scholarly journals Epidemiological patterns of klebsiella colonization and infection in an intensive care ward

1978 ◽  
Vol 80 (2) ◽  
pp. 295-300 ◽  
Author(s):  
M. W. Casewell ◽  
I. Phillips

SUMMARYTwenty-four per cent of 2315 patients admitted to the intensive care unit of St Thomas's Hospital in the 4 year period from November 1969 became colonized or infected withKlebsiellaspecies. Capsular typing of 986 klebsiella isolates from 551 patients showed that there were 695 patient-isolates, mostly derived from the respiratory tract. Capsular types 47 and 21 were the commonest types and together accounted for 19·9% of the patient-isolates. The 14 commonest types accounted for 47·3% of all patient-isolates and all these strains showed clustering, strongly suggesting a changing common source, cross infection, or both.

2001 ◽  
Vol 22 (1) ◽  
pp. 49-52 ◽  
Author(s):  
Matthias Trautmann ◽  
Thomas Michalsky ◽  
Heidemarie Wiedeck ◽  
Vladan Radosavljevic ◽  
Markus Ruhnke

AbstractWater faucets on a surgical intensive care ward were examined prospectively as a source of Pseudomonas aeruginosa infections. All water outlets harbored distinct genotypes of P aeruginosa over prolonged time periods. Over a period of 7 months, 5 (29%) of 17 patients were infected with P aeruginosa genotypes also detectable in tap water.


2019 ◽  
pp. 56-58
Author(s):  
V. M. Baranovska ◽  
V. V. Hilova ◽  
P. G. Zarivchatskaya ◽  
O. V. Kvashyna

Summary. A comparative trial of hospital infection carries has been conducted in the department   anesthesiology with intensive care ward (ADICW) over the past 5 years. Spectrum of nosocomial pathogens in the ADICW compared with 2012 has changes. Most often in the 2016–2018 years met Е. coli — 26,6 %, Ps. aeruginosa — 18,5%, Enterococcus faecium — 11,3%, Staphylococcus aureus — 10,2 %. Attracts attention decrease in sensitivity of nosocomial pathogens to meropenem in relationto the 2012–2014 years. Acinetobacter  baumannii in 2016–2018 was the cause of hospital infection in 6 % and was almost resistant to meropenem.


1975 ◽  
Vol 3 (2) ◽  
pp. 139-141 ◽  
Author(s):  
John E. O'Donnell

An outline is given of the use of fiberoptic instruments in the management of some respiratory problems in the Intensive Care Ward. In particular, bronchoscopy and inspection of the trachea and larynx prior to closure of tracheostomy are described.


2019 ◽  
Vol 7 (3) ◽  
pp. 198-205
Author(s):  
Anafrin Yugistyowati

Background: The premature birth of infants is a process that leads to physical unpreparedness, sources of stress, and traumatize effects for the parents. Mostly mothers showed unpleasant memories that interfered the parents’ ability to take care of their premature baby. Objective: This study aimed  to obtain in-depth understanding of mother’s support in neonatal  intensive care ward. Methods: This is a qualitative research using phenomenology approach involving eight participants. Data were collected through in-depth interview using data recording, interview protocol, and field note. Colaizzi method was used to analyse data. Results: Two research themes were gained from data analysis, the source and the type of support for mother with premature infants’ care. Conclusion: This study recommends for nurses to assist parents by discussing any problems and to facilitate bonding mother and baby through implementation continuum of discharge planning.   Keywords: Care for Premature Infants, Neonatal Intensive Care Ward, Supporting Mothers


2014 ◽  
Vol 35 (10) ◽  
pp. 1304-1306 ◽  
Author(s):  
David J. Weber ◽  
David van Duin ◽  
Lauren M. DiBiase ◽  
Charles Scott Hultman ◽  
Samuel W. Jones ◽  
...  

Burn injuries are a common source of morbidity and mortality in the United States, with an estimated 450,000 burn injuries requiring medical treatment, 40,000 requiring hospitalization, and 3,400 deaths from burns annually in the United States. Patients with severe burns are at high risk for local and systemic infections. Furthermore, burn patients are immunosuppressed, as thermal injury results in less phagocytic activity and lymphokine production by macrophages. In recent years, multidrug-resistant (MDR) pathogens have become major contributors to morbidity and mortality in burn patients.Since only limited data are available on the incidence of both device- and nondevice-associated healthcare-associated infections (HAIs) in burn patients, we undertook this retrospective cohort analysis of patients admitted to our burn intensive care unit (ICU) from 2008 to 2012.


2006 ◽  
Vol 62 (1) ◽  
Author(s):  
B. M. Morrow ◽  
M. J. Futter ◽  
A. C. Argent

NB-BAL is an effective procedure for the diagnosis of pulmonary disease processes in ventilated infants and children. This procedure is, however, not without risks to both patients and staff. Numerous complications of NB-BAL exist, with hypoxia being themost common. As a result, care should be taken in performing NB-BAL on haemodynamically unstable patients; patients with coagulation defects; and patients with cardiac or brain abnormalities.This paper presents an overview of paediatric nonbronchoscopic bronchoalveolar lavage (NB-BAL) including: the rationale for NB-BAL; the complications associated with the procedure; indications and contraindications. It also recommends an evidence-basedclinical guideline for performing the procedure in the paediatric intensive care unit. By following the NB-BAL guidelines presented in this paper, one can ensure that an effective specimen is obtained from the lower respiratory tract, whilst minimising the risk to the patient.


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