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Infectious Disease: Outbreaks

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A Hybrid Model of Pediatric and Adult Critical Care During the Coronavirus Disease 2019 Surge: The Experience of Two Tertiary Hospitals in London and New York
Conclusions: This hybrid model successfully allowed for the expansion into adult critical care while maintaining essential services for critically ill children. Simultaneous care of adults and children in the ICU can be sustained if healthcare professionals work collaboratively, show proactive insight into anticipated issues, and exhibit clear leadership.
Source: Pediatric Critical Care Medicine - February 1, 2021 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

SCCM Pod-108 Discussion of H1N1 Influenza - Part III
Naomi O'Grady, MD clarifies the strain of the current virus, discusses the difference between a pandemic and an epidemic, and outlines the prescription therapies available specific to H1N1 Influenza. O'Grady is a senior staff physician in the Clinical Center's Critical Care Medicine Department and the medical director of the department's Vascular Access and Conscious Sedation Services. She also is an attending physician with the Pediatric Critical Care Medicine Department of the Children's National Medical Center and an assistant professor in the Department of Internal Medicine's Division of Infectious Diseases at Johns Ho...
Source: SCCM PodCast - iCritical Care - May 5, 2009 Category: Intensive Care Authors: The Society of Critical Care Medicine (SCCM) Tags: Medicine Source Type: podcasts

SCCM Pod-107 Discussion of H1N1 Influenza - Part II
John H. Beigel, MD, clarifies the definition of influenza and discusses the evolution of viruses, speculation on the mode of transmission and the role of vaccines and therapies as they relate to Influenza A (H1N1). The conversation references his recent publication in Critical Care Medicine (Beigel JH. Influenza. Crit Care Med. 2008; 36:2660-2666). Dr. Beigel is Director of Clinical Research at MacroGenics, Inc. in Rockville, Maryland, and a volunteer consultant at the National Institute of Allergy and Infectious Diseases at the National Institutes of Health. This podcast is the second in a series focused on the H1N1 influenza outbreak.
Source: SCCM PodCast - iCritical Care - May 1, 2009 Category: Intensive Care Authors: The Society of Critical Care Medicine (SCCM) Tags: Medicine Source Type: podcasts

Ebola virus disease: Report from the task force on tropical diseases by the World Federation of Societies of Intensive and Critical Care Medicine
Ebola virus is a filovirus that can cause fatal hemorrhagic fever (HF) and five distinct species exist that vary in terms of geographical distribution and virulence. Once the more virulent forms enter the human population, transmission occurs primarily through direct contact with infected body fluids and may result in significant outbreaks. The devastating has been the recent West African outbreak.Clinically, signs and symptoms are similar to those of the other VHFs [4]. The incubation period is 2 –21days, followed by fever, headache, myalgia, diarrhoea, vomiting and dehydration; thereafter, there may be recovery or dete...
Source: Journal of Critical Care - November 3, 2017 Category: Intensive Care Authors: Guy A. Richards, Tim Baker, Pravin Amin, On behalf of the Council of the World Federation of Societies of Intensive and Critical Care Medicine Source Type: research

Ethics of Outbreaks Position Statement. Part 2: Family-Centered Care
Objectives: Continue the dialogue presented in Ethics of Outbreaks Position Statement. Part 1, with a focus on strategies for provision of family-centered care in critical illness during Pubic Health Emergency of International Concern. Design: Development of a Society of Critical Care Medicine position statement using literature review, expert consensus from the Society of Critical Care Medicine Ethics Committee. A family member of a patient who was critically ill during a natural disaster served on the writing panel and provided validation from a family perspective to the recommendations. Setting: Provision of fam...
Source: Critical Care Medicine - October 13, 2018 Category: Emergency Medicine Tags: Special Articles Source Type: research

Caring for Critically Ill Patients with Ebola Virus Disease: Perspectives from West Africa.
Villar RC, Shindo N, Bausch D Abstract The largest ever Ebola virus disease outbreak is ravaging West Africa. The constellation of little public health infrastructure, low levels of health literacy, limited acute care and infection prevention and control resources, densely populated areas and a highly transmissible, lethal viral infection, have led to over 2000 confirmed, probable or suspected cases and, thus far, more than 1000 deaths. Ebola virus disease is characterized by a febrile severe illness, with profound gastrointestinal manifestations, and is complicated by intravascular volume depletion, shock, profo...
Source: American Journal of Respiratory and Critical Care Medicine - August 28, 2014 Category: Respiratory Medicine Authors: Fowler RA, Fletcher T, Fischer Ii WA, Lamontagne F, Jacob S, Brett-Major D, Lawler JV, Jacquerioz FA, Houlihan C, O'Dempsey T, Ferri M, Adachi T, Lamah MC, Bah EI, Mayet T, Schieffelin J, McLellan SL, Senga M, Kato Y, Clement C, Mardel S, Vallenas Bejar D Tags: Am J Respir Crit Care Med Source Type: research

Critical illness associated with 2013-2014 influenza A (H1N1): Postpandemic characteristics, presentation and outcomes
Conclusions: Compared to the 2009-2010 pandemic, the 2013-2014 H1N1 strain affected older patients with more underlying co-morbid cardio-pulmonary diseases. The patients had worse oxygenation indices and rescue modalities such as prone ventilation, inhaled epoprostenol and ECMO, were used more consistently as compared to the 2009 pandemic.
Source: Indian Journal of Critical Care Medicine - November 10, 2015 Category: Intensive Care Authors: Jonathan WiesenDhruv JoshiJorge A GuzmanAbhijit Duggal Source Type: research

Chicken pox outbreak in the Intensive Care Unit of a tertiary care hospital: Lessons learnt the hard way
Sarit Sharma, Shruti Sharma, Deepinder Chhina, RS ChhinaIndian Journal of Critical Care Medicine 2015 19(12):723-725Varicella-zoster virus (VZV) causes 2 clinically and epidemiologically distinct forms of diseases. Chickenpox (varicella) is the disease that results from primary infection with the VZV. Herpes zoster (HZ) results from the reactivation of VZV latently infecting the dorsal root ganglia. We are reporting an outbreak of varicella infection among the health care workers (HCWs) in the Intensive Care Unit (ICU) of a tertiary care hospital. We found transmission of varicella among eight HCWs of pulmonary ICU. They h...
Source: Indian Journal of Critical Care Medicine - December 9, 2015 Category: Intensive Care Authors: Sarit SharmaShruti SharmaDeepinder ChhinaRS Chhina Source Type: research

SCCM Pod-106 Discussion of H1N1 Influenza - Part I
Randy S. Wax, MD, discusses the current outbreak of influenza A (H1N1), the triage protocol for critical care during an influenza epidemic, the public's role in taking necessary precautions, and educational resources that are available. Dr. Wax is an intensivist at Mount Sinai Hospital in Toronto, Ontario, Canada, and Assistant Professor of Medicine at the Faculty of Medicine, University of Toronto. He has multiple areas of expertise, including disaster management. This podcast is the first in a series focused on the influenza A (H1N1) outbreak.
Source: SCCM PodCast - iCritical Care - April 30, 2009 Category: Intensive Care Authors: The Society of Critical Care Medicine (SCCM) Tags: Medicine Source Type: podcasts

Colistin-resistant Klebsiella pneumoniae in surgical polytrauma intensive care unit of level-1 trauma center: First case series from trauma patients in India
Conclusions: CRK is an emerging and challenging pathogen in polytrauma victims . There was an outbreak of CRK in our ICU that could be contained with infection control measures.
Source: Indian Journal of Critical Care Medicine - February 19, 2018 Category: Intensive Care Authors: Richa Aggarwal Neha Rastogi Purva Mathur Kapil Dev Soni Subodh Kumar Amit Gupta Sushma Sagar Source Type: research

Chikungunya: Report from the task force on tropical diseases by the World Federation of Societies of intensive and critical care medicine
Publication date: Available online 7 April 2018 Source:Journal of Critical Care Author(s): Pravin Amin, Gisele Sampaio Silva, Jorge Hidalgo, Juan Ignacio Silesky Jiménez, Dilip R. Karnad, Guy A. Richards Chikungunya is an arbovirus that is transmitted by the Aedes mosquito causing a febrile illness with periodic outbreaks in large parts of the world. In the last decade it has become a public health concern in a host of countries and has affected international tourists. In the vast majority of cases Chikungunya presents as an acute febrile illness, associated with rash, headache, myalgia and debilitating arthralgia or eve...
Source: Journal of Critical Care - April 7, 2018 Category: Gastroenterology Source Type: research