original-paper | 17-September-2021
Introduction
Fungal infections, especially those whose incidence increases over time in ICU (Intensive Care Unit), have high mortality and morbidity. With a prolonged stay in ICU increase the cost of intensive care. In fungal infections, the limited sensitivity of diagnostic tests and the unresponsiveness of laboratory results hinder early diagnosis. Delayed and ineffective treatment is one of the major causes of mortality. Therefore, prompt diagnosis and treatment are imperative (Zaoutis et al
AYŞENUR SÜMER COŞKUN,
ŞENAY ÖZTÜRK DURMAZ
Polish Journal of Microbiology, Volume 70 , ISSUE 3, 395–400
original-paper | 08-September-2020
et al. 2019).
ICU hospitalization itself has been considered as an independent risk factor for CRKP acquisition (Schwaber et al. 2008; Hussein et al. 2009; Debby et al. 2012). The estimated detection rate of CRKP in patients admitted to intensive care units increased by 75% in a 20-year surveillance study in China (Tian et al. 2019). The gastrointestinal carriage rate of CRKP among ICU patients could reach 39.0–74.5%. It can be recognized as a reservoir of CRKP for progression from colonization
ZHENGZHENG WANG,
FANGYOU YU,
XIAOFEI SHEN,
MEILAN LI
Polish Journal of Microbiology, Volume 69 , ISSUE 3, 311–319
Short Communication | 28-June-2017
Among 140 patients colonized by KPC-producing Klebsiella pneumoniae (KPC-Kp) between fourth and seventh day of Intensive Care Unit stay, 24 developed bacteraemia immediately after colonization. Colistin-resistance of the colonizing isolate was the factor significantly associated with early KPC-Kp bacteraemia (P < 0.001; OR 6.6, 95% CI 2.4–18.4), a worrisome finding since infections by colistin-resistant isolates is associated with increased mortality due to limited remaining
Matthaios Papadimitriou-Olivgeris,
Fotini Fligou,
Iris Spiliopoulou,
Christina Bartzavali,
Vasiliki Dodou,
Sophia Vamvakopoulou,
Kyriaki Koutsileou,
Anastasia Zotou,
Evangelos D. Anastassiou,
Myrto Christofidou,
Markos Marangos
Polish Journal of Microbiology, Volume 66 , ISSUE 2, 251–254
Original Paper | 04-September-2018
To understand the molecular epidemiology and antibiotic resistance of air and clinical isolates of Acinetobacter baumannii, the intensive care unit settings of a hospital in Northern China were surveyed in 2014. Twenty non-duplicate A. baumannii isolates were obtained from patients and five isolates of airborne A. baumannii were obtained from the wards’ corridors. Pulsed field gel electrophoresis (PFGE) and multilocus sequence typing (MLST) were used to analyze the homology relationships of
MEIJIE JIANG,
YUNQING MU,
NING LI,
ZHIJUN ZHANG,
SHULIN HAN
Polish Journal of Microbiology, Volume 67 , ISSUE 3, 333–338
research-article | 15-June-2020
and the CT (computed tomography) scanner. This is the first report describing the clinical features and lung ultrasound images of a patient with COVID-19 infection admitted to an intensive care unit in a Singapore regional general hospital. In addition, we provide a brief review of the potential clinical utility, and address the challenges associated with lung ultrasound in the current COVID-19 pandemic.
Case report
We present the case of a healthy 39-year-old female who complained of 4 days of
Wee Ming Peh,
Steffi Kang Ting Chan,
Yi Lin Lee,
Pravin Shivaji Gare,
Vui Kian Ho
Journal of Ultrasonography, Volume 20 , ISSUE 81, e154–e158
Review | 13-September-2016
Andrzej Smereczyński,
Katarzyna Kołaczyk
Journal of Ultrasonography, Volume 15 , ISSUE 61, 189–195
research-article | 28-September-2020
Introduction
A point-of-care ultrasound (POCUS) is a type of bedside ultrasonographic assessment that is applied by the clinician in charge(1). It provides rapid and real-time answers about patients’ clinical problems. The use of POCUS by clinicians has become common in recent years, especially in emergency and intensive care departments(2). Around the world, the number of POCUS training courses intended for pediatric intensive care and emergency care specialists is increasing, and the newest
Dincer Yildizdas,
Nagehan Aslan
Journal of Ultrasonography, Volume 20 , ISSUE 82, 205–209
Case report | 01-December-2019
A 15-month-old white male child was admitted to the pediatric intensive care unit with symptoms of upper respiratory tract infection, increased somnolence, pallor, jaundice, fever, and decreased activity level. The purpose of this case study is to report the clinical findings associated with the patient’s clinical symptoms and differential laboratory diagnosis.
Scott C. Wise,
Sheila H. Tinsley,
Lloyd O. Cook
Immunohematology, Volume 28 , ISSUE 4, 118–123
Short Communication | 27-September-2017
Four Klebsiella pneumoniae isolates from children hospitalized over 10 months in an intensive care unit in a children’s teaching hospital in Poland were analyzed. All of the isolates belonged to a single pulsotype and sequence type (ST) 11, and produced the KPC-2 carbapenemase and extended-spectrum β-lactamase (ESBL) CTX-M-15. They were resistant to a variety of antimicrobials, and their β-lactam resistance patterns were typical for KPC producers. This is one of few cases of
Monika Machulska,
Anna Baraniak,
Iwona Żak,
Katarzyna Bojarska,
Dorota Żabicka,
Iwona Sowa-Sierant,
Waleria Hryniewicz,
Marek Gniadkowski
Polish Journal of Microbiology, Volume 66 , ISSUE 3, 401–404
original-paper | 30-November-2018
Wojciech Mądry,
Maciej Aleksander Karolczak,
Marcin Myszkowski
Journal of Ultrasonography, Volume 19 , ISSUE 76, 9–16
Article | 15-April-2020
The University of North Carolina at Chapel Hill (UNC) is a tertiarycare, academic university hospital and a major referral center for patients across the state of North Carolina. This 700-bed, Level 1 trauma center transfuses more than 22,000 RBC units to patients annually. Clinical services and areas of the hospital which rely most heavily on transfusion support for their activities are transplantation (bone marrow and solid organ), hematology, critical care (medical and surgical intensive
Araba Afenyi-Annan,
Nicholas Bandarenko
Immunohematology, Volume 22 , ISSUE 3, 103–107
Report | 01-December-2019
intensive care unit (23%). Seven (3.2%) recipients had clinically significant antibodies that were active on the day of the transfusion, whereas in four patients a clinically significant antibody had been previously identified but was not active on the day of the transfusion. One patient with active antibodies who received three units of uncrossmatched RBCs for a gastrointestinal bleed demonstrated a reactive eluate several days later as well as positive biochemical hemolysis markers. Thus the overall
Lisa Radkay,
Darrell J. Triulzi,
Mark H. Yazer
Immunohematology, Volume 28 , ISSUE 2, 39–44
Article | 17-November-2020
An attempt was made to reduce exposure of patients to blood products by using a point-of-ordering decision support system and strict adherence to a practice guideline, by observing physician behavior in the multidisciplinary intensive-care unit (ICU) of a tertiary-care medical center. Hemoglobin (Hg) level at the time of transfusion, total units of red blood cells (RBCs) per admission, units per patient per ICU day, fraction of patients receiving no transfusions, and incidence of single-unit
Benjamin Littenberg,
Howard Corwin,
Andrew Gettinger,
Joshua Leihter,
James P. AuBuchon
Immunohematology, Volume 11 , ISSUE 3, 88–94
research-article | 28-September-2020
% after surgical decompression(2). Early detection is crucial in this situation. This type of pathology is mainly dealt with by surgeons and intensive care physicians. Other specialists, including imaging diagnosticians, usually have limited knowledge on this issue. According to WSACS, it is worth familiarizing with the following data:
normal intra-abdominal pressure (IAP) is 5–7 mmHg during critical illness;
increased IAP is defined as IAP >12 mmHg;
primary IAH or ACS is due to an injury or disease
Andrzej Smereczyński,
Katarzyna Kołaczyk,
Elżbieta Bernatowicz
Journal of Ultrasonography, Volume 20 , ISSUE 82, 201–204
original-paper | 30-November-2018
Introduction
Early postoperative respiratory complications in pediatric patients after cardiac surgeries using cardiopulmonary bypass significantly prolong the use of mechanical ventilation and patient’s stay in the intensive care unit, increase mortality and affect treatment outcomes(1,2). Predominant clinical symptoms include altered parenchymal aeration of the lungs in the form of atelectasis, observed in 12–42% of non-intubated and 68–100% of intubated patients, as well as an accumulation
Marcin Myszkowski
Journal of Ultrasonography, Volume 19 , ISSUE 76, 17–23
Article | 17-February-2021
54 months of the study period, a total of 22,888 patient samples were studied. The majority of patients were from hemato-oncology and blood marrow transplant, hepatobiliary sciences and liver transplant, cardiac surgery, and medical intensive care units (Fig. 2). The prevalence of unexpected antibodies detected in our study was less than 1 percent (0.87%; 198). Of the 198 AS+ patients, 145 (0.63%) were found to have alloantibodies while the remaining 53 (0.24%) had autoantibodies with clinical
P. Pandey,
D. Setya,
R. Srivastava,
M.K. Singh
Immunohematology, Volume 36 , ISSUE 1, 19–28