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Infectious Disease: Influenza

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Total 27336 results found since Jan 2013.

Outcome of Encephalitis in Pediatric Intensive Care Unit
Conclusions Encephalitis is associated with significant mortality despite intensive care. Over 25 % case died and 55 % of survivors had moderate-to-severe neurodevelopmental impairments. There appeared to be no emerging outbreaks of encephalitis during the 15-y study period.
Source: Indian Journal of Pediatrics - April 6, 2016 Category: Pediatrics Source Type: research

Infection in the Critically Ill Older Adult
Many challenges exist in caring for older adults with infection in critical care environments. Older adults are at high risk due to diminished reserve, age-related changes, comorbidities, subtle clinical presentations, and institutionalization. Additional risks include infections, such as pneumonia, influenza, and nosocomial infections. Age-related changes contribute to the increased risk of infection in older adults. Nursing assessments should be tailored to the needs of the older patient. To improve health care outcomes in this population, nursing care of the critically ill older adult with infection should include compr...
Source: Critical Care Nursing Clinics of North America - November 13, 2016 Category: Nursing Authors: Jennifer Manning, Jean Cefalu Source Type: research

Acute Liver Failure: Outcome and Value of Pediatric End-Stage Liver Disease Score in Pediatric Cases
Conclusions High PELD scores at diagnosis were accurate predictors of a poor prognosis in our patients with ALF. This model may help in the clinical management of this entity, although prospective validation is needed.
Source: Pediatric Emergency Care - June 1, 2018 Category: Emergency Medicine Tags: Original Articles Source Type: research

Contemporary management of severe influenza disease in the intensive care unit
In this report, we review the contemporary ICU care of the severe influenza patient.
Source: Journal of Critical Care - August 21, 2018 Category: Gastroenterology Source Type: research

Parent Intent and Willingness to Immunize Children Against Influenza in the Pediatric Emergency Department
Conclusions Our data support an IV program in the pediatric ED as a means of increasing vaccination rates, particularly among high-risk patients. Parents are often concerned about adverse effects of IV, and providers should target education in this area.
Source: Pediatric Emergency Care - July 1, 2019 Category: Emergency Medicine Tags: Original Articles Source Type: research

Point-of-Care Influenza Testing in the Pediatric Emergency Department
Objectives To see what the impact of introducing a rapid polymerase chain reaction–based influenza test has on length of stay (LOS) in emergency department, use of imaging, serum or urine testing, antibiotic use, and antiviral use. Methods Audit of electronic medical health records was performed for all emergency department visits from 2014 to 2018 between November and March, which was defined as peak flu season. Patients were included if they were between 3 months and 18 years of age, presented during peak flu season, and were tested for influenza. The pre–point of care (POC) period was defined as November ...
Source: Pediatric Emergency Care - October 31, 2020 Category: Emergency Medicine Tags: Original Articles Source Type: research

Factors Associated With Missed Opportunities for Influenza Vaccination: Review of Medical Records in a Diverse Sample of Primary Care Clinics, San Diego County, 2010-2011.
CONCLUSIONS: Missed opportunities abound, especially after December. Strategies targeting patients most likely to have MOs and encouraging the use standing orders, reminders, and monitoring in order to reduce them need to be sustained. PMID: 25432588 [PubMed - as supplied by publisher]
Source: Primary Care - November 27, 2014 Category: Primary Care Authors: Djibo DA, Peddecord KM, Wang W, Ralston K, Sawyer MH Tags: J Prim Care Community Health Source Type: research

Clinical characteristics of critically ill patients with suspected influenza during the 2009-10 and 2013-14 outbreaks
Conclusions Use of adjunct oxygenation therapies and nontraditional antiviral dosing has changed significantly since the 2009 pandemic, although this has not resulted in a measurable impact on clinical outcomes.
Source: Journal of Critical Care - November 17, 2016 Category: Gastroenterology Source Type: research

Through the Revolving Door, with a Few Stumbles - Health Care Corporate Executives and Consultants Continue to Become Leaders of Trump ' s Department of Health and Human Services
We continue to see a remarkable stream of people transiting therevolving door from high-level positions in health care corporations to high-level positions in health care policy or regulation for the Trump administration.  Lately, though, these transitions have not been without missteps. The most recent cases we have found, in the order of their public appearance, appear below.John Bardis, Who Went from MedAssets to Assistant Secretary of Health and Human Services for Administration, Resigned Under FireWe first discussed the appointment of Mr Bardis in May, 2017,here.  We noted then that most recently Mr Bar...
Source: Health Care Renewal - April 18, 2018 Category: Health Management Tags: conflicts of interest CVS Donald Trump finance health care corruption Pfizer revolving doors Source Type: blogs

Suspected Pediatric Influenza Risk-Stratification Algorithm: A Clinical Decision Tool
Conclusions These risk-stratification analyses were summarized into Suspected Pediatric Influenza Risk-Stratification Algorithm (SPIRA). For those in whom influenza infection is likely, clinicians may consider empiric treatment. Conversely, patients whom SPIRA identifies as unlikely to be infected with influenza are candidates for viral testing and targeted treatment. In assessing children with ILI, SPIRA aids clinicians in determining who to test versus treat empirically, saving children from costly viral testing or unnecessary antiviral exposure.
Source: Pediatric Emergency Care - January 1, 2020 Category: Emergency Medicine Tags: Original Articles Source Type: research

Hospital Admissions from the Emergency Department and Subsequent Critical Care Interventions for Influenza during Pregnancy
Conclusion Pregnancy confers three times the risk of admission from the ED for influenza and pregnant women are significantly more likely to require ICU-level medical interventions compared with women of similar age. These findings confirm the significant disease burden from influenza in the obstetric population and the public health importance of reducing infection risk. Key Points [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text
Source: American Journal of Perinatology - May 3, 2021 Category: Perinatology & Neonatology Authors: Krenitsky, Nicole Wen, Timothy Cham, Stephanie Venkatesh, Kartik K. Attenello, Frank Mack, William J. D'Alton, Mary Friedman, Alexander M. Tags: Original Article Source Type: research

Early-Onset Ventilator-Associated Pneumonia in Pediatric Severe Traumatic Brain Injury
ConclusionsVentilator-associated pneumonia occurs commonly in children with severe TBI, with rates of 27 –41%, depending on CDC-defined VAP or clinical VAP. The discrepancy between clinical VAP and CDC-defined VAP further illustrates the need for a standardized definition for VAP. Although most interventions were not associated with VAP, nebulized 3% saline and albuterol were associated with reduced incidence of VAP; future investigation is needed to determine whether mucolytic agents can decrease the rate of VAP in children with severe TBI.
Source: Neurocritical Care - January 12, 2023 Category: Neurology Source Type: research

Measuring and assessing preventive medicine services in a student-run free clinic.
Abstract Abstract:We conducted a chart review of 119 patients between June 2008 and June 2009, in order to determine the rates of seven preventive medicine services in our student-run free clinic. We compared our results with national goals as well as with the national adherence rates and the adherence rates of other community clinics. We found that our clinic met or exceeded the standard set by these clinics with respect to smoking cessation, alcohol abuse screening, and mammography; however, it did not meet this standard with respect to colonoscopy, Pap smear, influenza vaccination, or pneumococc...
Source: Journal of Health Care for the Poor and Underserved - February 13, 2013 Category: Global & Universal Authors: Zucker J, Lee J, Khokhar M, Schroeder R, Keller S Tags: J Health Care Poor Underserved Source Type: research

Critical care surveillance: insights into the impact of the 2010/11 influenza season relative to the 2009/10 pandemic season in England.
PMID: 23787130 [PubMed - in process]
Source: Euro Surveill - June 26, 2013 Category: Infectious Diseases Authors: Green H, Ellis J, Galiano M, Watson J, Pebody R Tags: Euro Surveill Source Type: research

Avian influenza A (H7N9) infections: Intensivists as virus hunters in the new century
Nature never forgets to remind us about its power. While some of us were still chuckling to ourselves over the fact that 2009 influenza A (H1N1) had not resulted in a global disaster similar to the 1918 Spanish flu pandemic, a novel avian influenza A (H7N9) virus infection was recently reported in China in early April .
Source: Journal of Critical Care - May 23, 2013 Category: Intensive Care Authors: Xiuming Xi, Qiang Fang, Qin Gu, Bin Du, for the China Critical Care Clinical Trial Group (CCCCTG) Tags: Letters/Editorials Source Type: research