Molecular detection of streptococcus sinensis in blood culture samples from hospitalized patients in Hong Kong : an eight-year retrospective study

2011 ◽  
Author(s):  
Shun-kwan Chan
Keyword(s):  
Hong Kong ◽  
Retrospective Study ◽  
Blood Culture ◽  
Molecular Detection ◽  
Hospitalized Patients

scholarly journals Spectrum of aerobic bacteria and their antimicrobial pattern in blood stream infections of hospitalised patients: a retrospective study

2018 ◽  
Vol 6 (10) ◽  
pp. 3298
Author(s):  
M. Anjaneya Swamy ◽  
Saroj Golia ◽  
Neelima Varania
Keyword(s):  
Retrospective Study ◽  
Blood Culture ◽  
Susceptibility Testing ◽  
Public Health Problem ◽  
Blood Stream ◽  
Drug Susceptibility ◽  
Drug Susceptibility Testing ◽  
Hospitalized Patients ◽  
Blood Stream Infections ◽  
Hospitalised Patients

Background: Bacteria associated with blood stream infections are an important public health problem which results in morbidity and mortality globally. Emergence of multidrug resistant isolates in hospitalized patients is a major problem. Automation techniques play a major role in early identification of the isolate and its drug susceptibility testing which is important for better outcome of the treatment. This study was aimed to detect the blood stream isolates and their drug susceptibility pattern in hospitalized patients.Methods: This was a retrospective study conducted from 377 records of automated blood culture (bact/alert) and drug susceptibility testing (vitek) results. Positive blood culture bottles were sub cultured to different culture media and the isolates were identified and screened for drug susceptibility testing on Vitek II.Results: Around 20.68% of samples were positive for blood stream infections caused by different pathogens. A total of 78 microorganisms were isolated from 377 samples. Among which gram negative bacilli was observed in 52.56%, gram positive cocci in 44.87% and yeast in 2.56% samples. Coagulase negative staphylococci and Klebsiella pneumoniae were the predominant isolates of the study.Conclusions: Early diagnosis of blood stream infections in hospitalized patients is life saving. Hence a continuous monitoring of isolates and their drug susceptibility is the need of the day.

FALLS AS CHILDHOOD ACCIDENTS: AN INCREASING URBAN RISK

PEDIATRICS ◽  
1971 ◽  
Vol 47 (5) ◽  
pp. 886-892
Author(s):  
R. L. Sieben ◽  
J. D. Leavitt ◽  
J. H. French
Keyword(s):  
New York ◽  
Retrospective Study ◽  
Health Hazard ◽  
Hospitalized Patients ◽  
Older Children ◽  
South Bronx ◽  
High Rise ◽  
Childhood Accidents ◽  
Urban Risk ◽  
Hospital Affiliation

Falls from heights accounted for 20% of accidental deaths of children in New York City during 1966, and 67% of the children were under 5 years of age. A retrospective study of falls involving more than 10 feet during 1966 to 1968 at a single Bronx hospital affiliation disclosed that 55 children were hospitalized from this cause. Five of these hospitalized patients died, and two were found to have significant residua. This retrospective study of hospitalized patients indicates that falls from heights were a health hazard mainly for preschool males during the warmer summer months in the high rise slums of the south Bronx. Preschool children fell exclusively from windows and fire escapes, with little regard for height. Older children fell from dangerous play areas of lesser height. The need for routine installation of effective window guards is obvious.

Retrospective Study on Hospital Admissions due to Pyelonephritis in Type II Diabetic Patients

2021 ◽  
Vol 5 (6) ◽  
Author(s):  
Dilraj Dhillon ◽  
Thomas Randall ◽  
David Zezoff ◽  
Mouchumi Bhattacharyya
Keyword(s):  
Retrospective Study ◽  
Length Of Stay ◽  
Hospital Admissions ◽  
Type Ii Diabetes Mellitus ◽  
Hospitalized Patients ◽  
Diabetic Patients ◽  
Clean Intermittent Catheterization ◽  
Type Ii ◽  
Indwelling Catheters ◽  
Significant Difference

Background: Pyelonephritis is a urinary tract infection that ascends to involve the kidneys. It can also occur as an infection secondary to bacteremia. Some pathogens that commonly cause pyelonephritis are E. coli, enterobacteriaceae, staphylococci, and pseudomonas. The initial patient presentation usually involves fever, chills, nausea, vomiting, costovertebral angle tenderness, and flank pain. Other cystitis symptoms such as dysuria, increased urinary frequency, malodorous urine, and hematuria may or may not be present. Symptoms of pyelonephritis with bacteriuria are sufficient for the diagnosis of pyelonephritis. Aim: The aim of this study was to investigate a potential link between Type II Diabetes Mellitus and pyelonephritis. Methods: In this retrospective study, hospitalized patients during the study period were reviewed. Variables examined were sex, age, and length of stay. Patients were excluded if they had known urogenital abnormalities, indwelling catheters (Foley, nephrostomy, suprapubic, or who regularly perform clean intermittent catheterization), were pregnant, or were on dialysis. Results: Of 333 patients analyzed, diabetics had a longer length of stay then non-diabetics (4.49 vs 3.67 days respectively; p=0.0041) and females were significantly younger than men in hospitalized patients for pyelonephritis were (50.0 vs 63.5 years; p=<0.0001). Further, it was found that diabetics were significantly older than nondiabetics were (60.4 vs 47.3; p=<0.0001) and more diabetics getting admitted with pyelonephritis were men vs women (59.32% vs 35.27%; p=0.0007). Conclusion: Results of the study were significant in showing that of all pyelonephritis-hospitalized patients on average the length of stay was longer for diabetics and it demonstrated that female patients with pyelonephritis are significantly younger than male patients hospitalized with pyelonephritis. Of note, there was no significant difference in the length of stay for diabetic patients based on their treatment modality (diet controlled vs. oral medications vs. insulin dependent vs. combined). The study also showed that diabetics getting admitted for pyelonephritis are more men and older in age compared to the nondiabetics.

Utility of Anakinra in Acute Crystalline Diseases: A Retrospective Study Comparing a University Hospital with a Veterans Affairs Medical Center

2018 ◽  
Vol 46 (7) ◽  
pp. 748-750 ◽  
Author(s):  
Julianna Desmarais ◽  
Cong-Qiu Chu
Keyword(s):  
Retrospective Study ◽  
Adverse Effects ◽  
Medical Center ◽  
Veterans Affairs ◽  
Hospitalized Patients ◽  
University Hospital ◽  
Acute Gout ◽  
Efficacy And Safety ◽  
Inpatient Management ◽  
Gout Flares

Objective.To evaluate the efficacy and safety of anakinra in inpatient management of acute gout and pseudogout.Methods.Hospitalized patients with acute gout (n = 77) or pseudogout (n = 11) or both (n = 3) were analyzed for response to anakinra and adverse effects.Results.Half of all patients had comorbidities limiting the treatment choice. Anakinra was well tolerated, and 92% of gout flares and 79% of pseudogout flares responded to treatment.Conclusion.Anakinra is an effective and safe treatment for acute gout and pseudogout in hospitalized patients, particularly in those with comorbidities.

scholarly journals Common Pathogens and Their Resistance to Antimicrobials in Community Acquired Pneumonia (CAP): A Single Center Study in Bangladesh

2020 ◽  
Vol 7 (12) ◽  
pp. 5144-5153
Author(s):  
Abu Kausar Mohammad ◽  
Morshed Nasir ◽  
Sujat Paul ◽  
Habibur Rahman ◽  
Kalam Abul ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
Blood Culture ◽  
Legionella Pneumophila ◽  
Community Acquired Pneumonia ◽  
Hospitalized Patients ◽  
Sputum Culture ◽  
College Hospital ◽  
Cross Sectional ◽  
Female Ratio ◽  
Sensitivity Pattern

Pneumonia is a worldwide, serious threat to health and an enormous socio-economic burden for health care system. Community-acquired pneumonia (CAP) is associated with a significant mortality and morbidity. Knowledge of predominant microbial patterns in CAP constitutes the basis for initial decisions about empirical antimicrobial treatment. The aim of this study was to identify the bacterial etiology of CAP in adult hospitalized patients and to see their antibiotic sensitivity pattern. It was a hospital based cross sectional observational study on 87 hospitalized patients diagnosed with CAP admitted in Medicine department of Chittagong Medical College Hospital (CMCH). Sputum for Gram staining, Z N staining, culture sensitivity, blood culture and sensitivity and PCR for Legionella pneumophila, Mycoplasma pneumoniae, Chlamydophila pneumonia and Streptococcus pneumonia were done. Patients were followed up for in-hospital outcome and 30-day mortality. The mean (±SD) age was 49.59±16.97 years and male female ratio was 1.56:1. Sputum culture, blood culture and PCR were positive in 60.9%, 1.1% and 4.6% of the samples respectively. Klebsiella pneumoniae was identified in the sputum culture of the majority of the patients (39.1%), followed by Pseudomonas aeruginosa (10.3%), Staphylococcus aureus and Escherichia coli (5.7%). The only one sample which was positive in blood culture and it was Staphylococcus aureus. Streptococcus pneumoniae was identified in all the 4 PCR positive cases. The highly sensitive drugs were meropenem, levofloxacin and amikacin. In hospital mortality and 30-day mortality was 6.9% and 16.1% respectively. Gram-negative bacteria pre-dominate in the bacteriologic profile of CAP using conventional sputum and blood culture. There is need for further conventional serologic tests for atypical and viral pathogens in all patients admitted with CAP.

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