The Respiratory Infections Team a novel paradigm in the management of community-acquired pneumonia

This shared learning outlines how a Respiratory Infections Team was developed at Royal Derby Hospital, comprising 3 specialist nurses supported by a respiratory consultant and antimicrobial pharmacist. Its aims were to review patients admitted to hospital and to improve concordance with NICE pneumonia guidelines.
Source: Current Awareness Service for Health (CASH) - Category: Consumer Health News Source Type: news

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I was called to your room in the middle of an overnight shift. There you were, breathing quickly, neck veins bulging and oxygen levels hovering despite the mask on your face. I placed my stethoscope on your back and listened to the cacophony of air struggling to make its way through your worsening pneumonia. “We’re going to place a tube down your throat to help you breathe,” I told you. Your eyes were pleading, scared. “We’ll put you to sleep. It’ll help you breathe more comfortably. Okay?” You nodded. You had already told the doctors who cared for you during the day that if your b...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Caregiving End of life Health Tests and procedures Source Type: blogs
We report a case of pulmonary infection by B. capitatus in a patient with untreated chronic lymphocytic leukemia. Although the patient had a complete recovery, we believe that this report will alert clinicians to consider B. capitatus as possible cause of severe pneumonia in untreated CLL.
Source: Medical Mycology Case Reports - Category: Biology Source Type: research
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Source: Infectious Diseases - Category: Infectious Diseases Authors: Source Type: research
INTRODUCTION: Aeromonas pneumonia associated with near-drowning, though uncommon, is serious and a major morbidity factor for patients. CLINICAL CASE: A healthy 30-year-old man nearly drowned in a pound. He was admitted to the medical intensive care unit a...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Drowning, Suffocation Source Type: news
Authors: Zhou X, Chen Y, Zhao L PMID: 30233901 [PubMed]
Source: Journal of Thoracic Disease - Category: Respiratory Medicine Tags: J Thorac Dis Source Type: research
Authors: Kang ES, Kang H, Min J, An JY, Choe KH, Man Lee K, Shin YM PMID: 30233898 [PubMed]
Source: Journal of Thoracic Disease - Category: Respiratory Medicine Tags: J Thorac Dis Source Type: research
Conclusions: PRCA associated with thymoma was diagnosed postoperatively in three-quarter of patients. We should be alert for the occurrence of PRCA even after resection of thymoma, especially in patients with incomplete resection or advanced disease. Cyclosporine was effective for PRCA, but treatment-related complications occurred, particularly pneumonia. As treatment for PRCA associated with thymoma and its complications were combined in a complex manner, treating PRCA associated with thymoma can be quite difficult. PMID: 30233881 [PubMed]
Source: Journal of Thoracic Disease - Category: Respiratory Medicine Tags: J Thorac Dis Source Type: research
Conclusions: Within a diverse cohort having less common presentations of ARDS, there was apparent variability in the distribution of CRS, VD/VT compared to differences oxygenation dysfunction. Elevated pulmonary dead space still identified patients with higher mortality, as is the case with more common causes of ARDS. PMID: 30233877 [PubMed]
Source: Journal of Thoracic Disease - Category: Respiratory Medicine Tags: J Thorac Dis Source Type: research
This study investigated the diagnostic and prognostic value of serum KL-6 levels for IIP. Methods: One hundred five patients with lung disease were divided into IIP (n=75) and non-IIP groups (n=30) according to pathological and computed tomography findings. Serum KL-6 levels were evaluated in blood samples from all subjects. Nineteen IIP group patients were also subjected to a longitudinal study of disease progression and serum KL-6 levels over time. Results: Serum KL-6 levels were significantly higher in the IIP group vs. the non-IIP group [1,096.0 (565.0-1,544.0) vs. 226.0 (173.5-346.5) U/mL; P
Source: Journal of Thoracic Disease - Category: Respiratory Medicine Tags: J Thorac Dis Source Type: research
Authors: Boyles TH, Brink A, Calligaro GL, Cohen C, Dheda K, Maartens G, Richards GA, van Zyl Smit R, Smith C, Wasserman S, Whitelaw AC, Feldman C, South African Thoracic Society, Federation of Infectious Diseases Societies of Southern Africa Abstract [This corrects the article DOI: 10.21037/jtd.2017.05.31.]. PMID: 30233915 [PubMed - in process]
Source: Journal of Thoracic Disease - Category: Respiratory Medicine Tags: J Thorac Dis Source Type: research
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