scholarly journals Pola Bakteri dan Resistensi Antibiotik pada Pasien Sepsis di Intensive Care Unit (ICU) RSUD Arifin Achmad Provinsi Riau Periode 1 Januari – 31 Desember 2017

2019 ◽  
Vol 13 (2) ◽  
pp. 46
Author(s):  
Dicky Septian Wijaksana ◽  
Novita Anggraeni ◽  
Rita Endriani
Keyword(s):  
Intensive Care Unit ◽  
Antibiotic Resistance ◽  
Intensive Care ◽  
Pathogenic Bacteria ◽  
Sepsis Patient ◽  
Resistance Test ◽  
Antibiotics Resistance ◽  
Gender Culture ◽  
Threatening Condition ◽  
Life Threatening

Sepsis is life-threatening condition caused by bacteria. Sepsis patient usually treated in ICU with antibiotic as treatment.Irrationally antibiotic usage can lead to antibiotics resistance which increased morbidity and mortality This studyaimed to know the characteristic of sepsis patients, specimen identification, bacteria analysis, and antibiotic resistanceof sepsis patient in Intensive Care Unit (ICU). The source of data were from medical record including age, gender,culture specimen, bacteria culture test and result of antibiotic resistance test. Result showed that27 of samples, therewere 51,85% male and 48,15% female patient with most common age group was >65 years old (25,93%). Total amountof specimen that had pathogenic bacteria was 37, (67,57% sputum cultures and 18,92% blood cultures). 37 of samplesfound to be gram negative bacteria and highest number was A.baumanii (37,85%). Antibiotic resistance test showedthat sepsis-causing bacteria has highest resistance to ampicillin (100%) and most sensitive to amikacin (72,98%) andtigecyclin (51,36%).

scholarly journals Management of sepsis in out-of-hours primary care: a retrospective study of patients admitted to the intensive care unit

2018 ◽  
Vol 68 (suppl 1) ◽  
pp. bjgp18X696653 ◽  
Author(s):  
Feike J Loots ◽  
Marleen Smits ◽  
Carlijn van Steensel ◽  
Paul Giesen ◽  
Rogier Hopstaken ◽  
...  
Keyword(s):  
Primary Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Hospital Treatment ◽  
Out Of Hours ◽  
Suspected Infection ◽  
Telephone Advice ◽  
Mortality Difference ◽  
Threatening Condition ◽  
Life Threatening

BackgroundSepsis is a life-threatening condition requiring urgent hospital treatment. The rates of recognition and doctors delay in primary care are currently unknown.AimTo explore the role of GP cooperatives in the pre-hospital care for sepsis patients.MethodA retrospective patient record study was conducted of sepsis patients admitted to an intensive care unit (ICU) in Ede, the Netherlands. Adult ICU patients admitted for community-onset sepsis between 2011 and 2015 were identified. Subsequently, all contacts with the co-located GP cooperative in the 72 hours before hospital admission were retrieved. Differences in mortality rates between subgroups were analysed using logistic regression analysis.ResultsOf 263 patients admitted to the ICU, 127 (48.3%) had prior GP cooperative contacts. These contacts concerned home visits (59.1%), clinic consultations (18.1%), direct ambulance deployment (12.6%) or telephone advice (10.2%). Patients assessed by a GP were referred in 64% after the first contact. The median delay to hospital arrival was 1.8 hours. In 43%, the GP had not suspected an infection. In this group the in-hospital mortality rate was significantly higher compared with patients with suspected infections (41.9% versus 17.6%). Mortality difference remained significant after correction for confounders.ConclusionGP cooperatives play an important role in pre-hospital management of sepsis and recognition of sepsis in this setting proved difficult. Efforts to improve management of sepsis in out-of-hours primary care should not be limited to patients with a suspected infection, but also include severely ill patients without clear signs of infection.

scholarly journals Lightning Maculopathy: A Case Report

2019 ◽  
Vol 2 (1) ◽  
pp. 98-101
Author(s):  
Ruchi Shrestha ◽  
Ritesh Kumar Shah ◽  
Purushottam Joshi
Keyword(s):  
Intensive Care Unit ◽  
Optical Coherence Tomography ◽  
Intensive Care ◽  
Case Report ◽  
Rare Condition ◽  
Optical Coherence ◽  
Threatening Condition ◽  
Cystic Changes ◽  
Life Threatening ◽  
Lightning Injury

Lightning induced maculopathy is a very rare condition and there are barely any published reports on lightning induced maculopathy in our country. Here we present a case of twenty three years female who presented with lightning induced burns on the neck, chest and abdomen. She had unconsciousness for 3 days after lightening injury for which she was treated in intensive care unit. She presented with complain of diminution of vision in both eyes after 2 weeks. Optical Coherence tomography revealed cystic changes in fovea in right eye and a macular hole in left eye. Lightning injury is a life threatening condition. Lightning maculopathy should always be ruled out which can be best detected on optical coherence tomography. Keywords: foveal cyst; lightning injury; maculopathy; optical coherence tomography.

scholarly journals Chylothorax in a Level III Neonatal Intensive Care Unit: A Case Series

2018 ◽  
Author(s):  
Rita Barreira ◽  
Maria Inês Marques ◽  
Rita Valsassina ◽  
Kátia Cardoso ◽  
Anabela Salazar
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Thoracic Surgery ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Multiorgan Failure ◽  
Newborn Infants ◽  
Case Series ◽  
Threatening Condition ◽  
Life Threatening

INTRODUCTION: Chylothorax is a rare potentially life-threatening condition characterized by accumulation of chyle in the pleural space. It can be responsible for metabolic, nutritional and immunological complications in newborn infants. Our aim was to evaluate the clinical course and treatment of all cases of neonatal chylothorax admitted to a Portuguese tertiary perinatal unit. METHODS: Retrospective analysis of institutional records of newborn diagnosed with chylothorax between 1st of February 2007 and 31st of January 2017 in a tertiary neonatal intensive care unit. RESULTS: Six patients were included; two cases were congenital, one with prenatal diagnosis. The remaining cases were all secondary to trauma during thoracic surgery. All needed ventilation support with high positive end-expiratory pressure. Except for two cases, parenteral nutrition was implemented at diagnosis. Three cases did not improve with conservative treatment. One case was effectively treated with octreotide. Two patients died, one due to shock and multiorgan failure and the other one due to respiratory failure. DISCUSSION/CONCLUSION: In our sample, trauma (from thoracic surgery) was the main etiology, reflecting our Unit´s collaboration with the pediatric cardiology department. Concerning diagnosis and treatment there are some algorithms, however, there are no national or international accepted guidelines and there are some aspects of the therapeutic approach that remain controversial.

scholarly journals Tick-Borne-Associated Illnesses in the Pediatric Intensive Care Unit

2020 ◽  
Vol 15 (06) ◽  
pp. 269-275
Author(s):  
Kaila Lessner ◽  
Conrad Krawiec
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Early Recognition ◽  
Spotted Fever ◽  
Pediatric Intensive Care ◽  
Rocky Mountain ◽  
Rocky Mountain Spotted Fever ◽  
Life Threatening ◽  
Human Ehrlichiosis

AbstractWhen unrecognized and antibiotic delay occurs, Lyme disease, Rocky Mountain–spotted fever, babesiosis, and human ehrlichiosis and anaplasmosis can result in multiorgan system dysfunction and potentially death. This review focuses on the early recognition, evaluation, and stabilization of the rare life-threatening sequelae seen in tick-borne illnesses that require admission in the pediatric intensive care unit.

scholarly journals Collective aeromedical evacuations of SARS-CoV-2-related ARDS patients in a military tactical plane: a retrospective descriptive study

2021 ◽  
pp. bmjmilitary-2021-001876
Author(s):  
Thibault Martinez ◽  
K Simon ◽  
L Lely ◽  
C Nguyen Dac ◽  
M Lefevre ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Acute Respiratory Distress Syndrome ◽  
Intensive Care ◽  
Respiratory Distress Syndrome ◽  
Selection Criteria ◽  
Distress Syndrome ◽  
Descriptive Study ◽  
Military Aircraft ◽  
Life Threatening ◽  
The Military

After the appearance of the COVID-19 pandemic in France, MEROPE system was created to transform the military tactical ATLAS A400M aircraft into a flying intensive care unit. Collective aeromedical evacuations (aero-MEDEVAC) of patients suffering from SARS-CoV-2-related acute respiratory distress syndrome was performed from June to December 2020. A total of 22 patients were transported during seven missions. All aero-MEDEVAC was performed in safe conditions for patients and crew. No life-threatening conditions occurred during flight. Biohazard controls were applied according to French guidelines and prevented crew contamination. Thanks to rigorous selection criteria and continuous in-flight medical care, the safe transportation of these patients was possible. To the best of our knowledge, this is the first description of collective aero-MEDEVAC of these kinds of patients using a tactical military aircraft. We here describe the patient’s characteristics and the flight’s challenges.

scholarly journals CHARACTERISTICS OF ANTIBIOTIC RESISTANCE OF BACTERIA ISOLATED FROM INFANTS – PATIENTS OF NATIONAL HOSPITAL PEDIATRICS HANOI, VIETNAM

2017 ◽  
pp. 51-53
Author(s):  
T.F. Stepanova ◽  
L.V. Kataeva ◽  
A.P. Rebeshchenko ◽  
Le Thanh Hai ◽  
Khu Thi Khanh Dung ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Antibiotic Resistance ◽  
Intensive Care ◽  
High Resistance ◽  
Gram Negative Bacteria ◽  
National Hospital ◽  
Gram Negative ◽  
Resistance To Antibiotics ◽  
Pure Block ◽  
Carbapenem Antibiotic

The results of studies of resistance to antibiotics microflora isolated from mucous pharynx and rectum of patients intensive care unit newborns of National Hospital of Pediatrics, Hanoi are presented. It is shown that gram-negative bacteria isolated from children have a high resistance to penicillins, cephalosporins and carbapenem. Antibiotic resistance of bacteria isolated from children receiving treatment in «pure» block did not differ from sustainability of the strains, selected from children in «dirty» block.

Septic Shock: Phenomenology

1971 ◽  
Vol 2 (4) ◽  
pp. 327-332
Author(s):  
Roy G. Fitzgerald
Keyword(s):  
Intensive Care Unit ◽  
Septic Shock ◽  
Intensive Care ◽  
Endotoxin Shock ◽  
Life Threatening ◽  
The Moment

This is an autobiographical account of an episode of life-threatening endotoxin shock experienced in the intensive care unit of a university-affiliated V.A. hospital. It was written within a day of the event by a psychiatrist interested in sharing with other physicians and nurses his harrowing time as a patient. He has added some afterthoughts as his perspective has broadened. The account presents the moment-to-moment events as he perceived them as well as his thoughts, feelings and fantasies. The ambiguities of being a psychiatrist-patient with its passivity-control, intellectual defenses, denial and fears of death are prominent in his thoughts.

Sign in / Sign up

Export Citation Format

Share Document