scholarly journals Presence of Candida cell wall derived polysaccharides in the sera of intensive care unit patients: relation with candidaemia and Candida colonisation

Critical Care ◽  
2014 ◽  
Vol 18 (3) ◽  
pp. R135 ◽  
Author(s):  
Julien Poissy ◽  
Boualem Sendid ◽  
Sébastien Damiens ◽  
Ken Ichi Ishibashi ◽  
Nadine François ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Cell Wall ◽  
Intensive Care ◽  
Candida Colonisation

scholarly journals Serum Glucan Levels Are Not Specific for Presence of Fungal Infections in Intensive Care Unit Patients

2003 ◽  
Vol 10 (5) ◽  
pp. 882-885 ◽  
Author(s):  
Justin Digby ◽  
John Kalbfleisch ◽  
Andy Glenn ◽  
Angie Larsen ◽  
William Browder ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Cell Wall ◽  
Intensive Care ◽  
Fungal Infection ◽  
Bacterial Infections ◽  
Fungal Infections ◽  
Critically Ill Patient ◽  
Fungal Cell ◽  
Icu Patients ◽  
Control Serum

ABSTRACT Fungal infections in the critically ill patient are difficult to diagnose and are associated with a high mortality rate. A major obstacle to managing fungal infection is the lack of a reliable clinical assay that will rapidly identify patients with fungal sepsis. Glucans are polymers of glucose that are found in the cell wall of fungi and certain bacteria. Glucans are also released from the fungal cell wall into the extracellular milieu. Several studies have reported that detection of fungal glucan in serum or plasma is useful in the diagnosis of mycoses. However, recent studies have questioned the clinical utility of this assay. In this study, we examined serum glucan levels in intensive care unit (ICU) patients and attempt to correlate serum glucan levels with the presence of fungal infection. Following attainment of informed consent, serum was harvested from 46 ICU patients with confirmed fungal infections, confirmed bacterial infections, or no evidence of infection. Sera from eight healthy volunteers served as control. Serum glucan was assayed with a glucan-specific Limulus assay. Serum glucan levels were increased (69.6 ± 17 pg/ml; P < 0.001) in ICU patients versus the normal (11.5 ± 1.3 pg/ml) and noninfected ICU (27.4 ± 17 pg/ml) controls. However, serum glucan levels were not different in patients with confirmed fungal infections versus those with confirmed bacterial infections. Thus, serum glucan levels did not show a correlation with the presence of fungal infections and do not appear to be specific for fungal infections. However, the assay may be useful as a negative predictor of infection.

A Cluster of Fever and Hypotension on a Surgical Intensive Care Unit Related to the Contamination of Plasma Expanders by Cell Wall Products of Bacillus stearothermophilus

1995 ◽  
Vol 16 (6) ◽  
pp. 335-339
Author(s):  
Antoni Trilla ◽  
Carles Codina ◽  
Montserrat Salles ◽  
Josep M. Gatell ◽  
Magda Zaragoza ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Cell Wall ◽  
Intensive Care ◽  
Bacillus Stearothermophilus ◽  
Surgical Intensive Care Unit ◽  
Surgical Intensive Care ◽  
Plasma Expanders

A Cluster of Fever and Hypotension on a Surgical Intensive Care Unit Related to the Contamination of Plasma Expanders by Cell Wall Products of Bacillus stearothermophilus

1995 ◽  
Vol 16 (6) ◽  
pp. 335-339 ◽  
Author(s):  
Antoni Trilla ◽  
Carles Codina ◽  
Montserrat Salles ◽  
Josep M. Gatell ◽  
Magda Zaragoza ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Cell Wall ◽  
Intensive Care ◽  
Bacillus Stearothermophilus ◽  
Surgical Intensive Care Unit ◽  
Surgical Intensive Care ◽  
Plasma Expanders

The Psychosocial Aspects of Feeding in the Neonatal Intensive Care Unit and Beyond

2019 ◽  
Vol 4 (6) ◽  
pp. 1507-1515
Author(s):  
Lauren L. Madhoun ◽  
Robert Dempster
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Hospital Discharge ◽  
Neonatal Intensive Care ◽  
Oral Feeding ◽  
Medical Attention ◽  
Primary Role ◽  
Speech Language Pathologists ◽  
The Family

Purpose Feeding challenges are common for infants in the neonatal intensive care unit (NICU). While sufficient oral feeding is typically a goal during NICU admission, this can be a long and complicated process for both the infant and the family. Many of the stressors related to feeding persist long after hospital discharge, which results in the parents taking the primary role of navigating the infant's course to ensure continued feeding success. This is in addition to dealing with the psychological impact of having a child requiring increased medical attention and the need to continue to fulfill the demands at home. In this clinical focus article, we examine 3 main areas that impact psychosocial stress among parents with infants in the NICU and following discharge: parenting, feeding, and supports. Implications for speech-language pathologists working with these infants and their families are discussed. A case example is also included to describe the treatment course of an infant and her parents in the NICU and after graduation to demonstrate these points further. Conclusion Speech-language pathologists working with infants in the NICU and following hospital discharge must realize the family context and psychosocial considerations that impact feeding progression. Understanding these factors may improve parental engagement to more effectively tailor treatment approaches to meet the needs of the child and family.

Coping and Family Relationships in the Neonatal Intensive Care Unit

2014 ◽  
Author(s):  
Gina M. Brelsford ◽  
Kim Doheny ◽  
Kristin Veneman ◽  
Joshua Ramirez
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Family Relationships ◽  
Neonatal Intensive Care
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