What Infectious Diseases are Important to Consider in Transplantation Patients?
Discussion Transplantation is not a common problem for primary care physicians but when a child’s disease has progressed to end-stage organ failure, transplantation can be the only treatment available. While the primary care provider usually is not involved in the daily management of patients before, during and after transplantation, they can be involved in many areas. These can include providing appropriate primary and acute care, ordering and obtaining necessary medical tests, medications and equipment, assisting with medical insurance, providing medical history and records to consultants, translating medical information for the family, general patient and family support, and encouraging and facilitating medical adherence. Pediatricians may have many questions regarding the primary care of a child with a transplant including: What affects the child’s growth?, How efficacious are vaccines after transplant?, What are the outcomes for children with additional problems such as intellectual disability?, and What are the rates of adherence to medical treatment? There are multiple factors that affect a child’s growth after transplantation including: Type of organ transplanted Patient age at transplant Transplant function Height/weight status pre-transplantation Pubertal stage Medications – particularly corticosteroids A 2017 systemic analysis of use of corticosteroids, found early withdrawal or avoidance protocols significantly improve final adult heigh...
Publication date: Available online 10 July 2020Source: American Journal of Kidney DiseasesAuthor(s): Lara Meyer, Marc Ulrich, Didier Ducloux, Valérie Garrigue, Cécile Vigneau, Dominique Nochy, Guillaume Bobrie, Sophie Ferlicot, Magalie Colombat, Jean-Jacques Boffa, Karine Clabault, Jeannette Mansour, Christiane Mousson, Raymond Azar, Jean-Louis Bacri, Antoine Dürrbach, Christian Duvic, Khalil El Karoui, Maxime Hoffmann, Arnaud Lionet
Do not Rx oral steroids for back pain.
Conclusions: Negative ICS beliefs are associated with higher number of oral steroid courses. The association between CAM endorsement and asthma control is varied, but mostly in favor of improved control. Financial difficulties may make CAM use more likely. PMID: 32646322 [PubMed - as supplied by publisher]
Publication date: Available online 10 July 2020Source: Respiratory Physiology &NeurobiologyAuthor(s): Paula Mattos-Silva, Nathane Santanna Felix, Pedro Leme Silva, Chiara Robba, Denise Battaglini, Paolo Pelosi, Patricia Rieken Macedo Rocco, Fernanda Ferreira Cruz
Publication date: Available online 11 July 2020Source: European Review of Applied PsychologyAuthor(s): O. Bopota, A. Loukovitis, V. Barkoukis, H. Tsorbatzoudis
CONCLUSIONS: HFNO provides a hands-free induction of general anaesthesia and yields adequate preoxygenation and peroxygenation, with a significant improvement in the quality of care. PMID: 32643359 [PubMed - as supplied by publisher]
CONCLUSIONS: Interfascial dexmedetomidine adjuvant to QLB provided better postoperative analgesia in terms of less morphine consumption, better pain scores and longer time to first analgesic request when compared with the IV dexmedetomidine. PMID: 32643358 [PubMed - as supplied by publisher]
Conclusions: HRU and costs from HCT to PTLD were high and more than doubled within 1-year post-PTLD. PTLD patients who died had ∼7 times higher costs than those who lived, driven by hospitalizations. Effective treatments are needed to reduce the burden of PTLD. PMID: 32643493 [PubMed - as supplied by publisher]
Publication date: Available online 11 July 2020Source: Medical Journal Armed Forces IndiaAuthor(s): Nikita Naredi, Pankaj Talwar, Sandeep Karunakaran
Publication date: Available online 11 July 2020Source: Microbial PathogenesisAuthor(s): Hamidreza Majidiani, Abdolhossein Dalimi, Fatemeh Ghaffarifar, Majid Pirestani, Ali Dalir Ghaffari
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