Ethanol LOCK & Immunoglobulin LOAD: Improving the Clinical Course of Tricho-hepato-enteric Syndrome
The patient is a 3 year old female with tricho-hepato-enteric syndrome (THE-S) admitted for an Escherichia-coli central line associated bloodstream infection. Medical history includes chronic diarrhea (baseline 4-5 loose stools per day) with total parenteral nutrition (TPN) via central line, failure to thrive (FTT), reno-vascular hypertension, iron deficiency anemia, liver impairment, multiple line infections, and pneumonia. She was born via cesarean section at 35 weeks estimated gestational age (EGA) due to intrauterine growth restriction (IUGR).
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Publication date: Available online 17 September 2019Source: American Journal of Infection ControlAuthor(s): Jyothi Manohar, Savannah Hatt, Brigette B. DeMarzo, Freida Blostein, Anna E.W. Cronenwett, Jianfeng Wu, Kyu Han Lee, Betsy FoxmanBackgroundUrinary catheterization, even of short duration, increases the risk of subsequent urinary tract infection (UTI). Whether the bacteria found on the surface of catheters placed for
No abstract available
CONCLUSIONS Current evidence suggests that arginine supplementation in conjunction with oral nutrition supplementation may promote wound healing in older adult patients in acute care and LTC settings as evidenced by significant reductions in wound size and improvements in wound healing when compared with oral nutrition supplementation alone. A definitive conclusion about the use of arginine supplementation alone to promote wound healing cannot be drawn because of limitations in the available literature. Additional high-quality studies are needed to examine arginine supplementation alone as a potential therapy for PI.
CONCLUSIONS Findings are consistent with earlier research suggesting that nutrition consumption and care patterns may predispose Asian NH residents to develop more PIs than their non-Asian counterparts. Future research should focus on the threshold for and types of nutrition support sufficient to improve nutrition status and reduce PI risk.
Publication date: Available online 17 September 2019Source: Journal of Cardiology CasesAuthor(s): Roberto Mijangos-Vázquez, Rogelio Hernández-Reyes, José R. López-JiménezAbstractGerbode defect is defined as an abnormal left ventricle–right atrium shunting which may have congenital or acquired origin, first described by Thurman in 1838, representing 0.08% of intracardiac shunts and
Publication date: Available online 18 September 2019Source: The Journal of Allergy and Clinical Immunology: In PracticeAuthor(s): Daniel J. Jackson, Scott H. Sicherer
Publication date: Available online 18 September 2019Source: The Journal of Allergy and Clinical Immunology: In PracticeAuthor(s): Aikaterini Anagnostou, Jonathan O’B Hourihane, Matthew GreenhawtAbstractShared decision-making was first highlighted in a report by the Institute of Medicine in 2001. The primary aim of this initiative was to improve the quality of care provided to patients in the United States by creating a health care system that is safe, effective, efficient and equitable. Currently, medical decision making is based on a patient-centered approach with the individuals’ preferences, needs and values...
A 3-year-old girl with trichohepatoenteric syndrome (THE-S) was admitted for an Escherichia coli central catheter –associated bloodstream infection. Her medical history includes chronic diarrhea (baseline of 4-5 loose stools per day) with total parenteral nutrition (TPN) via central catheter, failure to thrive (FTT), renovascular hypertension, iron deficiency anemia, liver impairment, multiple catheter infect ions, and pneumonia. She was born via cesarean section at an estimated gestational age of 35 weeks because of intrauterine growth restriction.