Mom: 10-year-old lung transplant recipient has aspiration pneumonia

Girl has sucked up fluid from stomach into right lung, causing acid burn; Another setback for girl who has had two lung transplants
Source: Health News: - Category: Consumer Health News Source Type: news

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Publication date: Available online 9 January 2019Source: BurnsAuthor(s): C. Brink, Q. Isaacs, M.F. Scriba, M.E.H. Nathire, H. Rode, R. MartinezAbstractThermal injuries amongst infants are common and a cause of significant mortality and morbidity in South Africa. This has been attributed to the lack of an enabling environment (poverty-related lack of safe living conditions) and the cognitive and physical developmental immaturity of infants, who depend on their surroundings and adults to keep them safe. This is a retrospective observational study of 548 infant admissions over 48 months. Infant was defined as children below 1...
Source: Burns - Category: Dermatology Source Type: research
By ANISH KOKA MD  The message comes in over the office slack line at 1:05 pm. There are four patients in rooms, one new, 3 patients in the waiting room. Really, not an ideal time to deal with this particular message. “Kathy the home care nurse for Mrs. C called and said her weight yesterday was 185, today it is 194, she has +4 pitting edema, heart rate 120, BP 140/70 standing, 120/64 sitting” I know Mrs. C well. She has severe COPD from smoking for 45 of the last 55 years. Every breath looks like an effort because it is. The worst part of it all is that Mrs. C just returned home from the hospital just days...
Source: The Health Care Blog - Category: Consumer Health News Authors: Tags: Health Policy Hospitals Medicare Anish Koka hospital readmissions HRRP MedPAC Source Type: blogs
ConclusionsBasic environmental and behavioral interventions fell short of controlling a low-count, sporadic, and multiclonal MRSA outbreak in the burn intensive care unit of a tertiary medical center. However, the added implementation of universal decolonization with intranasal mupirocin was effective. Burn victims with greater disease severity were at higher risk for MRSA HAIs.
Source: American Journal of Infection Control - Category: Infectious Diseases Source Type: research
Conclusion: As far as we know, our patient is the first case of AEP induced by HNBC use successfully treated with ECMO. Emergency physicians must be aware that HNBCs can induce fatal AEP. PMID: 30560050 [PubMed]
Source: Respiratory Care - Category: Respiratory Medicine Authors: Tags: Respir Med Case Rep Source Type: research
Authors: Duek OS, Ben Naftali Y, Bar-Lavie Y, Bahouth H, Ullmann Y Abstract BACKGROUND: Pneumonia is a major cause of morbidity and mortality in burn patients with inhalation injuries. An increased risk of pneumonia has been demonstrated in trauma and burn patients urgently intubated in the field vs. emergency departments (EDs). OBJECTIVES: To compare intubation setting (field vs. ED) and subsequent development of pneumonia in burn patients and to evaluate the indication for urgent intubation outside the hospital setting. METHODS: A retrospective medical records review was conducted on all intubated patient...
Source: The Israel Medical Association Journal - Category: General Medicine Tags: Isr Med Assoc J Source Type: research
Abstract Influenza activity in the United States was low during October 2018, and, although it increased slowly during November, activity remains low across most of the country.* During the week ending December 1, 2018, the percentage of outpatient visits for influenza-like illness† (ILI) was equal to the national baseline§ (Figure) and was at or slightly above the region-specific baseline in four of the 10 U.S. Department of Health and Human Services regions¶ (Regions 4 and 7-9). The majority of jurisdictions experienced minimal or low ILI activity since September 30; however, two experienced mod...
Source: MMWR Morb Mortal Wkl... - Category: Epidemiology Authors: Tags: MMWR Morb Mortal Wkly Rep Source Type: research
Acinetobacter baumannii is a Gram-negative and opportunistic pathogen responsible for nosocomial infections including pneumonia, urinary tract infections, burn infections, secondary meningitis and systemic infections [1]. Ever increasing rates of resistance to antibiotics [2 –5] make A. baumannii a significant human pathogen with critical needs for new antibiotic development [6]. Its ability to tolerate desiccation and disinfection [7] and to form biofilms [8] contribute to morbidity and mortality [3].
Source: International Journal of Antimicrobial Agents - Category: Drugs & Pharmacology Authors: Source Type: research
ConclusionsBurn size and ITBVI are the independent risk factors for EVLWI abnormality during the fluid reabsorption stage in severely burned adults. The limit values for predicting a supranormal EVLWI in those patients are 65.5% TBSA for burn size and 845 ml/m2 for ITBVI.
Source: Burns - Category: Dermatology Source Type: research
ConclusionAs far as we know, our patient is the first case of AEP induced by HNBC use successfully treated with ECMO. Emergency physicians must be aware that HNBCs can induce fatal AEP.
Source: Respiratory Medicine Case Reports - Category: Respiratory Medicine Source Type: research
Smoke inhalation injury (SII) is diagnosed in 10 –35% of patients admitted into burn units. Of the patients with SII, almost 40% subsequently develop pneumonia [1,2]. Presence of SII increases mortality by 20% over that predicted by age and burn size alone, and by up to 60% when pneumonia is also present [1]. The prevalence of ARDS in mechanical ly ventilated burn patients is about 33%, with mortality varying from 11–46% depending on ARDS severity [3,4]. Despite the new Berlin definition for ARDS, which enables earlier diagnosis and interventions in ARDS [5], prompt bedside identification of SII patients at ris...
Source: Burns : Journal of the International Society for Burn Injuries - Category: Cosmetic Surgery Authors: Source Type: research
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