[Methicillin-resistant staphylococci in pediatric resuscitation].

Abstract:

OBJECTIVE:To evaluate the incidence of colonization and infection by methicillin-resistant in PICU. DESIGN:Prospective cohort study during 2 years for the surveillance of nosocomial infections. SETTING:Four beds Pediatric Intensive Care Unit. PATIENTS:We studied two-hundred patients with duration of hospitalization longer than 24 hours out of the 255 patients who were hospitalized during the same period. METHODS:The patients were divided in two groups according to the presence or the absence of MRS. The difference of the two populations were compared using the t-test and the CATANOVA: Wilcoxon's test was used to analyze the relation between the two values. The results were significant when p = 0.05 and Ct = 3.81. RESULTS:Fourty patients (20%) were colonized or infected by MRS with two seasonal peaks which were not correlated with the amount of index work. Nine patients were already colonized at entrance in PICU (4.5%) and the rate of infected patients versus infections was 1.5% (3 patients with 3 clinical manifestations). The presence of MRS in the different sections of the hospital could be shown. The rate of PICU-acquired colonization was 12.5% (25), the rate of PICU-acquired infected patients was only 2% (4), the infections rate was 3.5% (7 events). The average time which occurred the colonization by MRS to happen was 10,1 days from the day of hospitalization on, which is longer than that of the other germs (p = 0.001). Clinically the infection by MRS was localized as follows: 3 septicemiae, 2 pneumoniae and 2 muco-cutaneous infections. Most the patients with carriage of the MRS were prematures or newborns who had a long stay in PICU, who underwent invasive diagnostic and therapeutic treatment and who had a previously long stay in other department of the hospital. The stay in the PICU lasted longer in those patients who had a MRS carriage. They furthermore had a lower mortality rate (12.5%) than the other patients (Cc = 0.976); the 4 infected patients survived. CONCLUSIONS:The clinical impact of MRS in terms of morbidity and mortality in this PICU is modest. The prevention and limitation of the spread of MRS could be obtained by simple but essential measures of control.

journal_name

Minerva Anestesiol

journal_title

Minerva anestesiologica

authors

Pigna A,Pirazzini M,Grillione G,Gatti M,Corticelli AS

subject

Has Abstract

pub_date

1995-06-01 00:00:00

pages

249-57

issue

6

eissn

0375-9393

issn

1827-1596

journal_volume

61

pub_type

杂志文章
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  • [General anesthesia in Prader-Willi syndrome].

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    authors: Cavaliere F,Cormaci S,Cormaci M,Alberti A,Colabucci F

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    authors: Tomassetti M,Celleno D,Capogna G,Reggio S

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  • ["ARCHIDIA": a system for patients' data collection and computerized filing. Part I. Methodology].

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    authors: Kahvegian M,Aya Otsuki D,Holms C,Oliveira Massoco C,Costa Auler Júnior JO,Tabacchi Fantoni D

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    doi:

    authors: Michalopoulos AS,Falagas ME

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  • [Variations of esophageal temperature during general anesthesia with a low-flow circuit].

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    doi:

    authors: Di Filippo A,Minoni C,Bonetti L,Rizzo L,Novelli GP

    更新日期:1995-09-01 00:00:00

  • [Hemodynamic and respiratory aspects in orthotopic liver transplantation].

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    doi:

    authors: Antonini M,Pastore E,Bufi M,Calzecchi E,Guerricchio R,Della Rocca G,Pinelli ML,Gasparetto A

    更新日期:1990-04-01 00:00:00

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  • Epidemiology and outcome of sepsis syndromes in Italian ICUs: a muticentre, observational cohort study in the region of Piedmont.

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    pub_type: 杂志文章,多中心研究

    doi:

    authors: Sakr Y,Elia C,Mascia L,Barberis B,Cardellino S,Livigni S,Fiore G,Filippini C,Ranieri VM

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  • Failure of an Abiomed left ventricular assist device in association with factor VIIa administration.

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  • Non-invasive ventilation outside the Intensive Care Unit for acute respiratory failure.

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  • [Surgical versus endovascular treatment in cerebral aneurysm. The opinion of a neuroradiologist].

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    journal_title:Minerva anestesiologica

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  • An in-vitro study to evaluate high-volume low-pressure endotracheal tube cuff deflation dynamics.

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  • Lung ultrasound in acute respiratory failure an introduction to the BLUE-protocol.

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  • Methods of lung separation.

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    pub_type: 杂志文章

    doi:

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    更新日期:2004-05-01 00:00:00

  • Timing and duration of intracranial hypertension versus outcomes after severe traumatic brain injury.

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    doi:

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  • Basic guide to chronic pain assessment: from neurophysiology to bedside.

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  • Oxygen saturation monitoring.

    abstract::Pulse-oximeter is described as the most important technological proceeding for monitoring the patients' safety during anesthesia, after surgery and in emergency. This opinion was widely confirmed in the 1990s when pulse-oximeter has been definitively introduced in the standard for base monitoring in the OR and has bee...

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  • [Non-invasive positive pressure mechanical ventilation in acute respiratory failure].

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    doi:

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