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Adults and children with Short Bowel Syndrome are at serious risk of central line associate blood-stream infections and recurrent loss of venous access. Management of vascular access needs to be part of a comprehensive and multidisciplinary strategy aiming, as a first step, to preserve the vascular real estate of children requiring long-term PN.” …Dr. [...]
Medical device-related pressure ulcers create localized injury to the skin or underlying tissue as a result of sustained pressure from a device. “Medical device-related pressure ulcers (MDR PrUs) hospital acquired pressure ulcers (HAPUs) often mirror the shape and location of a medical device. A unique aspect of MDR PrUs is a rigid plastic material [...]
Investigating cases of neurological loss from spinal epidural abscesses in patients who were previously discharged from care centers without diagnostic testing. Neurological deficits are considered the last presenting factor of a typical spinal epidural abscess triad: The first being back pain and the second fever … Only 0.8% of patients do not have spinal [...]
Study reveals alarming trends in hospital-acquired sepsis and advocates safer medical solutions. Although comprising only 11.3% of severe sepsis hospitalizations, HA-SS (Hospital Acquired Severe Sepsis) posed significant healthcare burdens, accounting for 20% of severe sepsis deaths and over 34.9% of all severe sepsis-related hospital costs in the consortium” … David Page, MD, MD. Greg [...]
Study calls into question the practice of repeat angioplasties for recurrent stenosis of arteries below the knee Among patients with chronic limb-threatening ischemia and infrapopliteal artery disease (below the knee), angioplasty has been associated with frequent reintervention and adverse limb outcomes from restenosis” … Brian DeRubertis, MD, New England Journal of Medicine, January 4, [...]
Acinetobacter infections in at-risk patients, emphasizing challenges and advocating for safer catheter materials to prevent severe complications Bloodstream infections from Acinetobacter baumannii-Acinetobacter calcoaceticus are more common in critically ill and debilitated institutionalized patients, who are heavily exposed to health care settings and invasive devices … (and) in hospital mortality rate was significantly higher among [...]
The underlying data compared complications of the retropubic slings with transobturator slings and compared the Altis mini-sling to Bard’s mini-sling. We have been waiting for the underlying data from the New England Journal of Medicine, published on March 31, 2022. The underlying data compared complications of the retropubic slings with transobturator slings and compared [...]
In our study, patients with Medicare or Medicaid were significantly more likely to develop a pressure ulcer than patients with private insurance… In our study, patients with Medicare or Medicaid were significantly more likely to develop a pressure ulcer than patients with private insurance… Our results indicate that Black and Hispanic patients had significantly [...]
VRE bloodstream infections from infected central-line infections can cause long-term complications if not treated. Seven out of eleven CLA-BSIs (central-line associated bloodstream infections) in 2010 were caused by VRE (vancomycin resistant enterococcus) faecium” …Dr. Matthew Exline, MD, in Critical Care 2013, 17(R41). What else did Dr. Exline report in his article “Beyond the bundle-journey-journey [...]
Flaws in polyurethane catheters and the battle against central line infections We found no evidence of benefit or harm associated with miconazole and rifampin-impregnated PICCs compared with standard PICCs for newborn babies. Future research … should focus on other types of antimicrobial impregnation of PICCs and alternative approaches for preventing infection” … Professor Ruth Gilbert, MD, [...]