Applicability of Winthrop Score for the Diagnosis of Influenza A in the Emergency Department of Hospital Pablo Arturo Su árez, January to March of 2018

In this study, we applied the score to patients with acute respiratory symptoms suspected of having type A influenza. The identification of patients at medium to high risk of Influenza A allows for early initiation of treatment.Objective: To study the applicability of the Winthrop score for the diagnosis of Influenza A.Methodology: A prospective cohort study was performed in 2018 at Hospital Pablo Arturo Su árez, in Quito, Ecuador. Patients 0 to 100 years old presenting to the emergency department with influenza-like illness in January-March of 2018 were included in the study. Winthrop score results were then compared with the result of the reverse transcription polymerase chain reaction (RT-PCR) for influenza A, the gold standard for diagnosis. Sensitivity,...
Source: Western Journal of Emergency Medicine - Category: Emergency Medicine Source Type: research

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Vidur Mahajan Vasanth Venugopal By VASANTH VENUGOPAL MD and VIDUR MAHAJAN MBBS, MBA What can Artificial Intelligence (AI) do? AI can, simply put, do two things – one, it can do what humans can do. These are tasks like looking at CCTV cameras, detecting faces of people, or in this case, read CT scans and identify ‘findings’ of pneumonia that radiologists can otherwise also find – just that this happens automatically and fast. Two, AI can do things that humans can’t do – like telling you the exact time it would take you to go from point A to point B (i.e. Google maps), or like ...
Source: The Health Care Blog - Category: Consumer Health News Authors: Tags: Artificial Intelligence COVID-19 Health Tech AI coronavirus CT scans Pandemic Radiology Vasanth Venugopal Vidur Mahajan Source Type: blogs
Authors: Ishiguro T, Hirota S, Kobayashi Y, Takano K, Kobayashi Y, Shimizu Y, Takayanagi N Abstract A 70-year-old woman was admitted to our hospital for dyspnea and a fever of 2 weeks duration. Chest imaging showed bilateral infiltration, and a rapid diagnostic test for influenza virus, Mycoplasma pneumoniae, Streptococcus pneumoniae, and Legionella spp. was negative. She was intubated and mechanically ventilated and underwent bronchoalveolar lavage. Bronchoalveolar lavage fluid yielded no significant pathogens, and the multiplex polymerase chain reaction test was positive only for human bocavirus. Specific antibod...
Source: Internal Medicine - Category: Internal Medicine Tags: Intern Med Source Type: research
Abstract Over the past decade, the reported incidence of Legionnaires' disease (LD) in the Northeastern US has increased, reaching 1-3 cases per 100,000. There is reason to suspect this is an underestimate of the true burden as cases may be underdiagnosed. In this analysis of pneumonia and influenza hospitalizations (P&I), we estimate the percentage of cases due to Legionella, influenza and RSV by age group. We fit mixed effects models to estimate attributable percentage using weekly time series data of P&I hospitalizations in Connecticut from 2000 to 2014. Model-fitted values were used to calculate estimates of P...
Source: Am J Epidemiol - Category: Epidemiology Authors: Tags: Am J Epidemiol Source Type: research
In conclusion, we demonstrated that the selective boosting of lung innate immunity is a conceptually advantageous approach for improving the effectiveness of antibiotic treatment and fighting antibiotic-resistant bacteria. Introduction Pneumonia constitutes a major cause of death, morbidity and health resource use worldwide. The main causative agents identified in adult patients hospitalized for community-acquired pneumonia (CAP) are viruses (in 27–30% of cases, the most common being rhinovirus, influenza and coronavirus) and bacteria (14–23% of cases, with a marked predominance of Streptococcus pneumonia...
Source: Frontiers in Immunology - Category: Allergy & Immunology Source Type: research
This study aimed to determine which characteristics are associated with certain etiological agents.Methods: Retrospective analysis of community-acquired pneumonia (CAP) cases in adults hospitalized at an University Hospital from January 2013 to December 2015. Patients were stratified according to etiological agent, monthly incidence, demographic characteristics, life styles and comorbidities.Results: Etiological diagnosis was obtained in 22% of 1901 cases. The most common agent was pneumococcus, followed by H. influenza, gram-negative bacilli (GNB), Influenza virus, Legionella, MSSA and MRSA, Moraxella, other bacteria and ...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Respiratory infections Source Type: research
Conclusions This investigation into a probable outbreak provides evidence of transmission of psittacosis in one or more office workers with no direct bird contact. In light of this clinicians and public health professionals should be aware of the possibility of psittacosis in cases of severe respiratory illness reporting no overt bird contact and consider it on their list of differential diagnoses in situations where indirect exposure to birds is possible, but not necessarily obvious. Competing Interests The authors have declared that no competing interests exist. Corresponding Author John Mair-Jenkins: john.mairjenkins...
Source: PLOS Currents Outbreaks - Category: Epidemiology Authors: Source Type: research
Conclusion: Streptococcus pneumoniae, Legionella, and influenza constitute the most common etiological agents for north Indian adults with CAP requiring hospitalization. Appropriate antibiotic therapy and preventive strategies such as influenza and pneumococcal vaccination need to be considered in appropriate groups.
Source: Lung India - Category: Respiratory Medicine Authors: Source Type: research
Legionella pneumophila and influenza types A and B viruses can cause either community-acquired pneumonia with respiratory failure, or Legionella infection could attribute to influenza infection with potentially fatal prognosis. Copathogenesis between pandemic influenza and bacteria is characterized by complex interactions between coinfecting pathogens and the host. Understanding the underlying reason of the emersion of the secondary bacterial infection during an influenza infection is challenging. The dual infection has an impact on viral control and may delay viral clearance. Effective vaccines and antiviral therapy are c...
Source: Infectious Diseases Clinics of North America - Category: Infectious Diseases Authors: Source Type: research
ABSTRACT Background and objectiveSeasonal distribution of microbial aetiology in patients with community‐acquired pneumonia (CAP) may add important information both for epidemiologists and clinicians. We investigate the seasonal distribution of microbial aetiology in CAP. MethodsThis prospective observational study was carried out in the Hospital Clinic of Barcelona, Spain (January 2003–December 2014). ResultsWe studied 4431 patients with CAP, of whom 2689 (61%) were males. Microbial aetiology was identified in 1756 patients (40%). CAP was most frequent in winter (34%) but two‐third of patients with CAP presente...
Source: Respirology - Category: Respiratory Medicine Authors: Tags: Original Article Source Type: research
disease is caused by exposure to a bacterium that is found in water and soil. It ranges in severity from a mild influenza-like illness to a serious and sometimes fatal form of pneumonia. Symptoms include fever, headache, lethargy, muscle pain, diarrhoea and sometimes coughing up blood.
Source: WHO Feature Stories - Category: Global & Universal Tags: water [subject], safe water, wastewater, greywater, clean water, Q & A [doctype] Source Type: news
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