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Infectious Disease: Gastroenteritis

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How to find purpose in the age of burnout
A recent sports injury required me to have surgery. As a cardiothoracic surgeon, my experience as “the patient” reminded me of lessons-learned years ago on finding one’s purpose. You should never underestimate your capacity as a health care professional to dramatically impact the lives of your patients. As a pre-med in college, I interviewed at Johns Hopkins Medical School under an early decision program. I was beyond excited. After my interview, I returned to my small college in upstate New York and over the next few days became very ill with fever, chills, and the worst headache and neck pain of my life. I ...
Source: Kevin, M.D. - Medical Weblog - March 20, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/hassan-a-tetteh" rel="tag" > Hassan A. Tetteh, MD < /a > Tags: Physician Critical Care Hospital-Based Medicine Infectious Disease Source Type: blogs

Clinical spectrum of acute abdomen in children admitted to Pediatric Emergency department: A prospective study
ConclusionMore than 90% children presenting in pediatric ED with complaints of abdominal pain are non-surgical. Constipation was the most common diagnosis in these children, followed by acute gastroenteritis. Only in 8% children cause of pain is surgical and acute appendicitis is the most common surgical cause.
Source: Current Medicine Research and Practice - February 14, 2019 Category: General Medicine Source Type: research

Change in Antimicrobial Therapy Based on Bronchoalveolar Lavage Data Improves Outcomes in ICU Patients with Suspected Pneumonia
Conclusion. A change in antimicrobial therapy based on BAL data was associated with improved outcomes. The commonest bacterial isolate in the BAL fluid was Acinetobacter baumanii.PMID:37608868 | PMC:PMC10442184 | DOI:10.1155/2023/6928319
Source: Critical Care Research and Practice - August 23, 2023 Category: Intensive Care Authors: Bharti Chogtu Vrinda Mariya Elenjickal Dharma U Shetty Mahsheeba Asbin Vasudeva Guddattu Rahul Magazine Source Type: research

A Survey of Emergency Department Resources and Strategies Employed in the Treatment of Pediatric Gastroenteritis
ConclusionsClinical decision tools designed to improve pediatric gastroenteritis management are not commonly implemented. Such strategies are more common in high‐volume EDs and those staffed primarily by physicians with EM training. Resumen Encuesta acerca de los Recursos del Servicio de Urgencias y las Estrategias Empleadas en el Tratamiento de las Gastroenteritis PediátricasObjetivosAunque las principales organizaciones han desarrollado guías clínicas para el manejo de las gastroenteritis, se conoce poco sobre el uso de las herramientas clínicas para mejorar los resultados en el servicio de urgencias (SU). El obje...
Source: Academic Emergency Medicine - April 16, 2013 Category: Emergency Medicine Authors: Laura M. Kinlin, Allison Bahm, Astrid Guttmann, Stephen B. Freedman Tags: Original Research Contribution Source Type: research

New Report Asks Why Pediatric Hospital Readmission Rates Vary Widely
HOSPITAL READMISSION RATES have become important indicators of quality of care in adults, but little is known about pediatric readmissions. A new study published in the January issue of the Journal of the American Medical Association looks at readmission rates at dedicated pediatric hospitals and found great variability. To determine the prevalence and variation of readmissions within 30days, investigators analyzed 568,845 unplanned admissions at 72 children's hospitals (almost 15% of the pediatric discharges in the United States) between July 1, 2009 and June 30, 2010. They used data from the National Association of Child...
Source: Journal of Pediatric Nursing - March 18, 2013 Category: Nursing Authors: Deborah L. McBride Tags: Hot Topics Column Source Type: research

A critical review on properties and applications of microbial l-asparaginases.
Abstract l-Asparaginase is one of the main drugs used in the treatment of acute lymphoblastic leukemia (ALL), a commonly diagnosed pediatric cancer. Although several microorganisms are found to produce l-asparaginase, only the purified enzymes from E. coli and Erwinia chrysanthemi are employed in the clinical and therapeutic applications in humans. However, their therapeutic response seldom occurs without some evidence of hypersensitivity and other toxic side effects. l-Asparaginase is also of prospective use in food industry to reduce the formation of acrylamide in fried, roasted or baked food products. This revi...
Source: Critical Reviews in Microbiology - April 13, 2015 Category: Microbiology Authors: Krishnapura PR, Belur PD, Subramanya S Tags: Crit Rev Microbiol Source Type: research

Temporal Changes in Pediatric Gastroenteritis after Rotavirus Vaccination in Quebec
Conclusions: Norovirus infections were more prevalent than rotavirus infections among pediatric gastroenteritis cases hospitalized or seeking emergency care. Rotavirus cases were, on average, more clinically severe than norovirus cases among participants of the same age.
Source: The Pediatric Infectious Disease Journal - April 14, 2016 Category: Infectious Diseases Tags: Vaccine Reports Source Type: research

Patterns of microbial growth in urine cultures in a pediatric hematology/oncology unit over a one-year period: A single institution study
Conclusions Positive urine culture in children with cancer may not be associated with urinalysis abnormalities, particularly in patients with neutropenia. When selecting empiric treatment for cancer patients with UTIs, one should take into consideration the institutional patterns for resistance and use of prophylactic antibiotics.
Source: International Journal of Pediatrics and Adolescent Medicine - July 6, 2017 Category: Pediatrics Source Type: research

Impacts of Primary Care Physician System on Healthcare Utilization and Antibiotic Prescription: Difference-in-Differences and Causal Mediation Analyses
Conclusions: The health policy further increased antibiotic use. On April 2018, a new health policy of paying incentives for not prescribing antibiotics to children with respiratory infection or gastroenteritis was initiated. Further studies are needed whether this new health policy can mitigate the overutilization of healthcare and antibiotic use.
Source: The Pediatric Infectious Disease Journal - September 16, 2020 Category: Infectious Diseases Tags: Antimicrobial Reports Source Type: research

Uropathogenic < em > Escherichia coli < /em > virulence characteristics and antimicrobial resistance amongst pediatric urinary tract infections
J Med Life. 2022 May;15(5):650-654. doi: 10.25122/jml-2021-0148.ABSTRACTUropathogenic Escherichia coli (UPEC) harbors virulence factors responsible for bacterial adhesion and invasion. In addition, the bacterium is accountable for the occurrence of pediatric urinary tract infections globally and is becoming problematic due to the emergence of antimicrobial resistance. The current research investigated UPEC prevalence, virulence characteristics, and antimicrobial resistance in pediatric urinary tract infection (UTI). 200 urine specimens were taken from hospitalized pediatric patients who suffered from UTIs. E. coli was reco...
Source: Journal of Medicine and Life - July 11, 2022 Category: General Medicine Authors: Narjes Alfuraiji Amal Al-Hamami Maysaa Ibrahim Hassan Khuder Rajab Balsam Waleed Hussain Source Type: research