Management of outbreaks of nosocomial pathogens in neonatal intensive care unit
epidemiology of nosocomial pneumonia in the intensive care unit of bach mai hospital, 2008-2009
... molecular characteristics of pathogens causing HAP in the Intensive care unit of Bach Mai Hospital which is the area with the highest incidence density of healthcare associated infections among Vietnamese ... patients, positioning the patient supine with the head elevated 30–45 degrees, suctioning measures including continuous suctioning of subglottic secretions, and minimizing the use of sedating or paralytic ... characteristics of pathogens causing HAP These findings suggest areas for intervention and for developing guideline for prevention and control of HAP in HCFs THESIS STRUCTURE The thesis consists of 129...
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Bóa cáo y học: " Empiric broad-spectrum antibiotic therapy of nosocomial pneumonia in the intensive care unit: a prospective observational study" docx
... prompted by delayed streamlining of unnecessary antibiotics and the potential negative influence on diagnostic accuracy and economic impact of this strategy De-escalation was the main cause of antibiotic ... interpretation of the data, and was involved in the drafting of the manuscript CS-R contributed to the analysis and interpretation of data, and was involved in the drafting of the manuscript BA, PL, ... organisms and whose therapy was modified accordingly; and, Group V, patients who initially received inadequate antibiotic therapy, which was later modified on the basis of cultures parative analysis...
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Báo cáo y học: " Rational use of computerized protocols in the intensive care unit" ppt
... nursing, and respiratory therapy staffs of the Intermountain Respiratory Intensive Care Unit and of the ShockTrauma/Intermountain Respiratory ICU, and to the Respiratory Care Department of the ... hypertonic, and hypotonic dehydration, thereby confusing the evaluation of the state of the ECF and the state of hydration [68] Cardiovascular evaluation is also (inappropriately) included in ... in the evaluation of hydration, thereby confusing the evaluation of the effectiveness of the arterial circulation (cardiovascular evaluation) with the evaluation of the state of hydration Hypernatremic...
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Báo cáo khoa học: " Prevalence and incidence of severe sepsis in Dutch intensive care unit" pdf
... gain insight into the current incidence of severe sepsis occurring within the first 24 hours of ICU admission in The Netherlands The results indicate that the national incidence of severe sepsis ... al Table Annual incidence of sepsis in Dutch intensive care units based on survey prevalence Disorder National prevalence Di (days) Incidence/ year1 Incidence/ 1,000 inhabitants Sepsis 337 ± 23 ... estimated incidence of severe sepsis in 0.61% of all hospital admissions and 11% in all ICU admissions [15] Annual incidence based on the incidence series of cases A second estimate of the annual incidence...
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Báo cáo khoa học: "Clinical review: Moral assumptions and the process of organ donation in the intensive care unit" pptx
... remaining focused on the integrity and the excellence of the process, neutral to the donation outcome and respecting the legitimacy of the family decision The discussion might therefore begin ... and being accountable for all aspects of the process — including the determination of brain death, identification of the possibility of organ donation, providing physiological support of the potential ... Surgeons, intensivists and the covenant of care — administrative models and values affecting care at the end of life — updated Crit Care Med 2003, 31:1551-1559 66 Levy MM End -of- life care in the intensive...
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Báo cáo khoa học: "Cystatin C: unsuited to use as a marker of kidney function in the intensive care unit" pot
... issue are warranted Competing interests The author(s) declare that they have no competing interests References 532 Villa P, Jiménez M, Soriano MC, Manzanares J, Casasnovas P: Serum cystatin C as a ... filtration rate in renal transplant recipients Clin Chem 1999, 49:1866-1868 Coll E, Botey A, Alvarez L, Poch E, Quintó LI, Taurina A, Vera M, Piera C, Darnell A: Serum cystatin C as a new marker ... as a marker of acute renal dysfunction in critically ill patients Crit Care 2005, 9:R139-R143 O’Riordan SE, Webb MC, Stowe HJ, Simpson DE, Kandarpa M, Coakly AJ, Newman DJ, Saunders JA, Lamb EJ:...
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Báo cáo khoa học: "Bench-to-bedside review: Antimicrobial utilization strategies aimed at preventing the emergence of bacterial resistance in the intensive care unit" pps
... in the risk of resistance development while on therapy [85,86] Summary Clinicians working in the ICU setting should routinely employ antibiotic strategies aimed at limiting the emergence of resistance ... Jr, Tenover F, Gaynes R: Antimicrobial resistance in isolates from inpatients and outpatients in the United States: increasing importance of the intensive care unit Clin Infect Dis 1997, 24:211-215 ... RC, Hemmer M: The prevalence of nosocomial infection in intensive care units in Europe: results of the European Prevalence of Infection in Intensive Care (EPIC) Study; EPIC International Advisory...
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Báo cáo y học: " Cost effectiveness of antimicrobial catheters in the intensive care unit: addressing uncertainty in the decision" doc
... risk of mortality whilst in the ICU and a further risk should they develop CR-BSI The surviving cohort was modeled for the remainder of their lifetime in monthly cycles, moving to yearly cycles year ... these costs represent the value of obtaining increased capacity within the ICU, rather than cash savings Nevertheless, the results of the first analysis imply a decision not to adopt these catheters ... supplementary/cc7744-S1 .doc Key messages • • The cost effectiveness of antimicrobial catheters to prevent catheter-related bloodstream infection in the intensive care unit is highly uncertain Estimates of...
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Báo cáo y học: "Treatment of euvolemic hyponatremia in the intensive care unit by urea" docx
... hr In two of these patients the intensivist lowered the SNa again by giving desmopressin (DDAVP) and water No cases of clinical osmotic demyelination syndrome (ODS) developed When high doses of ... intravenously over one hour or orally will rapidly (one hour) increase serum osmolality by 15 mOsm/kg/H2O during a few hours (renal elimination) These data report the use of urea in an intensive care unit, ... two days before and after urea administration It is usual in our intensive care unit that when infusion induced or aggravated hyponatremia to add urea, while maintaining the same volume of liquid...
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Báo cáo y học: "Emergence of physiological rhythmicity in term and preterm neonates in a neonatal intensive care unit"Ơ pdf
... cycle In addition, an amplitude index was calculated as follows: Amplitude index = amplitude ÷ mean of variables × 100 Statistical analysis Data were analyzed with SPSS and Statview ANOVA was ... eleven neonates (59.4%) were intubated and 72 neonates (38.5%) received oxygen Rhythmicity analysis Results of the analyses of rhythmicity are summarized in Table To ensure the accuracy of rhythmicity ... All of these are important parameters in the regulation of human physiology, and yet little is known about rhythmicity of these variables in neonates We have shown that most of the analyzed neonates...
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Báo cáo y học: "Randomized trial comparing daily interruption of sedation and nursing-implemented sedation algorithm in medical intensive care unit patients"
... for daily interruption of sedation and × for sedation algorithm) ; the lines represent the composite SOFA for each group (thick line for daily interruption of sedation; dashed line for sedation algorithm) ... daily interruption of sedation time for the Sequential treated Failure Assessment (SOFA) overand sedationgroup of patients treated by daily interruption of sedation and sedation algorithm The individual ... medications discontinued in the ABC trial, thereby resulting in a blunted stress response during sedation interruption and minimizing the symptoms of withdrawal during sedation interruption [32]...
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Báo cáo khoa học: " Medication errors: a prospective cohort study of hand-written and computerised physician order entry in the intensive care unit"
... analysed the results and drafted the article MS was involved in critically revising the draft JG made substantial contributions to the data analysis GB was substantially involved in the analysis, ... Proportion of medicationorder entry (CPOE) using the Clinical Informacomputerised physician order entry (CPOE) using the Clinical Information System with 95% confidence intervals Hand-written prescribing ... bias in the results and is a limitation of the study Medical errors are among the leading causes of death in the United States In its highly publicised report, the Institute of Medicine estimates...
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Báo cáo khoa học: "Impact of computerized physician order entry on medication prescription errors in the intensive care unit: a controlled cross-sectional trial"
... data, statistical analysis and drafting of the manuscript BC was responsible for data acquisition, analysis of the data, and drafting of the manuscript JD was responsible for conceiving the study, ... ml/minute The parameters needed to calculate the creatinine clearance were always available in both the PB-U and the C-U In addition to the pharmacists' own professional knowledge, clinical guidelines ... in the case of vancomycin prescriptions, physicians had to order a 'vancomycin loading dose' and a 'vancomycin dose according to plasma level', without having to adjust anything, which virtually...
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