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Infectious Disease: Influenza

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Total 27336 results found since Jan 2013.

ARDS in Pregnancy
Acute respiratory distress syndrome (ARDS) is an uncommon condition in pregnant patients. The causes of ARDS are associated with obstetric causes such as amniotic fluid embolism, preeclampsia, septic abortion, and retained products of conception or nonobstetric causes that include sepsis, aspiration pneumonitis, influenza pneumonia, blood transfusions, and trauma. An essential component in management of ARDS involves good communication between the obstetrics team and critical care specialist and a fundamental understanding of mechanical ventilatory support. Medical therapies such as nitric oxide and corticosteroids play a ...
Source: Clinical Obstetrics and Gynecology - October 31, 2014 Category: OBGYN Tags: Critical Care Obstetrics Source Type: research

Annals of Emergency Medicine (January 2010 Summary)
Summary of January 2010 issue of Annals of Emergency Medicine. Highlights include: * How accurate is noncontrast CT for the diagnosis of appendicitis? A meta-analysis * International experiences - the ethical challenge of short-term medical excursions * Impact of a mobile pediatric emergency response team for an influenza epidemic * How often are emergency physicians testing and treating for influenza? * Informed consent - are media messages accurate for "community consent" in high risk trials? And in low risk, observational studies how often do subjects read the consent document? And from the EBM section... * How ac...
Source: Annals of Emergency Medicine (Summary - Audio) - January 26, 2010 Category: Emergency Medicine Authors: Annals of Emergency Medicine Source Type: podcasts

Adult human metapneumonovirus (hMPV) pneumonia mimicking Legionnaire's disease
We present a most unusual case of human metapneumonovirus pneumonia (hMPV) with some characteristic extrapulmonary findings characteristic of LD, e.g., relative bradycardia, as well as mildly elevated serum transaminases and hyphosphatemia. We believe this is the first reported case of hMPV pneumonia in a hospitalized adult that had some features of LD.
Source: Heart and Lung: The Journal of Acute and Critical Care - March 15, 2016 Category: Respiratory Medicine Source Type: research

The influence of corticosteroid treatment on the outcome of influenza A(H1N1pdm09)-related critical illness
Patients with 2009 pandemic influenza A(H1N1pdm09)-related critical illness were frequently treated with systemic corticosteroids. While observational studies have reported significant corticosteroid-associate...
Source: Critical Care - March 30, 2016 Category: Intensive Care Authors: Jesse W. Delaney, Ruxandra Pinto, Jennifer Long, François Lamontagne, Neill K. Adhikari, Anand Kumar, John C. Marshall, Deborah J. Cook, Philippe Jouvet, Niall D. Ferguson, Donald Griesdale, Lisa D. Burry, Karen E. A. Burns, Jamie Hutchison, Sangeeta Meh Source Type: research

Resurgence of Vaccine-Preventable Diseases in the United States: Anesthetic and Critical Care Implications.
Abstract Vaccine-preventable diseases (VPDs) such as measles and pertussis are becoming more common in the United States. This disturbing trend is driven by several factors, including the antivaccination movement, waning efficacy of certain vaccines, pathogen adaptation, and travel of individuals to and from areas where disease is endemic. The anesthesia-related manifestations of many VPDs involve airway complications, cardiovascular and respiratory compromise, and unusual neurologic and neuromuscular symptoms. In this article, we will review the presentation and management of 9 VPDs most relevant to anesthesiolog...
Source: Anesthesia and Analgesia - April 14, 2016 Category: Anesthesiology Authors: Porteous GH, Hanson NA, Sueda LA, Hoaglan CD, Dahl AB, Ohlson BB, Schmidt BE, Wang CC, Fagley RE Tags: Anesth Analg Source Type: research

Immortal time bias in observational studies of time-to-event outcomes
Conclusions To minimize the risk of immortal time bias in observational studies of survival outcomes, we strongly suggest time-dependent exposures be included as time-dependent variables in hazard-based analyses.
Source: Journal of Critical Care - August 9, 2016 Category: Gastroenterology Source Type: research

Infectious Diseases: Critical Developments and Global Forecast
New York University, International Center for Enterprise Preparedness. 04/18/2017 This six-page document is the summary of a discussion on infectious diseases, including recent developments and the global forecast for 2017. It details how understanding emerging and re-emerging infectious diseases is critical given their potential role as global disruptors of business. It discusses the Zika virus, chikungunya, influenza, Ebola, Middle East respiratory syndrome (MERS), and severe acute respiratory syndrome (SARS). It also illustrates the Disruptor Outbreak Dashboard, which summarizes and color-codes information about health ...
Source: Disaster Lit: Resource Guide for Disaster Medicine and Public Health - May 5, 2017 Category: Global & Universal Authors: The U.S. National Library of Medicine Source Type: news

The association between red cell distribution width and poor outcomes in hospitalized patients with influenza: Methodological issues
We were interested to read the article authored by Topaz et al. that was published in the Journal of Critical Care in 2017 [1]. The authors purposed to assess the association between red blood cell distribution width (RDW) and the prognosis of influenza patients. Compared to patients with lower RDW ( ≤14.5%), they found that patients with high RDW (>14.5%) had lower hemoglobin and higher creatinine levels. Also, it was indicated that patients with high RDW had a higher rate of complicated hospitalization and increased risk of 30-day mortality.
Source: Journal of Critical Care - July 8, 2017 Category: Intensive Care Authors: Erfan Ayubi, Saeid Safiri Source Type: research

When the heart gets the flu
Conclusions Influenza myocarditis is a rare but reversible cause of cardiogenic shock amenable to VA-ECMO rescue. Early antiviral therapy and ECMO support should be considered for patients with fulminant myocarditis during an influenza epidemic.
Source: Journal of Critical Care - June 9, 2018 Category: Gastroenterology Source Type: research

When the heart gets the flu: Fulminant influenza B myocarditis: A case-series report and review of the literature
ConclusionsInfluenza myocarditis is a rare but reversible cause of cardiogenic shock amenable to VA-ECMO rescue. Early antiviral therapy and ECMO support should be considered for patients with fulminant myocarditis during an influenza epidemic.
Source: Journal of Critical Care - July 5, 2018 Category: Gastroenterology Source Type: research

Clinical characteristics, evolution, and treatment-related risk factors for mortality among immunosuppressed patients with influenza A (H1N1) virus admitted to the intensive care unit
ConclusionImmunocompromised individuals with influenza A (H1N1) admitted to the ICU have a poor outcome. In this population, the use of corticosteroids is strongly discouraged.
Source: Journal of Critical Care - August 25, 2018 Category: Gastroenterology Source Type: research

A conceptual approach to improving care in pandemics and beyond: Severe lung injury centers
Abstract: The events of the 2009 influenza pandemic sparked discussion regarding the need to optimize delivery of care to those most severely ill. We propose in this conceptual study that a tiered regionalization care system be instituted for patients with severe acute respiratory distress syndrome. Such system would be a component of national pandemic plans and could also be used in day-to-day operations.
Source: Journal of Critical Care - November 16, 2012 Category: Intensive Care Authors: Amesh A. Adalja, Matthew Watson, Richard E. Waldhorn, Eric S. Toner Tags: Electronic Articles Source Type: research

The interpretation of the reasons for encounter 'cough' and 'sadness' in four international family medicine populations.
CONCLUSIONS: We describe clinically and statistically significant diagnostic associations observed between the RfEs 'cough' and 'sadness', presenting as a new problem in family practice, and all the episode titles in ICPC. PMID: 23336833 [PubMed - indexed for MEDLINE]
Source: Informatics in Primary Care - December 2, 2014 Category: Primary Care Tags: Inform Prim Care Source Type: research

Enterovirus D68 Infection in an Adult.
Abstract The first confirmed US case of severe respiratory tract infection caused by enterovirus D68 in an adult occurred in a pregnant woman with no history of asthma in August 2014. Before she came to the hospital, she had a productive cough, headache, and increasing dyspnea. At the hospital, she was hypoxic and required admittance to the intensive care unit and management with noninvasive bilevel positive pressure assistance. Analysis of a nasopharyngeal swab sent to the Centers for Disease Control and Prevention for a viral respiratory panel of tests confirmed enterovirus D68 infection. She eventually had an u...
Source: American Journal of Critical Care - March 1, 2016 Category: Nursing Authors: Ward NS, Hughes BL, Mermel LA Tags: Am J Crit Care Source Type: research