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original-paper | 08-September-2020

A Polyclonal Spread Emerged: Characteristics of Carbapenem-Resistant Klebsiella pneumoniae Isolates from the Intensive Care Unit in a Chinese Tertiary Hospital

. A total of 30 CRKP strains were isolated from 26 patients in the intensive care unit (ICU), and the strains from different isolation sites of the same patient were included in this study. Among these CRKP isolates, 12 (40%) were isolated from sputum specimens, and the remaining isolates were obtained from other types of specimens including blood (three, 10%), wound (two, 6.7%), drainage fluid (four, 13.3%), urine or urinary catheter (seven, 23.3%), and bronchial perfusate (one, 3.3%). 69.2% (18

ZHENGZHENG WANG, FANGYOU YU, XIAOFEI SHEN, MEILAN LI

Polish Journal of Microbiology, Volume 69 , ISSUE 3, 311–319

Short Communication | 28-June-2017

Early KPC-Producing Klebsiella pneumoniae Bacteremia among Intensive Care Unit Patients Non-Colonized upon Admission

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

research-article | 15-June-2020

Lung ultrasound in a Singapore COVID-19 intensive care unit patient and a review of its potential clinical utility in pandemic

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

Case report | 01-December-2019

Paroxysmal cold hemoglobinuria: a case report

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

KPC-2-producing Klebsiella pneumoniae ST11 in a Children’s Hospital in Poland

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 | 04-September-2018

Carbapenem-resistant Acinetobacter baumannii from Air and Patients of Intensive Care Units

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

Report | 01-December-2019

Low risk of hemolysis after transfusion of uncrossmatched red blood cells

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

A practice guideline and decision aid for blood transfusion

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

original-paper | 30-November-2018

The usefulness of respiratory ultrasound assessment for modifying the physiotherapeutic algorithm in children after congenital heart defect surgeries

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

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