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[PMID]:28449424
[Au] Autor:Bang BW; Park JS; Kim HK; Shin YW; Kwon KS; Kwon HY; Baek JH; Lee JS
[Ad] Endereço:Divisions of Gastroenterology, Inha University School of Medicine, Incheon, Korea.
[Ti] Título:Fecal Microbiota Transplantation for Refractory and Recurrent Infection: A Case Series of Nine Patients.
[So] Source:Korean J Gastroenterol;69(4):226-231, 2017 Apr 25.
[Is] ISSN:2233-6869
[Cp] País de publicação:Korea (South)
[La] Idioma:eng
[Ab] Resumo:Background/Aims: Fecal microbiota transplantation (FMT) is a highly effective therapy for refractory and recurrent infection (CDI). Despite its excellent efficacy and recent widespread use, FMT has not been widely used in South Korea thus far. We describe our experience with FMT to treat refractory/recurrent CDI. Methods: We conducted a chart review of patients who underwent FMT for refractory/recurrent CDI at Inha University Hospital, between March 2014 and June 2016. The demographic information, treatment data, and adverse events were reviewed. FMT was administered via colonoscopy and/or duodenoscopy. All stool donors were rigorously screened to prevent infectious disease transmission. Results: FMT was performed in nine patients with refractory/recurrent CDI. All patients were dramatically cured. Bowel movement was normalized within one week after FMT. There were no procedure-related adverse events, except aspiration pneumonia in one patient. During the follow-up period (mean 11.4 months), recurrence of CDI was observed in one patient at one month after FMT due to antibiotics. Conclusions: FMT is a safe, well-tolerated and highly effective treatment for refractory/recurrent CDI. Although there are many barriers to using FMT, we expect that FMT will be widely used to treat refractory/recurrent CDI in South Korea.
[Mh] Termos MeSH primário: Infecções por Clostridium/terapia
Enterocolite Pseudomembranosa/terapia
Transplante de Microbiota Fecal
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Antibacterianos/uso terapêutico
Infecções por Clostridium/diagnóstico
Infecções por Clostridium/tratamento farmacológico
Colonoscopia
Duodenoscopia
Enterocolite Pseudomembranosa/diagnóstico
Enterocolite Pseudomembranosa/tratamento farmacológico
Transplante de Microbiota Fecal/efeitos adversos
Fezes/microbiologia
Feminino
Seres Humanos
Masculino
Meia-Idade
Pneumonia Aspirativa/etiologia
Recidiva
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-Bacterial Agents)
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180102
[Lr] Data última revisão:
180102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170428
[St] Status:MEDLINE
[do] DOI:10.4166/kjg.2017.69.4.226


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[PMID]:28902379
[Au] Autor:Bach AG; Weiß C
[Ad] Endereço:Klinik für Diagnostische Radiologie, Martin-Luther-Universität Halle-Wittenberg.
[Ti] Título:[86-Year-Old Man with Dyspnea].
[Ti] Título:86-jähriger Mann mit Dyspnoe..
[So] Source:Dtsch Med Wochenschr;142(18):1345-1346, 2017 09.
[Is] ISSN:1439-4413
[Cp] País de publicação:Germany
[La] Idioma:ger
[Mh] Termos MeSH primário: Restauração Dentária Permanente
Dispneia/etiologia
Corpos Estranhos/diagnóstico por imagem
Pulmão/diagnóstico por imagem
Pneumonia Aspirativa/diagnóstico por imagem
[Mh] Termos MeSH secundário: Idoso de 80 Anos ou mais
Broncoscopia
Diagnóstico Diferencial
Dispneia/diagnóstico por imagem
Corpos Estranhos/terapia
Seres Humanos
Masculino
Pneumonia Aspirativa/terapia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171016
[Lr] Data última revisão:
171016
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170914
[St] Status:MEDLINE
[do] DOI:10.1055/s-0043-115649


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[PMID]:28885365
[Au] Autor:Tang Y; Lin X; Lin XJ; Zheng W; Zheng ZK; Lin ZM; Chen JH
[Ad] Endereço:Department of Neurology, Fujian Provincial Geriatric Hospital, Fuzhou, China.
[Ti] Título:Therapeutic efficacy of neuromuscular electrical stimulation and electromyographic biofeedback on Alzheimer's disease patients with dysphagia.
[So] Source:Medicine (Baltimore);96(36):e8008, 2017 Sep.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:To study the therapeutic effect of neuromuscular electrical stimulation and electromyographic biofeedback (EMG-biofeedback) therapy in improving swallowing function of Alzheimer's disease patients with dysphagia.A series of 103 Alzheimer's disease patients with dysphagia were divided into 2 groups, among which the control group (n = 50) received swallowing function training and the treatment group (n = 53) received neuromuscular electrical stimulation plus EMG-biofeedback therapy. The mini-mental state scale score was performed in all patients along the treatment period. Twelve weeks after the treatment, the swallowing function was assessed by the water swallow test. The nutritional status was evaluated by Mini Nutritional Assessment (MNA) as well as the levels of hemoglobin and serum albumin. The frequency and course of aspiration pneumonia were also recorded.No significant difference on mini-mental state scale score was noted between 2 groups. More improvement of swallowing function, better nutritional status, and less frequency and shorter course of aspiration pneumonia were presented in treatment group when compared with the control group.Neuromuscular electrical stimulation and EMG-biofeedback treatment can improve swallowing function in patients with Alzheimer's disease and significantly reduce the incidence of adverse outcomes. Thus, they should be promoted in clinical practice.
[Mh] Termos MeSH primário: Doença de Alzheimer/complicações
Doença de Alzheimer/terapia
Biorretroalimentação Psicológica
Transtornos de Deglutição/complicações
Transtornos de Deglutição/terapia
Terapia por Estimulação Elétrica
[Mh] Termos MeSH secundário: Idoso
Doença de Alzheimer/sangue
Deglutição
Transtornos de Deglutição/sangue
Hemoglobinas/metabolismo
Seres Humanos
Entrevista Psiquiátrica Padronizada
Pneumonia Aspirativa/sangue
Pneumonia Aspirativa/complicações
Pneumonia Aspirativa/prevenção & controle
Albumina Sérica/metabolismo
Índice de Gravidade de Doença
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Hemoglobins); 0 (Serum Albumin)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170918
[Lr] Data última revisão:
170918
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170909
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008008


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[PMID]:28879570
[Au] Autor:Matsumi A; Takenaka R; Ando C; Sato Y; Takei K; Yasutomi E; Okanoue S; Oka S; Kawai D; Kataoka J; Takemoto K; Tsugeno H; Fujiki S; Kawahara Y
[Ad] Endereço:Department of Gastroenterology, Tsuyama Chuo Hospital, 1756, Kawasaki, Tsuyama, 708-0841, Japan.
[Ti] Título:Preoperative Pulmonary Function Tests Predict Aspiration Pneumonia After Gastric Endoscopic Submucosal Dissection.
[So] Source:Dig Dis Sci;62(11):3084-3090, 2017 Nov.
[Is] ISSN:1573-2568
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: ESD allows higher rates of en-bloc and R0 resections, but has occasionally complications such as aspiration pneumonia. Factors associated with aspiration pneumonia are not completely understood. AIMS: To analyze the relationship between aspiration pneumonia and preoperative factors including pulmonary function tests. METHODS: A total of 978 patients with gastric tumors who had received pulmonary function tests were treated by ESD between June 2006 and May 2014. Pulmonary function tests were assessed using a spirometer. The patients were categorized into four groups according to the predicted vital capacity (%VC) and forced expiratory volume in 1 s as a percentage of forced vital capacity (FEV1.0%): normal; restrictive pulmonary dysfunction; obstructive; and mixed. The factors associated with aspiration pneumonia were retrospectively analyzed. RESULTS: Among the 268 cases with abnormal pulmonary function, 10 cases (3.7%) developed aspiration pneumonia. On the other hand, 7 cases (1.0%) with normal pulmonary function developed pneumonia. There was a significant correlation between pulmonary function and aspiration pneumonia (p = 0.010). When the pulmonary function cases were stratified into subgroups, 2.5% of cases with obstructive pulmonary dysfunction developed pneumonia, 5.5% with restrictive and 5.3% with mixed. By logistic regression analysis, pulmonary function, the presence of cerebral vascular disease, and procedure time were identified as significant independent risk factors associated with aspiration pneumonia. The odds ratios for pulmonary function, cerebral vascular disease, and procedure time were 3.6, 5.1, and 5.2, respectively. CONCLUSIONS: Preoperative pulmonary function tests may be useful markers to evaluate the risk for aspiration pneumonia after gastric ESD.
[Mh] Termos MeSH primário: Ressecção Endoscópica de Mucosa/efeitos adversos
Gastrectomia/efeitos adversos
Gastroscopia/efeitos adversos
Pneumopatias/diagnóstico
Pulmão/fisiopatologia
Pneumonia Aspirativa/etiologia
Espirometria
Neoplasias Gástricas/cirurgia
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Distribuição de Qui-Quadrado
Ressecção Endoscópica de Mucosa/métodos
Feminino
Volume Expiratório Forçado
Gastrectomia/métodos
Gastroscopia/métodos
Seres Humanos
Modelos Logísticos
Pneumopatias/complicações
Pneumopatias/fisiopatologia
Masculino
Meia-Idade
Análise Multivariada
Razão de Chances
Pneumonia Aspirativa/diagnóstico
Valor Preditivo dos Testes
Pontuação de Propensão
Estudos Retrospectivos
Medição de Risco
Fatores de Risco
Neoplasias Gástricas/complicações
Neoplasias Gástricas/diagnóstico
Resultado do Tratamento
Capacidade Vital
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171106
[Lr] Data última revisão:
171106
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170908
[St] Status:MEDLINE
[do] DOI:10.1007/s10620-017-4750-4


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[PMID]:28762228
[Au] Autor:Lin FT; Lin TR; Liao CW; Chen SH
[Ad] Endereço:Department of Nursing, Kaohsiung Medical University Hospital, Taiwan, ROC.
[Ti] Título:[A Systematic Review and Meta-Analysis of the Pros and Cons of Consuming Liquids Preoperatively].
[So] Source:Hu Li Za Zhi;64(4):79-88, 2017 Aug.
[Is] ISSN:0047-262X
[Cp] País de publicação:China (Republic : 1949- )
[La] Idioma:chi
[Ab] Resumo:BACKGROUND: Preoperative anesthesia long time fasting, may increase patient hemodynamic instability during surgery and may affect the patient's post-surgery electrolyte balance. No meta-analysis has been conducted to explore the effects of preoperative liquid intake amount on gastric fluid PH, gastric fluid volume, surgery inhalation of pulmonary complications, and patient self-perceptions quality of care systematic review and meta-analysis of the literature. PURPOSE: To assess the pros and cons of preoperative liquid intake using a systematic review of the literature. METHODS: The authors searched ten databases including NRC (Nursing Reference Center), CINAHL (Cumulative Index to Nursing and Allied Health Literature), WOS (Web of Science), PubMed, The Cochrane Library, UpToDate, DynaMed, NGC (National Guideline Clearinghouse), Airiti Library, and National Digital Library of Theses and Dissertations in Taiwan, to identify relevant articles that were published from 2003 to January 2017. Nine qualified articles were included in the analysis from the 30 articles that were selected using an initial keyword search. The Oxford Centre for Evidence-based Medicine 2011 Levels of Evidence was used as the evidence grade and the CASP (Critical Appraisal Skills Program) was used to evaluate the quality of the selected articles. The quantitative results were analyzed using Review Manager, Version 5.1. RESULTS: The quality of the literature was medium to high. A small to moderate dose of fluid consumed at 2 hours prior to surgery did not significantly increase gastric fluid volume during anesthesia, with a combined effect of 2.37 (95% CI [-5.12, 9.85], p = .54), and had no effect on gastric fluid PH, with a combined effect of 0.10 (95% CI [0.00, 0.20], p = .05). CONCLUSIONS / IMPLICATIONS FOR PRACTICE: The results indicate that consuming a small to moderate dose of liquid at 2 hours prior to the provision of anesthesia does not significantly increase the gastric fluid volume or gastric fluid PH of patients during anesthesia. Moreover, the positive benefits of consuming this dose of liquid include reduced risks of aspiration pneumonia, gastroesophageal reflux disease, and postoperative complications as well as reduced perceptions of thirst and hunger during the immediate preoperative period. Thus, this analysis supports that the advantages of allowing patients to consume a moderate or smaller dose of liquid prior to surgery outweigh the disadvantages.
[Mh] Termos MeSH primário: Ingestão de Líquidos
Cuidados Pré-Operatórios
[Mh] Termos MeSH secundário: Determinação da Acidez Gástrica
Seres Humanos
Pneumonia Aspirativa/prevenção & controle
Complicações Pós-Operatórias/prevenção & controle
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; REVIEW
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171107
[Lr] Data última revisão:
171107
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:170802
[St] Status:MEDLINE


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[PMID]:28716980
[Au] Autor:Palli C; Fandler S; Doppelhofer K; Niederkorn K; Enzinger C; Vetta C; Trampusch E; Schmidt R; Fazekas F; Gattringer T
[Ad] Endereço:From the Department of Neurology, Medical University of Graz, Austria.
[Ti] Título:Early Dysphagia Screening by Trained Nurses Reduces Pneumonia Rate in Stroke Patients: A Clinical Intervention Study.
[So] Source:Stroke;48(9):2583-2585, 2017 Sep.
[Is] ISSN:1524-4628
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND AND PURPOSE: Dysphagia is a common stroke symptom and leads to serious complications such as aspiration and pneumonia. Early dysphagia screening can reduce these complications. In many hospitals, dysphagia screening is performed by speech-language therapists who are often not available on weekends/holidays, which results in delayed dysphagia assessment. METHODS: We trained the nurses of our neurological department to perform formal dysphagia screening in every acute stroke patient by using the Gugging Swallowing Screen. The impact of a 24/7 dysphagia screening (intervention) over swallowing assessment by speech-language therapists during regular working hours only was compared in two 5-month periods with time to dysphagia screening, pneumonia rate, and length of hospitalization as outcome variables. RESULTS: Overall, 384 patients (mean age, 72.3±13.7 years; median National Institutes of Health Stroke Scale score of 3) were included in the study. Both groups (pre-intervention, n=198 versus post-intervention, n=186) were comparable regarding age, sex, and stroke severity. Time to dysphagia screening was significantly reduced in the intervention group (median, 7 hours; range, 1-69 hours) compared with the control group (median, 20 hours; range, 1-183; =0.001). Patients in the intervention group had a lower rate of pneumonia (3.8% versus 11.6%; =0.004) and also a reduced length of hospital stay (median, 8 days; range, 2-40 versus median, 9 days; range, 1-61 days; =0.033). CONCLUSIONS: 24/7 dysphagia screening can be effectively performed by nurses and leads to reduced pneumonia rates. Therefore, empowering nurses to do a formal bedside screening for swallowing dysfunction in stroke patients timely after admission is warranted whenever speech-language therapists are not available.
[Mh] Termos MeSH primário: Transtornos de Deglutição/diagnóstico
Pneumonia Aspirativa/epidemiologia
Acidente Vascular Cerebral/enfermagem
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Feminino
Seres Humanos
Tempo de Internação
Masculino
Programas de Rastreamento
Meia-Idade
Avaliação em Enfermagem
Pneumonia/epidemiologia
Índice de Gravidade de Doença
Acidente Vascular Cerebral/epidemiologia
Fatores de Tempo
[Pt] Tipo de publicação:CLINICAL STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170927
[Lr] Data última revisão:
170927
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170719
[St] Status:MEDLINE
[do] DOI:10.1161/STROKEAHA.117.018157


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[PMID]:28594680
[Au] Autor:Lascarrou JB; Lissonde F; Le Thuaut A; Bachoumas K; Colin G; Henry Lagarrigue M; Vinatier I; Fiancette M; Lacherade JC; Yehia A; Joret A; Lebert C; Bourdon S; Martin Lefèvre L; Reignier J
[Ad] Endereço:1Medical Intensive Care Unit, CHU Nantes, Nantes, France.2Medical Intensive Care Unit, Hopital de la Croix-Rousse, Hospices Civils de Lyon, Lyon, France.3Délégation à la Recherche Clinique et à l'Innovation, CHU Hôtel Dieu, Nantes, France.4Clinical Research Unit, District Hospital Center, La Roche-sur-Yon, France.5Medical Intensive Care Unit, CHU Gabriel-Montpied, Clermond-Ferrand, France.6Medical-Surgical Intensive Care Unit, District Hospital Center, La Roche-sur-Yon, France.7Medical Intensive Care Unit, University Hospital Center, Caen, France.8Bacteriological Laboratory, District Hospital Center, La Roche-sur-Yon, France.
[Ti] Título:Antibiotic Therapy in Comatose Mechanically Ventilated Patients Following Aspiration: Differentiating Pneumonia From Pneumonitis.
[So] Source:Crit Care Med;45(8):1268-1275, 2017 Aug.
[Is] ISSN:1530-0293
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To determine the proportion of patients with documented bacterial aspiration pneumonia among comatose ICU patients with symptoms suggesting either bacterial aspiration pneumonia or non-bacterial aspiration pneumonitis. DESIGN: Prospective observational study. SETTING: University-affiliated 30-bed ICU. PATIENTS: Prospective cohort of 250 patients admitted to the ICU with coma (Glasgow Coma Scale score ≤ 8) and treated with invasive mechanical ventilation. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: The primary outcome was the proportion of patients with microbiologically documented bacterial aspiration pneumonia. Patients meeting predefined criteria for aspiration syndrome routinely underwent telescopic plugged catheter sampling during bronchoscopy before starting probabilistic antibiotic treatment. When cultures were negative, the antibiotic treatment was stopped. Of 250 included patients, 98 (39.2%) had aspiration syndrome, including 92 before mechanical ventilation discontinuation. Telescopic plugged catheter in these 92 patients showed bacterial aspiration pneumonia in 43 patients (46.7%). Among the remaining 49 patients, 16 continued to receive antibiotics, usually for infections other than pneumonia; of the 33 patients whose antibiotics were discontinued, only two subsequently showed signs of lung infection. In the six patients with aspiration syndrome after mechanical ventilation, and therefore without telescopic plugged catheter, antibiotic treatment was continued for 7 days. Mechanical ventilation duration, ICU length of stay, and mortality did not differ between the 43 patients with bacterial aspiration pneumonia and the 49 patients with non-bacterial aspiration pneumonitis. The 152 patients without aspiration syndrome did not receive antibiotics. CONCLUSIONS: Among comatose patients receiving mechanical ventilation, those without clinical, laboratory, or radiologic evidence of bacterial aspiration pneumonia did not require antibiotics. In those with suspected bacterial aspiration pneumonia, stopping empirical antibiotic therapy when routine telescopic plugged catheter sampling recovered no microorganisms was nearly always effective. This strategy may be a valid alternative to routine full-course antibiotic therapy. Only half the patients with suspected bacterial aspiration pneumonia had this diagnosis confirmed by telescopic plugged catheter sampling.
[Mh] Termos MeSH primário: Antibacterianos/uso terapêutico
Coma/terapia
Infecção Hospitalar/tratamento farmacológico
Pneumonia Aspirativa/tratamento farmacológico
Pneumonia Aspirativa/epidemiologia
Respiração Artificial/efeitos adversos
[Mh] Termos MeSH secundário: Adulto
Idoso
Antibacterianos/administração & dosagem
Diagnóstico Diferencial
Uso de Medicamentos
Feminino
Escala de Coma de Glasgow
Hospitais Universitários/estatística & dados numéricos
Seres Humanos
Unidades de Terapia Intensiva
Tempo de Internação
Masculino
Meia-Idade
Pneumonia Aspirativa/diagnóstico
Pneumonia Aspirativa/etiologia
Estudos Prospectivos
Fatores de Risco
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Nm] Nome de substância:
0 (Anti-Bacterial Agents)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170816
[Lr] Data última revisão:
170816
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170609
[St] Status:MEDLINE
[do] DOI:10.1097/CCM.0000000000002525


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Libério, Silvana Amado
Lopes, Fernanda Ferreira
Texto completo SciELO Brasil
[PMID]:28591237
[Au] Autor:Souza LCD; Mota VBRD; Carvalho AVDSZ; Corrêa RDGCF; Libério SA; Lopes FF
[Ad] Endereço:Universidade Federal do Maranhão - UFMA, Postgraduate Dentistry Program, São Luís, Maranhão, Brazil.
[Ti] Título:Association between pathogens from tracheal aspirate and oral biofilm of patients on mechanical ventilation.
[So] Source:Braz Oral Res;31:e38, 2017 Jun 05.
[Is] ISSN:1807-3107
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:The aim of this study was to detect possible associations between respiratory pathogens from tracheal aspirate and oral biofilm samples in intubated patients in an intensive care unit (ICU), and to identify the most common respiratory pathogens in oral biofilm, particularly in patients that developed ventilator-associated pneumonia (VAP). Two oral biofilm samples were collected from the tongue of intubated patients (at admission and after 48 hours) and analyzed by culture with the Antibiotic Sensitivity Test. The results from the tongue biofilm samples were compared with the tracheal secretions samples. A total of 59.37% of patients exhibited the same species of pathogens in their tracheal aspirate and oral biofilm, of which 8 (42.1%) developed VAP, 10 (52.63%) did not develop pneumonia and one (5.26%) had aspiration pneumonia. There was a statistically significant association between presence of microorganisms in the tracheal and mouth samples for the following pathogens: Klebsiella pneumoniae, Candida albicans, Pseudomonas aeruginosa, Enterobacter gergoviae, Streptococcus spp and Serratia marcescens (p < 0.05). Pathogens that are present in tracheal aspirates of intubated patients can be detected in their oral cavity, especially in those who developed VAP or aspiration pneumonia. Thus, the results indicate that an improved oral care in these patients could decrease ICU pneumonia rates.
[Mh] Termos MeSH primário: Bactérias/isolamento & purificação
Biofilmes
Boca/microbiologia
Pneumonia Associada à Ventilação Mecânica/microbiologia
Traqueia/microbiologia
Ventiladores Mecânicos/microbiologia
[Mh] Termos MeSH secundário: Candida albicans/isolamento & purificação
Placa Dentária/microbiologia
Contaminação de Equipamentos
Feminino
Seres Humanos
Unidades de Terapia Intensiva
Intubação Intratraqueal/efeitos adversos
Estudos Longitudinais
Masculino
Testes de Sensibilidade Microbiana
Meia-Idade
Pneumonia Aspirativa/microbiologia
Respiração Artificial/efeitos adversos
Fatores de Tempo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170628
[Lr] Data última revisão:
170628
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:170608
[St] Status:MEDLINE


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[PMID]:28529053
[Au] Autor:Shtaya A; Dabbous B; Fanou E; Bridges L; Hettige S
[Ad] Endereço:Academic Neurosurgery Unit, St George's, University of London, London; Department of Neurosurgery, Atkinson Morley Wing, St George's University Hospital, London, United Kingdom. Electronic address: ashtaya@sgul.ac.uk.
[Ti] Título:Unusual Intraparenchymal Pontomedullary Epidermoid Cyst in a 2-Year-Old Child: A Case Report and Review of the Literature.
[So] Source:World Neurosurg;104:1046.e15-1046.e20, 2017 Aug.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Intrinsic brainstem epidermoid cysts are rare, benign, slow-growing lesions. Their eloquence precludes complete excision; however, subtotal resection often will result in prolonged or sometimes permanent relief of presenting symptoms and signs. We describe an unusual case and review the literature of this pathology in the pediatric population. CASE DESCRIPTION: We report an intra-axial pontine epidermoid cyst in a 2-year-old girl who presented with developmental delay, multiple cranial nerve palsies, and pneumonia. Magnetic resonance imaging demonstrated an intrinsic pontine lesion with partial restricted diffusion and an enhancing plaque, the latter not typically seen in congenital lesions like epidermoid. However, gross surgical inspection and histopathology confirmed an epidermoid. CONCLUSIONS: Our case, supported by the literature, shows that brain stem epidermoid cysts may have atypical radiologic characteristics and that near-total resection remains safe and can improve outcome.
[Mh] Termos MeSH primário: Encefalopatias/cirurgia
Cisto Epidérmico/cirurgia
Bulbo/cirurgia
Ponte/cirurgia
[Mh] Termos MeSH secundário: Encefalopatias/complicações
Encefalopatias/diagnóstico por imagem
Pré-Escolar
Doenças dos Nervos Cranianos/etiologia
Deficiências do Desenvolvimento/complicações
Cisto Epidérmico/complicações
Cisto Epidérmico/diagnóstico por imagem
Feminino
Seres Humanos
Imagem por Ressonância Magnética
Bulbo/diagnóstico por imagem
Pneumonia Aspirativa/complicações
Ponte/diagnóstico por imagem
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170925
[Lr] Data última revisão:
170925
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170523
[St] Status:MEDLINE


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[PMID]:28483848
[Au] Autor:Zaheen A; Stanbrook MB
[Ad] Endereço:Department of Medicine (Zaheen), University of Toronto; Division of Respirology (Stanbrook), Toronto Western Hospital, Toronto, Ont.
[Ti] Título:Accidental barium bronchography.
[So] Source:CMAJ;189(18):E670, 2017 05 08.
[Is] ISSN:1488-2329
[Cp] País de publicação:Canada
[La] Idioma:eng
[Mh] Termos MeSH primário: Sulfato de Bário/efeitos adversos
Broncografia/efeitos adversos
Pneumonia Aspirativa/etiologia
[Mh] Termos MeSH secundário: Carcinoma de Células Escamosas
Seres Humanos
Masculino
Meia-Idade
Pneumonia Aspirativa/diagnóstico por imagem
Neoplasias Tonsilares
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
25BB7EKE2E (Barium Sulfate)
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171109
[Lr] Data última revisão:
171109
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170510
[St] Status:MEDLINE
[do] DOI:10.1503/cmaj.160969



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