A Two Years Retrospective Study on Prevalence of Hospital Acquired Surgical Site Infections Among Patients Admitted in Wolaita Soddo Teaching and Referral Hospital

Abstract Surgical site infections (SSIs) are associated with readmissions, reoperations, increased cost of care, and overall morbidity and mortality risk. The National Healthcare Safety Network (NHSN) and the National Surgical Quality Improvement Program (NSQIP) have developed an array of metrics to monitor hospital-acquired complications. The only metric collected by both is SSI, but performance as benchmarked against peer hospitals is often discordant between the 2 systems. In this commentary, we outline the differences between these 2 surveillance systems as they relate to this potential for discordance.

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45,X/46,XY mosaicism: report on 14 patients from a Brazilian hospital. A retrospective study

Sao Paulo Medical Journal ◽

10.1590/1516-3180.2014.1326729 ◽

2014 ◽

Vol 132 (6) ◽

pp. 332-338 ◽

Cited By ~ 17

Author(s):

Rafael Fabiano Machado Rosa ◽

Willy Francisco Bartel D'Ecclesiis ◽

Raquel Papandreus Dibbi ◽

Rosana Cardoso Manique Rosa ◽

Patrícia Trevisan ◽

...

Keyword(s):

Retrospective Study ◽

Turner Syndrome ◽

Early Recognition ◽

External Genitalia ◽

Ambiguous Genitalia ◽

Referral Hospital ◽

Clinical Genetics ◽

Sex Development ◽

Genital Ambiguity ◽

The Individual

CONTEXT AND OBJECTIVE: 45,X/46,XY mosaicism, or mixed gonadal dysgenesis, is considered to be a rare disorder of sex development. The aim of our study was to investigate the clinical and cytogenetic characteristics of patients with this mosaicism.DESIGN AND SETTING: A retrospective study in a referral hospital in southern Brazil.METHODS: Our sample consisted of patients diagnosed at the clinical genetics service of a referral hospital in southern Brazil, from 1975 to 2012. Clinical and cytogenetic data were collected from the medical records.RESULTS: Fourteen patients were included in the sample, with ages at the first evaluation ranging from 2 days to 38 years. Nine of them had female sex of rearing and five, male. Regarding the external genitalia, most were ambiguous (n = 10). One patient presented male phenotype and was treated for a history of azoospermia, while three patients presented female phenotype, of whom two had findings of Turner syndrome and one presented secondary amenorrhea alone. Some findings of Turner syndrome were observed even among patients with ambiguous genitalia. None presented gonadal malignancy. One patient underwent surgical correction for genital ambiguity and subsequent exchange of sex of rearing. Regarding cytogenetics, we did not observe any direct correlation between percentages of cell lines and phenotype.CONCLUSIONS: 45,X/46,XY mosaicism can present with a wide variety of phenotypes resulting from the involvement of different aspects of the individual. All these observations have important implications for early recognition of these patients and their appropriate management.

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Epidemiological characterization of ophidian accidents in a Colombian tertiary referral hospital. Retrospective study 2004-2014

Revista de la Facultad de Medicina ◽

10.15446/revfacmed.v66n2.61335 ◽

2018 ◽

Vol 66 (2) ◽

pp. 153-158

Author(s):

Karen Sarmiento ◽

Ivonne Torres ◽

Mariana Guerra ◽

Carolina Ríos ◽

Carlos Zapata ◽

...

Keyword(s):

Retrospective Study ◽

Referral Hospital ◽

Tertiary Referral ◽

Tertiary Referral Hospital ◽

Epidemiological Characterization

Introducción. En Colombia se presentan 5 000 casos de ofidismo anuales, un problema de salud pública que por manejo inadecuado provoca mortalidad en el 8% de los casos y discapacidad en el 10%.Objetivo. Describir las características clínicoepidemiológicas de los pacientes diagnosticados con accidente ofídico en un hospital de tercer nivel en Colombia.Materiales y métodos. Se realizó una revisión de las historias clínicas con diagnóstico de ofidismo del Hospital Universitario De La Samaritana Empresa Social del Estado, en el período 2004-2014, analizando la frecuencia en las variables asociadas a la mordedura de serpiente, el tratamiento previo y el manejo intrahospitalario.Resultados. Se revisaron 42 historias clínicas. Predominó el ofidismo en hombres agricultores, con mordedura en miembros inferiores y asistidos inicialmente por curanderos. 90% de los pacientes presentó sobreinfección, 30% tuvo cultivo de la herida, 74% recibió antibiótico, al 50% se les realizó fasciotomía y al 95.2% se le suministró antiveneno.Conclusiones. Se evidenció variabilidad en el manejo de los pacientes y discrepancia en la dosis de antiveneno y la clasificación de severidad del envenenamiento, alta incidencia de infecciones a pesar del esquema antibiótico y procedimientos quirúrgicos reevaluados en ofidismo. El manejo médico del accidente ofídico debe estar en continua actualización para disminuir discapacidad y mortalidad en los pacientes.

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Chest x-ray findings and outcomes of children with suspected ventilator .. associated pneumonia

Paediatrica Indonesiana ◽

10.14238/pi52.4.2012.233-8 ◽

2012 ◽

Vol 52 (4) ◽

pp. 233

Author(s):

Neni Sumarni ◽

Muhammad Sholeh Kosim ◽

Mohammad Supriatna ◽

Eddy Sudijanto

Keyword(s):

Retrospective Study ◽

Patient Outcomes ◽

Pulmonary Infection ◽

Ventilator Associated Pneumonia ◽

Chi Square ◽

X Ray ◽

Chest X Ray ◽

Hospital Acquired ◽

Pediatric Icu ◽

The Relationship

Background Ventilator􀁖associated pneumonia (VAP) is anosocomial infection in patients who have received mechanicalventilation (MV), either by endotracheal intubation ortracheostomy, for more than 48 hours. YAP represents 80% ofall hospital􀁖acquired pneumonias. VAP incidence varies from5.1 %􀁖33.3%. The modified clinical pulmonary infection scoreis a criteria for diagnosing suspected YAP and typically includesradiographic evidence. YAP is associated with significantmorbidity and mortality.Objective To determine the relationship between chest x􀁖rayfindings and outcomes in children Mth suspected VAP.Methods This retrospective study was held in Dr. Kariadi Hospitalfrom January - December 2010. Data was collected from medicalrecords of pediatric ICU (PICU) patients with suspected VAP.Chest x􀁖ray findings and patient outcomes were recorded. X􀁖rayfindings were assessed by the on􀁖duty radiologist. Chi square testwas used for statistical analysis.Results Subjects were 30 children consisting of 14 males and 16females. Patient outcomes were 23 patients survived and 7 patientsdied. Chest x􀁖ray findings were categorized into the followinggroups and compared to patient survivability: diffuse infiltrates76.7% (OR􀁗0.694; P􀁗0.532; 95% CI 0.102 to 4.717), localhedinfiltrates 13.3% (OR􀁗4.200; P􀁗 0.225; 95% CI 0.470 t037.49),and no infiltrates 10% (OR􀁗 1.222; P􀁗 0.436; 95% CI 0.593 to0.926). None of the x􀁖ray findings had a significant correlationto patient outcomes.Conclusion There was no significant relationship between chestx􀁖ray findings and outcomes in children with suspected VAP.[Paediatr rndones. 2012;52:233-8].

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Lessons learned in establishing a quality improvement project to reduce hospital acquired infections in the neonatology ward at a referral hospital in Rwanda

On the Horizon ◽

10.1108/oth-07-2016-0037 ◽

2016 ◽

Vol 24 (4) ◽

pp. 341-348 ◽

Cited By ~ 1

Author(s):

Naasson Gafirimbi ◽

Rex Wong ◽

Eva Adomako ◽

Jeanne Kagwiza

Keyword(s):

Quality Improvement ◽

Lessons Learned ◽

Referral Hospital ◽

Quality Improvement Project ◽

Injection Technique ◽

Improve Quality ◽

Improvement Project ◽

Content Type ◽

Hospital Acquired

Purpose Improving healthcare quality has become a worldwide effort. Strategic problem solving (SPS) is one approach to improve quality in healthcare settings. This case study aims to illustrate the process of applying the SPS approach in implementing a quality improvement project in a referral hospital. Design/methodology/approach A project team was formed to reduce the hospital-acquired infection (HAI) rate in the neonatology unit. A new injection policy was implemented according to the root cause identified. Findings The HAI rate decreased from 6.4 per cent pre-intervention to 4.2 per cent post-intervention. The compliance of performing the aseptic injection technique significantly improved by 60 per cent. Practical implications This case study illustrated the detailed application of the SPS approach in establishing a quality improvement project to address HAI and injection technique compliance, cost-effectively. Other departments or hospitals can apply the same approach to improve quality of care. Originality/value This study helps inform other hospitals in similar settings, the steps to create a quality improvement project using the SPS approach.

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