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Pediatric Emergency Research Canada: Origins and Evolution
Conclusions Moving forward, PERC will continue to focus on the creation of new knowledge, the mentorship of new investigators and fellows in developing research projects, and promoting a pediatric emergency medicine–focused research agenda guided by the pooling of expertise from individuals across the nation. Through collaborations with networks across the globe, PERC will continue to strive for the conduct of high-quality, impactful research that improves outcomes in children with acute illness and injury.
Source: Pediatric Emergency Care - February 1, 2018 Category: Emergency Medicine Tags: Review Article Source Type: research

Recognizing Differences in Hospital Quality Performance for Pediatric Inpatient Care
CONCLUSIONS: Most children are admitted to hospitals in which all-condition measures of quality have adequate power to show modest differences in performance from average, but most condition-specific measures do not. Policies regarding incentives for pediatric inpatient quality should take these findings into account.
Source: PEDIATRICS - July 31, 2015 Category: Pediatrics Authors: Berry, J. G., Zaslavsky, A. M., Toomey, S. L., Chien, A. T., Jang, J., Bryant, M. C., Klein, D. J., Kaplan, W. J., Schuster, M. A. Tags: Administration/Practice Management, Quality Improvement, Hospital Medicine Article Source Type: research

Carriage of multidrug-resistant bacteria among pediatric patients before and during their hospitalization in a tertiary pediatric unit in Tunisia.
Authors: Tfifha M, Ferjani A, Mallouli M, Mlika N, Abroug S, Boukadida J Abstract The pandemic spread of multidrug-resistant (MDR) bacteria (i.e., methicillin-resistant Staphylococcus aureus (MRSA), extended-spectrum b-lactamase-producing Enterobacteriaceae (ESBLPE), vancomycin-resistant enterococci, carbapenemase-producing Enterobacteriaceae (CPE), multiresistant Pseudomonas aeruginosa and multiresistant Acinetobacter baumannii) pose a threat to healthcare Worldwide. We found limited data of MDR bacteria in pediatric patients hospitalized in Tunisian tertiary healthcare.The aim of the study is to evaluate the acqu...
Source: Libyan Journal of Medicine - December 28, 2017 Category: General Medicine Tags: Libyan J Med Source Type: research

ED Clinical Care Pathway Sustains Improvement in Acute Gastroenteritis ED Clinical Care Pathway Sustains Improvement in Acute Gastroenteritis
A clinical care pathway implemented in the pediatric ED at Seattle Children ' s Hospital has produced sustained improvement in acute gastroenteritis (AGE) care, researchers report.Reuters Health Information
Source: Medscape Emergency Medicine Headlines - September 8, 2017 Category: Emergency Medicine Tags: Family Medicine/Primary Care News Source Type: news

Crystalloid fluid administration was associated with outcomes in pediatric patients with severe sepsis or septic shock
The objective of the present study was to determine if the administration of crystalloid fluids is associated with clinical outcome for patients with severe sepsis and septic shock. The medical records of 79 patients with severe sepsis or septic shock at an academic tertiary care hospital between 2011 and 2016 were reviewed retrospectively. The patients were dichotomized based on the median 3-day amount of corrected crystalloid fluids as low (193 mL/kg). The primary outcome measure was mortality. Secondary outcome measures included length of stay in the pediatric intensive care unit (PICU), usage of mechanical ventilati...
Source: Medicine - November 1, 2018 Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research

Corrigendum to “Carbapenem susceptibility among Escherichia coli, Klebsiella pneumoniae, and Enterobacter cloacae isolates obtained from patients in intensive care units in Taiwan in 2005, 2007, and 2009” Diagn Microbiol infect dis 2015;81(4):290–295
The article “Carbapenem susceptibility among Escherichia coli, Klebsiella pneumoniae, and Enterobacter cloacae isolates obtained from patients in intensive care units in Taiwan in 2005, 2007, and 2009” had a mistake in one of the author affiliations. The updated affiliation for Shio-Shin Jean should be corr ected to “Department of Emergency and Critical Care Medicine, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan; and Department of Emergency, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan,” as shown above.
Source: Diagnostic Microbiology and Infectious Disease - December 15, 2016 Category: Microbiology Authors: Shio-Shin Jean, Wen-Sen Lee, Kuan-Jen Bai, Kwok-Woon Yu, Chin-Wang Hsu, Chun-Hsing Liao, Feng-Yi Chang, Wen-Chien Ko, Jiunn-Jong Wu, Yen-Hsu Chen, Yao-Shen Chen, Jien-Wei Liu, Min-Chi Lu, Cheng-Yi Liu, Ray-Jade Chen, Po-Ren Hsueh Source Type: research

Pediatric ambulatory care sensitive conditions: Birth cohorts and the socio-economic gradient.
CONCLUSIONS: We found a socio-economic gradient in utilization for pediatric ambulatory care sensitive conditions, with higher rates of ambulatory visits and hospitalizations in the poorest neighbourhoods. Insurance coverage which varies between different segments of the population complicates matters. Providing funding for dental care for Manitobans on income assistance has not prevented physician visits or intensive treatment in high-cost facilities, specifically treatment under general anesthesia. When services from one type of provider (dentist) are not universally insured but those from another type (physician) are, u...
Source: Canadian Journal of Public Health - September 14, 2017 Category: International Medicine & Public Health Authors: Roos LL, Dragan R, Schroth RJ Tags: Can J Public Health Source Type: research

Variation in Pediatric Care Between Academic and Nonacademic US Emergency Departments, 1995–2010
Conclusion Among pediatric patients with croup, bronchiolitis, and febrile and afebrile seizure, higher resource utilization and admissions were observed in NA-EDs. These preliminary findings from a national survey require a more detailed investigation into the variation in care between A-ED and NA-ED settings.
Source: Pediatric Emergency Care - December 1, 2018 Category: Emergency Medicine Tags: Original Articles Source Type: research

Acute Terminal Ileitis in Children: A Retrospective Study in a Pediatric Emergency Department
Conclusions Acute ileitis is a rare and benign cause of abdominal pain in the pediatric emergency department. The main intervention on initial assessment is to rule out potentially severe causes of abdominal pain that could benefit of an emergency surgical procedure. In contrast with adults and adolescents, acute ileitis in children does not have a clear association with development of IBD.
Source: Pediatric Emergency Care - April 1, 2019 Category: Emergency Medicine Tags: Original Articles Source Type: research

Pediatric Referrals to an Emergency Department From Urgent Care Centers
Conclusions Many ED referrals directed from urgent care centers in our sample were considered essential, and few were considered serious. Urgent care centers should develop educational and preparedness strategies based on the epidemiology of emergencies that may occur.
Source: Pediatric Emergency Care - December 1, 2018 Category: Emergency Medicine Tags: Original Articles Source Type: research

Pediatric Medical Emergencies and Injury Prevention Practices in the Pediatric Emergency Unit of Kenyatta National Hospital, Nairobi, Kenya
Conclusions Chief complaints and diagnoses in the PEU population were congruent with communicable disease burdens seen globally. Measures for primary injury prevention were reported as rarely used in the sample studied. The epidemiology described by this study provides a framework for improving public health education and provider training in resource-limited settings.
Source: Pediatric Emergency Care - January 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research

Impact of Viral Seasonal Outbreaks on Crowding and Health Care Quality in Pediatric Emergency Departments
In conclusion, seasonal viral outbreaks have a strong impact on crowding and quality of care. The evolution of “patients left without being seen” between the first and fourth quartiles of DEL could be used as an indicator reflecting the capacity of adaptation of an emergency department to outbreaks.
Source: Pediatric Emergency Care - December 1, 2021 Category: Emergency Medicine Tags: Original Articles Source Type: research

Emergence of Extended-Spectrum β-Lactamase-Producing Pathogens in Community-Acquired Urinary Tract Infections Among Infants at a Pediatric Emergency Department
Conclusions Extended spectrum β-lactamase–producing organisms are an increasing cause of UTIs in infants presenting at a pediatric ED, and outpatient management may be reasonable for infants older than 2 months.
Source: Pediatric Emergency Care - March 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research

Risk Factors for Catheter-Associated Urinary Tract Infections (CAUTI) in the Pediatric Intensive Care Unit
CONCLUSION: CA-UTI is not an uncommon nosocomial infection in PICU. The risk increases with increasing duration of catheter drainage, and hospital or PICU stay.PMID:35751372
Source: Indian Pediatrics - June 25, 2022 Category: Pediatrics Authors: A V Lalitha Manisha Paul Savitha Nagraj Santu Ghosh Source Type: research