric Intensive Care Unit. Material and methods: Pediatric Intensive Care Unit of BURDWAN MEDICALCOLLEGE, WB. 1 Year [December 2019 to November 2020]. Patients from 3months of age to 12years of age are eligible for enrolment if they meet the following criteria. Conclusion: Present study showed that cerebral edema was signicantly associated with mortality whereas AKI and spontaneous bacterial peritonitis were not signicantly related with mortality. Mean TSB and Prothrobin Time were higher but mean serum albumin was lower in those cases that had died.

scholarly journals Nosocomial infections in a pediatric intensive care unit of a developing country: NHSN surveillance

2012 ◽  
Vol 45 (4) ◽  
pp. 475-479 ◽  
Author(s):  
Juliana Pena Porto ◽  
Orlando Cesar Mantese ◽  
Aglai Arantes ◽  
Claudete Freitas ◽  
Paulo Pinto Gontijo Filho ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Developing Country ◽  
Pediatric Intensive Care Unit ◽  
Nosocomial Infections ◽  
Staphylococcus Epidermidis ◽  
Pediatric Intensive Care ◽  
Venous Catheter ◽  
Extrinsic Factors ◽  
A Prospective Study

INTRODUCTION: This study aimed to determine the epidemiology of the three most common nosocomial infections (NI), namely, sepsis, pneumonia, and urinary tract infection (UTI), in a pediatric intensive care unit (PICU) in a developing country and to define the risk factors associated with NI. METHODS: We performed a prospective study on the incidence of NI in a single PICU, between August 2009 and August 2010. Active surveillance by National Healthcare Safety Network (NHSN) was conducted in the unit and children with NI (cases) were compared with a group (matched controls) in a case-control fashion. RESULTS: We analyzed 172 patients; 22.1% had NI, 71.1% of whom acquired it in the unit. The incidence densities of sepsis, pneumonia, and UTI per 1,000 patients/day were 17.9, 11.4, and 4.3, respectively. The most common agents in sepsis were Enterococcus faecalis and Escherichia coli (18% each); Staphylococcus epidermidis was isolated in 13% of cases. In pneumonias Staphylococcus aureus was the most common cause (3.2%), and in UTI the most frequent agents were yeasts (33.3%). The presence of NI was associated with a long period of hospitalization, use of invasive devices (central venous catheter, nasogastric tube), and use of antibiotics. The last two were independent factors for NI. CONCLUSIONS: The incidence of NI acquired in this unit was high and was associated with extrinsic factors.

scholarly journals Clinical features and outcomes of invasive pneumococcal disease in a pediatric intensive care unit

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Hsiang-Ju Hsiao ◽  
Chang-Teng Wu ◽  
Jing-Long Huang ◽  
Cheng-Hsun Chiu ◽  
Yhu-Chering Huang ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Clinical Features ◽  
Invasive Pneumococcal Disease ◽  
Pneumococcal Disease ◽  
Pediatric Intensive Care

Unrecognized Burden of Methicillin-Resistant Staphylococcus aureus and Vancomycin-Resistant Enterococcus Carriage in the Pediatric Intensive Care Unit

2008 ◽  
Vol 29 (12) ◽  
pp. 1174-1176 ◽  
Author(s):  
Aaron M. Milstone ◽  
Xiaoyan Song ◽  
Claire Beers ◽  
Ivor Berkowitz ◽  
Karen C. Carroll ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Staphylococcus Aureus ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Methicillin Resistant Staphylococcus Aureus ◽  
Pediatric Intensive Care ◽  
Incidence Rates ◽  
Vancomycin Resistant Enterococcus ◽  
Methicillin Resistant ◽  
Vancomycin Resistant

Routinely, children's hospitals use data from clinical cultures to estimate the burden of methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant Enterococcus (VRE) carriage. In our pediatric intensive care unit, a program of weekly surveillance cultures uncovered an unrecognized reservoir of MRSA and VRE carriers. This weekly surveillance enabled more accurate estimates of the incidence rates of MRSA and VRE carriage and led to an increased number of isolation-days for patients.

scholarly journals Five years study of mortality and morbidity patterns of Tetanus cases in a Tertiary Care PICU (Pediatric Intensive Care Unit), Multan Pakistan.

2020 ◽  
Vol 27 (01) ◽  
pp. 23-28
Author(s):  
Asim Khurshid ◽  
Muhammad Amin ◽  
Muhammad Tariq Aziz ◽  
Imran Iqbal
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Clinical Features ◽  
Tertiary Care ◽  
Pediatric Intensive Care ◽  
Fatal Disease ◽  
Mortality And Morbidity ◽  
Study Setting ◽  
Grade Iii

Objectives: Tetanus is an avoidable disease. Significant reduction in the incidence of tetanus is observed around the globe but in Pakistan, its incidence is still high. The objective of current study was to determine the demographic, clinical features, outcome and complications of tetanus patients admitted in Pediatric Intensive Care Unit (PICU). Study Design: This Descriptive-observational study. Setting: At PICU of The Children Hospital & ICH Multan Pakistan. Periods: 1st January 2013 to 31st December 2017. Material and Methods: A total of 77 tetanus cases admit through the study period in PICU. Clinical features, complications, duration of stay and outcome of 77 tetanus cases during study period were noted. Results: Amongst a total of 77 cases, 62 were male (80.6%) and 15(19.4%) female. Most (57.1%) were between 2 to 7 years. Twenty five (32.4%) were unvaccinated, 52 (67.6%) partially vaccinated. According to the grade of severity (Ablett classification), majority (40) were of grade-III. Regarding the outcome, 15 (19.5%) expired. Conclusion: Tetanus is a fatal disease with high mortality rate. Vaccination and right management of the disease are the best options to minimize the load of tetanus in our country.

scholarly journals Community-associated methicillin-resistant Staphylococcus aureus infections in a pediatric intensive care unit

2011 ◽  
Vol 5 (08) ◽  
pp. 587-591 ◽  
Author(s):  
Khaled Menif ◽  
Asma Bouziri ◽  
Ammar Khaldi ◽  
Asma Hamdi ◽  
Sarra Belhadj ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Staphylococcus Aureus ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Methicillin Resistant Staphylococcus Aureus ◽  
Pediatric Intensive Care ◽  
Retrospective Chart Review ◽  
Pulmonary Involvement ◽  
Methicillin Resistant ◽  
Mrsa Infection

Introduction: Community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) infection is an increasing problem worldwide. In developing countries, there is little data on CA-MRSA infection in children. This study reviewed the clinical features and outcomes of children admitted in a Tunisian pediatric intensive care unit with severe CA-MRSA infections. Methodology: Retrospective chart review of patients coded for CA-MRSA over 10 years. Results: There were 14 (0.32% of all admissions) patients identified with severe CA-MRSA infections. The median age was three months (range, 0.5-156 months). All patients had pulmonary involvement. Six children (42.8%) developed septic shock. Two (14.3%) patients had multifocal infection with deep venous thrombosis. Two (14.3%) patients died. Conclusions: Severe CA-MRSA pneumonia dominated presentation. The mortality of CA-MRSA infection in our series is lower than that previously reported.

Implication of a Healthcare Worker With Chronic Skin Disease in the Transmission of an Epidemic Strain of Methicillin-Resistant Staphylococcus aureus in a Pediatric Intensive Care Unit

2003 ◽  
Vol 24 (4) ◽  
pp. 299-300 ◽  
Author(s):  
Philippe Berthelot ◽  
Florence Grattard ◽  
Pascal Fascia ◽  
Christine Fichtner ◽  
Martine Moulin ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Staphylococcus Aureus ◽  
Intensive Care ◽  
Healthcare Worker ◽  
Pediatric Intensive Care Unit ◽  
Skin Disease ◽  
Pediatric Intensive Care ◽  
Methicillin Resistant ◽  
Chronic Skin ◽  
Chronic Skin Disease

AbstractThis outbreak of colonization of neonates in a 10-bed pediatric intensive care unit illustrates the probable role of a healthcare worker (HCW) in the transmission of methicillin-resistant Staphylococcus aureus, despite good hygienic practices. It raises the issue of preventive exclusion of HCWs affected by chronic skin disease from high-risk units.

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