scholarly journals Mothers’ knowledge regarding peripheral intravenous catheter caring and complications among pediatric patients: A cross-sectional study

2021 ◽  
Vol 11 (12) ◽  
pp. 31
Author(s):  
Rania Jaber ◽  
Huda Shaweesh ◽  
Alaa A. Zarqa ◽  
Othman A. Alfuqaha
Keyword(s):  
Pediatric Patients ◽  
Hospital Admissions ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Intravenous Catheter ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Peripheral Intravenous Catheter ◽  
Cross Sectional Design ◽  
Intravenous Catheters

Objective: Pediatric patients are considered at risk for Peripheral intravenous catheters (PIVCs) complications more than adults. This study aimed to assess the level of mothers’ knowledge of PIVC maintenance, caring, and complications among pediatric patients. It was also aimed to investigate the association between maintenance and complication knowledge of PIVC. Furthermore, demographic factors were investigated to assess associations on mothers’ knowledge of PIVC.Methods: The study adopted a cross-sectional design. This study was performed on a convenience sample of 193 mothers from a tertiary hospital in Jordan in 2020.Results: Mothers’ knowledge regarding complications was higher than their knowledge of maintenance and caring of PIVC. Mothers’ knowledge toward caring for PIVC was positively correlated with their knowledge about PIVC complications. Mothers’ age and the number of hospital admissions were found to be significantly associated with the level of maintenance and caring knowledge of PIVC but not with complication knowledge of PIVC. The higher the educational level of a mother the less prone she is to complications of PIVC in pediatric patients.Conclusions: It is recommended that health professionals working in pediatric engage mothers in educational sessions to improve maintenance, care, and to prevent complications of PIVC among pediatric patients.

Nurse performed peripheral intravenous catheter first time insertion success in pediatric patients in Bhutan: An observational study

2018 ◽  
Vol 20 (2) ◽  
pp. 184-189 ◽  
Author(s):  
Jigme Choden ◽  
Peter J Carr ◽  
Aleisha R Brock ◽  
Adrian Esterman
Keyword(s):  
Skin Color ◽  
Pediatric Patients ◽  
Linear Models ◽  
National Sample ◽  
Intravenous Catheter ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Peripheral Intravenous Catheter ◽  
The Impact ◽  
First Time

Introduction: Peripheral intravenous catheter insertion is a clinical procedure commonly performed by nurses for pediatric patients in Bhutan. This study describes peripheral intravenous catheter first attempt success and factors associated with such insertions. Methods: A cross-sectional survey was conducted from October 2016 to March 2017, comprised of a national sample of the Bhutan pediatric patient population (0–12 years). We collected data on peripheral intravenous catheter first time insertion success rate of admitted pediatric patients, to identify predictors of a successful first time attempt. Clustered log binomial generalized linear models were used to obtain the prevalence of first time attempt success and predictors of success. Results: The prevalence rate of successful first time attempt adjusted for clustering was 64% (95% confidence interval: 51%–80%). Predictors of a successful first time attempt were older patient age, lighter skin color, the vein being visible with a tourniquet, and the left hand being used for insertion. A transilluminator was used in 52 patients, and the peripheral intravenous catheter was eventually successfully placed in 82% of the patients. Discussion: Our first time successful cannulation rate is substantially lower than that found in similar studies in other countries. Considering the impact a peripheral intravenous catheter has on patients’ clinical outcomes and cost implications, reducing the number of failed attempts should be of high importance. Better education and simulation, combined with the adoption of vessel locating technology, are required to improve insertion practice in Bhutan. This could lead to greater efficiency of the health facilities in Bhutan.

Mutations Identified in a Cohort of Mexican Patients with Lysosomal Acid Lipase Deficiency

2018 ◽  
Vol 17 (5) ◽  
pp. 0-10
Author(s):  
Alejandra Consuelo-Sánchez ◽  
Rodrigo Vázquez-Frías ◽  
Alejandra Reyes-De la Rosa ◽  
Carlos P. Acosta-Rodríguez-Bueno ◽  
María P. Ortal-Vite ◽  
...  
Keyword(s):  
Pediatric Patients ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Compound Heterozygous ◽  
Acid Lipase ◽  
Cross Sectional ◽  
Lysosomal Acid ◽  
Lysosomal Acid Lipase ◽  
Lysosomal Acid Lipase Deficiency ◽  
Mexican Patients

Introduction and aim. Lysosomal acid lipase deficiency (LAL-D) is an autosomal recessive disease caused by mutations in the LIPA gene, located on the long arm of chromosome 10 (10q23.31). Up until now, more than 59 mutations have been described and which are the cause of a very wide clinical spectrum. The goal of this study was to identify the mutations present in Mexican pediatric patients with a diagnosis of LAL-D. Material and methods. A cross-sectional study was carried out which included all the pediatric patients with LAL-D treated in a tertiary hospital in Mexico from January 2000 to June 2017. Results. Sixteen patients with LAL-D were identified with a disease phenotype marked by the accumulation of cholesteryl esters. Eight distinct variants in the LIPA gene sequence were found, four pathogenic variants and four probably pathogenic. In six individuals, the variants were found in the homozygous state and ten were compound heterozygous. The eight variants were inverted, with five found on exon 4 and the others on exons 2, 8 and 10. The variant c.386A>G;p.His129Arg was the most common, being found in six of the 16 individuals (37.5%), making it much more frequent than what had previously been reported in the literature in proportion to the rest of the variants. The mutation known as E8SJM, which has been the mostly frequently found at the international level, was not the most common among this group of Mexican patients. Conclusion. Mexican patients present a different frequency of mutations associated with LAL-D in comparison to European populations.

scholarly journals Health care provided to asylum-seeking and non-asylum-seeking paediatric patients at a Swiss tertiary hospital

2019 ◽  
Author(s):  
Julia Regina Brandenberger ◽  
Christian Pohl ◽  
Florian Vogt ◽  
Thorkild Tylleskär ◽  
Nicole Ritz
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Hospital Admissions ◽  
Tertiary Care ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Cross Sectional ◽  
Admission Rates ◽  
Number Of Visits

Abstract Background & Methods To compare health care provided to asylum-seeking and non-asylum-seeking children, we performed a cross-sectional study in a paediatric tertiary care hospital in Switzerland. Patients were identified using administrative and medical electronic health records from January 2016 - December 2017. Results A total of 202’316 visits by 55’789 patients were included, of which asylum-seeking patients accounted for 1674 (1%) visits by 439 (1%) patients. The emergency department had the highest number of visits in both groups with a lower proportion in asylum-seeking compared to non-asylum-seeking children: 19% (317/1674) and 32% (64’315/200’642) respectively. Hospital admissions were more common in asylum-seeking patients 11% (184/1674) and 7% (14’692/200’642). Frequent visits accounted for 48% (807/1674) of total visits in asylum-seeking and 25% (49’886/200’642) of total visits in non-asylum-seeking patients. Conclusions Hospital visits by asylum-seeking children represented a small proportion of all visits. The emergency department had the highest number of visits in all patients and was less frequently used in asylum-seeking children. Higher admission rates and a larger proportion of visits from frequently visiting patients suggest that asylum-seeking patients may present with more complex diseases.

scholarly journals After the first wave and beyond lockdown: long-lasting changes in emergency department visit number, characteristics, diagnoses, and hospital admissions

2021 ◽  
Author(s):  
Fulvio Morello ◽  
Paolo Bima ◽  
Enrico Ferreri ◽  
Michela Chiarlo ◽  
Paolo Balzaretti ◽  
...  
Keyword(s):  
Emergency Department ◽  
Respiratory Diseases ◽  
Pediatric Patients ◽  
Hospital Admissions ◽  
Cross Sectional Study ◽  
Rapid Reduction ◽  
Cross Sectional ◽  
Italian City ◽  
Ed Visits ◽  
Visit Number

AbstractThe first wave (FW) of COVID-19 led to a rapid reduction in total emergency department (ED) visits and hospital admissions for other diseases. Whether this represented a transient “lockdown and fear” phenomenon, or a more persisting trend, is unknown. We divided acute from post-wave changes in ED flows, diagnoses, and hospital admissions, in an Italian city experiencing a FW peak followed by nadir. This multicenter, retrospective, cross-sectional study involved five general EDs of a large Italian city (January–August 2020). Percent changes were calculated versus 2019, using four 14-day periods (FW peak, early/mid/late post-wave). ED visits were 147,446 in 2020, versus 214,868 in 2019. During the FW peak, visits were reduced by 66.4% (P < 0.001). The drop was maximum during daytime (69.8%) and for pediatric patients (89.4%). Critical triage codes were unchanged. Reductions were found for all non-COVID-19 diagnoses. Non-COVID-19 hospital admissions were reduced by 39.5% (P < 0.001), involving all conditions except hematologic, metabolic/endocrine, respiratory diseases, and traumas. In the early, mid, and late post-wave periods, visits were reduced by 25.4%, 25.3% and 23.5% (all P < 0.001) respectively. In the late period, reduction was greater for female (27.9%) and pediatric patients (44.6%). Most critical triage codes were unchanged. Oncological, metabolic/endocrine, and hematological diagnoses were unchanged, while other diagnoses had persistent reductions. Non-COVID-19 hospital admissions were reduced by 12.8% (P = 0.001), 6.3% (P = 0.1) and 12.2% (P = 0.001), respectively. Reductions in ED flows, led by non-critical codes, persisted throughout the summer nadir of COVID-19. Hospital admissions for non-COVID-19 diseases had transient changes.

scholarly journals Clinical Manifestations and Hematological Profiles of Pediatric Acute Myeloblastic Leukemia Patients: 3 Years Observational Study in A West Java Tertiary Hospital, Indonesia

2019 ◽  
Vol 7 (2) ◽  
pp. 61-66
Author(s):  
Agustinus Wiraatmadja ◽  
Nur Suryawan Hidayat ◽  
Adhi Kristianto Sugianli
Keyword(s):  
Pediatric Patients ◽  
Clinical Manifestations ◽  
Bone Marrow Examination ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Acute Myeloblastic Leukemia ◽  
West Java ◽  
Cross Sectional ◽  
Male Patients ◽  
First Time

Objective: To determine and describe the clinical manifestations and hematological profiles of pediatric Acute Myeloblastic Leukemia (AML) in Dr. Hasan Sadikin General Hospital (RSHS), Bandung as a tertiary hospital in West Java, Indonesia. Methods: A retrospective cross-sectional study using the total sampling method was performed on the medical records of pediatric patients (0-18 years old)who were diagnosed as AML for the first time through bone marrow examination during the period of January 1, 2015 – December 31, 2017. Results: Of the 54 subjects who met the inclusion criteria, 42.6% were AML patients in the age group 6-12 years with male patients comprised 59.3% of the total number of subjects. Patients generally experienced pallor (83.3%), fever (75.9%), and decreased appetite (70.4%). The hematological profiles showed that 35.2% of patients had Hb <6.5 g/dL and 44.4% had a leukocyte count of of >50,000 cells/mm3. The majority of the subjects had a platelet count of <50,000 cells/mm3 (83.3%) and almost half of them had a peripheral blasts count of >50% (46.3%). Conclusion: Clinical manifestations and hematological profiles are important to diagnose AML, especially in pediatric patients. By assessing the manifestations and profiles, it is feasible to access and detect suspected cases of AML.

scholarly journals Transfusion Reactions in Pediatric Cancer Patients

2020 ◽  
Vol 7 (4) ◽  
Author(s):  
Cakra Jati Pranata ◽  
Nur Suryawan ◽  
Delita Prihatni
Keyword(s):  
Cancer Patients ◽  
Pediatric Cancer ◽  
Pediatric Patients ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Patients With Cancer ◽  
Treatment And Prevention ◽  
Pediatric Cancer Patients ◽  
Transfusion Reactions

Background: Transfusion is an essential component of supportive management for cancer patients with anemia and thrombocytopenia. It is generally safe; however, it has several risks and complications including those caused by transfusion reactions. This study aimed to describe transfusion reactions in pediatric cancer patients in a tertiary hospital in Indonesia. Methods: This was a descriptive cross-sectional study with a total sampling method. A prospective analysis was performed on episodes of blood transfusion in pediatric patients aged younger than 18 years old with cancer and were hospitalized at the Department of Child Health of the hospital from July to August 2019. After the consent of the parents, the patients were interviewed for various transfusion reactions. Data collected were presented using tables and charts. Results: Leukemia was the most frequent cancer in children cancer patients who need transfusion. Out of 42 children included, 155 episodes of transfusion were observed with 22 episodes showed transfusion reactions (14.2%). The most frequent manifestations were pruritus (31.8%), followed by combination of pruritus and erythema (27.4%) and fever (13.6%). These reactions appeared mostly in 1 to 2 hours (27.2%), with most were mild reactions (59.1%). Conclusion: Transfusion reactions mostly occurred among pediatric patients with cancer in the acute phase with clinical manifestation of allergic reactions, predominantly mild. Early identification of these reactions would result in better treatment and prevention for recurrence of transfusion reactions.

Detection of Medication Errors Through Medication History Assessment During Admission at General Medical Wards

2021 ◽  
pp. 089719002098712
Author(s):  
Ai Ling Oh ◽  
Andrew Gerald Hua Kiong Tan ◽  
Irene Yee Yew Chieng
Keyword(s):  
Medication Errors ◽  
Hospital Admissions ◽  
Prescription Medication ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Patient Harm ◽  
Medication History ◽  
Cross Sectional ◽  
Life Threatening ◽  
Medical Wards

Introduction: Medication history assessment during hospital admissions is an important element in the medication reconciliation process. It ensures continuity of care and reduces medication errors. Objectives: This study aimed to determine the incidence of unintentional discrepancies (medication errors), types of medication errors with its potential severity of patient harm and acceptance rate of pharmaceutical care interventions. Methods: A four-month cross-sectional study was conducted in the general medical wards of a tertiary hospital. All newly admitted patients with at least one prescription medication were recruited via purposive sampling. Medication history assessments were done by clinical pharmacists within 24 hours or as soon as possible after admission. Pharmacist-acquired medication histories were then compared with in-patient medication charts to detect discrepancies. Verification of the discrepancies, interventions, and assessment of the potential severity of patient harm resulting from medication errors were collaboratively carried out with the treating doctors. Results: There were 990 medication discrepancies detected among 390 patients recruited in this study. One hundred and thirty-five (13.6%) medication errors were detected in 93 (23.8%) patients (1.45 errors per patient). These were mostly contributed by medication omissions (79.3%), followed by dosing errors (9.6%). Among these errors, 88.2% were considered “significant” or “serious” but none were “life-threatening.” Most (83%) of the pharmaceutical interventions were accepted by the doctors. Conclusion: Medication history assessment by pharmacists proved vital in detecting medication errors, mostly medication omissions. Majority of the errors intervened by pharmacists were accepted by the doctors which prevented potential significant or serious patient harm.

scholarly journals Participation in a Fruit and Vegetable Prescription Program for Pediatric Patients is Positively Associated with Farmers’ Market Shopping

2020 ◽  
Vol 17 (12) ◽  
pp. 4202
Author(s):  
Amy Saxe-Custack ◽  
Richard Sadler ◽  
Jenny LaChance ◽  
Mona Hanna-Attisha ◽  
Tiffany Ceja
Keyword(s):  
Pediatric Patients ◽  
Cross Sectional Study ◽  
Primary Objective ◽  
Fruit And Vegetable ◽  
Chi Square ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Farmers Market ◽  
Pediatric Clinic ◽  
Chi Square Analysis

Objectives: The primary objective was to investigate the association between participation in a farmers’ market fruit and vegetable prescription program (FVPP) for pediatric patients and farmers’ market shopping. Methods: This survey-based cross-sectional study assessed data from a convenience sample of 157 caregivers at an urban pediatric clinic co-located with a farmers’ market. Prescription redemption was restricted to the farmers’ market. Data were examined using chi-square analysis and independent samples t-tests. Results: Approximately 65% of respondents participated in the FVPP. Those who received one or more prescriptions were significantly more likely to shop at the farmers’ market during the previous month when compared to those who never received a prescription (p = 0.005). Conclusions: This is the first study to demonstrate that participation in a FVPP for pediatric patients is positively associated with farmers’ market shopping.

scholarly journals Duration of peripheral intravenous catheter use and development of phlebitis

2013 ◽  
Vol 53 (2) ◽  
pp. 117 ◽  
Author(s):  
Rita Andriyani ◽  
Hindra Irawan Satari ◽  
Pustika Amalia
Keyword(s):  
Child Health ◽  
Observational Study ◽  
Pediatric Patients ◽  
Catheter Removal ◽  
History Taking ◽  
Common Complication ◽  
Intravenous Catheter ◽  
Peripheral Intravenous Catheter ◽  
Intravenous Catheters

Background Phlebitis is a common complication in patients withperipheral intravenous catheters, in addition to extravasation andbacterial colonization. Phlebitis may increase morbidity and lengthof hospitalization. One factor contributing to the rate of phlebitis isthe duration of peripheral intravenous catheter use. Several adultstudies have shown that the risk of developing phlebitis increasedwhen the peripheral intravenous catheter was used for more than72 hours. However, in pediatric patients this risk has not beenconsistently observed. As such, there is no recommendation forroutine catheter removal every 72 hours in children.Objective To assess for a possible relationship between durationof peripheral intravenous catheter use and the development ofphlebitis.Methods This analytic observational study had a case controldesign. Subjects consisted of 73 case subjects and 73 controlsubjects. We collected subj ects' data through history-taking andclinical examinations. The duration of peripheral intravenouscatheter use was reported in hours.Results From October 2011 to February 2012, 146 children fromthe Department of Child Health at Dr. Cipto MangunkusumoHosp ital and Tangerang Hospital who used peripheral intravenouscatheters were enrolled in this study. There was no significantdifference between <7 2-hour and 2: 72-hour duration ofperipheral catheter use (OR 1.31; 95%CI 0.687 to 2.526;P= 0.407) on the development of phlebitis.Conclusion We observe no relationship between duration ofperipheral intravenous catheter use and the development ofphlebitis in our subjects.

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