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[PMID]:29287885
[Au] Autor:Sheehan CC; Lopez J; Elmaraghy CA
[Ad] Endereço:The Ohio State University College of Medicine, Columbus, OH, United States.
[Ti] Título:Low rate of positive bronchoscopy for suspected foreign body aspiration in infants.
[So] Source:Int J Pediatr Otorhinolaryngol;104:72-75, 2018 Jan.
[Is] ISSN:1872-8464
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To describe our institution's low rate of positive bronchoscopy in infants suspected of inhaling a foreign body. STUDY DESIGN: Retrospective chart review. METHODS: A retrospective review was performed of patients at a tertiary children's hospital with suspected inhalation of a foreign body. Charts were reviewed for demographic information, radiologic findings, operative reports, and respiratory viral panels were reviewed. RESULTS: Sixteen pediatric patients under 12 months of age were identified from 2008 to 2016 with a diagnosis of possible airway foreign body inhalation who underwent emergent bronchoscopy. Of these patients, only one was positive for a foreign body present in the airway. The remaining 15 children were found to have a negative direct laryngoscopy and bronchoscopy evaluation for a foreign body. Of these fifteen patients, 14 were found to have structural airway abnormalities and 7 tested positive for a respiratory viral infection. CONCLUSIONS: Our institution has a low rate of positive bronchoscopy for highly suspected foreign body inhalation in a group of patients less than 12 months of age. Patients presenting with respiratory distress, stridor, or other airway symptoms were often found to have an underlying airway abnormality or viral infection, which coupled with an unclear history, would increase the suspicion for an airway foreign body and subsequent decision to perform bronchoscopy. In stable patients, diagnostic evaluation for an underlying respiratory infection should be performed in these cases. LEVEL OF EVIDENCE: Case Series.
[Mh] Termos MeSH primário: Broncoscopia/estatística & dados numéricos
Corpos Estranhos/diagnóstico
Sistema Respiratório/lesões
[Mh] Termos MeSH secundário: Feminino
Corpos Estranhos/epidemiologia
Hospitais Pediátricos
Seres Humanos
Lactente
Recém-Nascido
Laringoscopia/estatística & dados numéricos
Masculino
Estudos Retrospectivos
Centros de Atenção Terciária
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180309
[Lr] Data última revisão:
180309
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171231
[St] Status:MEDLINE


  2 / 10915 MEDLINE  
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[PMID]:29458550
[Au] Autor:Petridou E; Jensen CB; Arvanitidis A; Giannaki-Psinaki M; Michos A; Krogfelt KA; Petersen RF
[Ad] Endereço:1​Department of Clinical Microbiology, 'Aghia Sophia' Children's Hospital, Athens, Greece.
[Ti] Título:Molecular epidemiology of Bordetella pertussis in Greece, 2010-2015.
[So] Source:J Med Microbiol;67(3):400-407, 2018 Mar.
[Is] ISSN:1473-5644
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To determine the predominant strains of Bordetella pertussis in Greece during 2010-2015. METHODOLOGY: Infants and children (n=1150) (15 days to 14 years) of Greek, Roma and immigrant origin with different vaccination statuses were hospitalized in Athens, Greece with suspected pertussis infection. IS481/IS1001 real-time PCR confirmed Bordetella spp./B. pertussis infection in 300 samples. A subset of samples (n=153) were analysed by multi-locus variable number tandem repeat analysis (MLVA) and (n=25) by sequence-based typing of the toxin promotor region (ptxP) on DNA extracted from clinical specimens.Results/Key findings. A complete MLVA profile was determined in 66 out of 153 samples; the B. pertussis MLVA type 27 (n=55) was the dominant genotype and all tested samples (n=25) expressed the ptxP3 genotype. The vaccine coverage in the Greek population was 90 %; however, the study population expressed complete coverage in 2 out of 264 infants (0-11 months) and in 20 out of 36 children (1-14 years). Roma and immigrant minorities represent 7 % of the Greek population, but make up 50 % of the study population, indicating a low vaccine coverage among these groups. CONCLUSIONS: The B. pertussis MT27 and ptxP3 genotype is dominant in Greek, Roma and immigrant infants and children hospitalized in Greece. Thus, the predominant MLVA genotype in Greece is similar to other countries using acellular vaccines.
[Mh] Termos MeSH primário: Bordetella pertussis/genética
Coqueluche/epidemiologia
Coqueluche/microbiologia
[Mh] Termos MeSH secundário: Adolescente
Bordetella pertussis/isolamento & purificação
Criança
Pré-Escolar
DNA Bacteriano/genética
Feminino
Variação Genética
Genótipo
Grécia/epidemiologia
Hospitais Pediátricos
Seres Humanos
Lactente
Recém-Nascido
Masculino
Repetições Minissatélites
Epidemiologia Molecular
Tipagem de Sequências Multilocus
Reação em Cadeia da Polimerase em Tempo Real
Análise de Sequência de DNA
Coqueluche/diagnóstico
Coqueluche/etnologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (DNA, Bacterial)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180221
[St] Status:MEDLINE
[do] DOI:10.1099/jmm.0.000688


  3 / 10915 MEDLINE  
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[PMID]:29406630
[Au] Autor:Touch J; Berg JP
[Ti] Título:Parent Perspectives on Appointment Nonattendance: A Descriptive Study.
[So] Source:Pediatr Nurs;42(4):181-8, 2016 Jul-Aug.
[Is] ISSN:0097-9805
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Appointment nonattendance is a phenomenon that has been studied in a variety of settings. Increased nonattendance rates may result in lost productivity, patient and provider dissatisfaction, and difficulty recruiting staff and physicians. In addition, needed care for patients may be delayed. The purpose of this descriptive study was to examine parental perspectives regarding appointment nonattendance in pediatric specialty care clinics in order to better understand the facilitators and barriers to successful appointment attendance. An exploratory, descriptive approach was chosen for this study. Eight parents of children ages five years and younger were interviewed regarding appointment attendance in specialty care clinics, and conventional content analysis was used to identify themes. Findings suggest that multiple factors are associated with nonattendance, including child/family system and provider/healthcare system factors. Reducing wait times for specialty appointments (from time of scheduling to appointment date), coordinating multiple services, and offering convenient appointment times may be beneficial in optimizing appointment attendance.
[Mh] Termos MeSH primário: Instituições de Assistência Ambulatorial/estatística & dados numéricos
Agendamento de Consultas
Hospitais Pediátricos/estatística & dados numéricos
Pais/psicologia
Cooperação do Paciente/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Criança
Pré-Escolar
Feminino
Seres Humanos
Lactente
Recém-Nascido
Masculino
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:180207
[St] Status:MEDLINE


  4 / 10915 MEDLINE  
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[PMID]:29406629
[Au] Autor:Niederhauser V; Barnes L; Chyka D; Gaylord N; Mefford L; Miller L; Mixer SJ
[Ti] Título:Better Together: A Win-Win Pediatric Academic Partnership.
[So] Source:Pediatr Nurs;42(4):175-9, 2016 Jul-Aug.
[Is] ISSN:0097-9805
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:As healthcare facilities and academic nursing programs are challenged to be efficient and effective in light of an ever-changing healthcare system, recent literature has focused on the value of creating academic practice partnerships. Using the American Association of Colleges of Nursing (AACN) and American Organization of Nurse Executives (AONE) Academic Practice Partnership Guiding Principles, a children's hospital and state university are working collaboratively to improve evidence-based practice and research, create innovative educational opportunities for undergraduate and advanced practice students, promote academic progression that enables nurses to advance their education, improve access to health care services for underserved families, and implement initiatives that improve patient- and family-centered care. This article will describe the initiatives, processes, and outcomes of this fruitful partnership. The examples we provide using the Academic Practice Partnership Guiding Principles can be adapted in other healthcare facilities and nursing programs.
[Mh] Termos MeSH primário: Comportamento Cooperativo
Bacharelado em Enfermagem/organização & administração
Prática Clínica Baseada em Evidências/organização & administração
Hospitais Pediátricos/organização & administração
Relações Interinstitucionais
Enfermagem Pediátrica/organização & administração
Escolas de Enfermagem/organização & administração
[Mh] Termos MeSH secundário: Seres Humanos
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:180207
[St] Status:MEDLINE


  5 / 10915 MEDLINE  
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[PMID]:28453416
[Au] Autor:Thomas WS
[Ad] Endereço:a Medical Center @ Navicent Health, Macon, Georgia, USA and Mercer University School of Medicine, Skelton Medical Library , Macon , Georgia , USA.
[Ti] Título:Nurse Research Rounds: In the Spirit of Inquiry.
[So] Source:Med Ref Serv Q;36(2):179-186, 2017 Apr-Jun.
[Is] ISSN:1540-9597
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Nurses deliver a point-of-care service to patients. The nursing staff work extensive schedules and do not have time to research a clinical question to help support patient care. This article describes the implementation of the first research service that supports evidence-based practice at Georgia's second largest hospital. Inspired by a similar service at a children's hospital in 2014, the first year of nurse research rounds provides clinicians a new research service in their clinical setting.
[Mh] Termos MeSH primário: Prática Clínica Baseada em Evidências
Hospitais Pediátricos
Sistemas Automatizados de Assistência Junto ao Leito
[Mh] Termos MeSH secundário: Georgia
Seres Humanos
Recursos Humanos de Enfermagem no Hospital
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180302
[Lr] Data última revisão:
180302
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.1080/02763869.2017.1293988


  6 / 10915 MEDLINE  
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[PMID]:29424974
[Au] Autor:Fahy K; Hermann M
[Ti] Título:Case Study #6: Enterprise Information Management at Children's Health System of Texas. Updating Organizational Policies and Procedures for Information Governance.
[So] Source:J AHIMA;88(6):46-7, 2017 06.
[Is] ISSN:1060-5487
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Governança Clínica
Gestão da Informação em Saúde/organização & administração
Hospitais Pediátricos
[Mh] Termos MeSH secundário: Centros Médicos Acadêmicos
Seres Humanos
Modelos Organizacionais
Estudos de Casos Organizacionais
Política Organizacional
Texas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:180210
[St] Status:MEDLINE


  7 / 10915 MEDLINE  
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[PMID]:29419997
[Au] Autor:O'Hagan D; Meehan A
[Ti] Título:IG Case Study: Rady Children's Hospital--San Diego. Prioritizing Information Governance Initiatives Already Underway.
[So] Source:J AHIMA;88(5):52-3, 2017 05.
[Is] ISSN:1060-5487
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Gestão da Informação em Saúde/organização & administração
Hospitais Pediátricos
[Mh] Termos MeSH secundário: California
Seres Humanos
Modelos Organizacionais
Estudos de Casos Organizacionais
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:180209
[St] Status:MEDLINE


  8 / 10915 MEDLINE  
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[PMID]:29394480
[Au] Autor:McBeth CL; Durbin-Johnson B; Siegel EO
[Ti] Título:Interprofessional Huddle: One Children's Hospital's Approach to Improving Patient Flow.
[So] Source:Pediatr Nurs;43(2):71-76, 2017 Mar-Apr.
[Is] ISSN:0097-9805
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Admitting pediatric patients promptly to the appropriate unit where they can receive specialty care is of critical importance to safe, quality care. A daily morning huddle was implemented at one children's hospital as a quality improvement project. The aim of this project was to improve patient flow throughout the children's hospital by improving interprofessional and interdepartmental communication and collaboration. This article reports on changes in patient flow before and after implementation of the daily huddle, as measured by pediatric emergency department (ED) boarding times. This retrospective, descriptive study was conducted at a regional children's hospital within an academic hospital. Data were collected from the electronic medical record over two separate time periods coinciding with pre/post-huddle implementation. Non-random, purposive sampling was used, resulting in a prehuddle sample (n = 450) and post-huddle sample (n = 329). Times were significantly shorter after huddle implementation compared to pre-huddle (p < 0.001) from admission orders in the ED to transfer to the PICU or pediatric ward. The median time decreased from 3.0 to 2.6 hours post-huddle implementation. These findings suggest huddles as one potential factor in the formula to improve patient flow from the ED by enhancing interprofessional and interdepartmental collaboration and communication. Findings from this study are of vital importance to pediatric patients, nurses, and physicians. Promptly admitting patients from the ED to the appropriate unit where they can receive needed specialty care that potentially improves the quality and safety of patient care is paramount. Further research is needed to determine what format and contexts the huddle can be utilized to facilitate efficient patient flow and improve patient outcomes.
[Mh] Termos MeSH primário: Eficiência Organizacional
Enfermagem em Emergência/normas
Serviço Hospitalar de Emergência/organização & administração
Hospitais Pediátricos/organização & administração
Admissão do Paciente/normas
Enfermagem Pediátrica/normas
Melhoria de Qualidade
[Mh] Termos MeSH secundário: Adolescente
Criança
Pré-Escolar
Registros Eletrônicos de Saúde
Feminino
Seres Humanos
Lactente
Recém-Nascido
Masculino
Estudos Retrospectivos
Listas de Espera
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:180203
[St] Status:MEDLINE


  9 / 10915 MEDLINE  
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[PMID]:29297628
[Au] Autor:Baybarina EN; Baranov AA; Namazova-Baranova LS; Piskunova SG; Besedina EA; Sadovshikova AN; Yuldashev OR; Mukhortova SA; Artemova IA; Chernikov VV; Kharkin AV; Chistyakova EG; Vologdina EL; Kaputskaya TN; Kiripova RF
[Ti] Título:Pediatric Health Quality Assessment in Different Regions of Russian Federation.
[So] Source:Vestn Ross Akad Med Nauk;71(3):214-23, 2016.
[Is] ISSN:0869-6047
[Cp] País de publicação:Russia (Federation)
[La] Idioma:eng
[Ab] Resumo:Background: The quality of pediatric healthcare is a cornerstone for good maternal and infant health. Aims: To evaluate the quality of healthcare in secondary and tertiary regional pediatric hospitals in the Russian Federation. Methods: Healthcare quality assessment was performed in 21 pediatric hospitals (tertiary, n=5; secondary, n=16) of four regions. The WHO recommendations were used. Results: In all regions, similar traits of inpatient pediatric healthcare determining a poor quality were observed. These included low preparedness for emergent care at admission departments; a high rate of unjustified hospitalization due to lack of clear indications for inpatient care; a widespread polypharmacy and unnecessary painful procedures and treatment; inadequate unjustified antimicrobial and parenteral therapy. Conclusions: The revealed identity of problems in different regions of the country allows to consider a common strategy to overcome them, which, obviously, should primarily involve education of medical personnel, restructuring of hospital beds to increase day care beds, increasing the clinical expert work in hospitals.
[Mh] Termos MeSH primário: Hospitais Pediátricos/normas
[Mh] Termos MeSH secundário: Seres Humanos
Determinação de Necessidades de Cuidados de Saúde
Pediatria/organização & administração
Pediatria/normas
Garantia da Qualidade dos Cuidados de Saúde/métodos
Federação Russa
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180104
[St] Status:MEDLINE
[do] DOI:10.15690/vramn688


  10 / 10915 MEDLINE  
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[PMID]:29225047
[Au] Autor:Trnková K; Kotrbancová M; Spaleková M; Fulová M; Boledovicová J; Vesteg M
[Ad] Endereço:Department of the Environment, Faculty of Natural Sciences, Matej Bel University, Tajovského 55, 974 01 Banská Bystrica, Slovakia. Electronic address: katarina.trnkova@umb.sk.
[Ti] Título:MALDI-TOF MS analysis as a useful tool for an identification of Legionella pneumophila, a facultatively pathogenic bacterium interacting with free-living amoebae: A case study from water supply system of hospitals in Bratislava (Slovakia).
[So] Source:Exp Parasitol;184:97-102, 2018 Jan.
[Is] ISSN:1090-2449
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Legionellae, i.e. Legionella pneumophila, are human bacterial hydrophilic facultative pathogens causing pneumonia (Legionnaires' disease). Free-living amoebae (FLA) can serve as natural hosts and thus as reservoirs of many amoebae-resistant bacteria. An encysted amoeba can contribute to the resistance of intracellular L. pneumophila to various chemical and physical treatments. Humans can be infected by droplets containing bacteria from an environmental source or human-made devices such as shower heads, bathtubs, air-conditioning units or whirlpools. In this study, we were investigating the presence of FLA and L. pneumophila in plumbing systems of healthcare facilities in Bratislava (Slovakia) by standard diagnostic methods, while the presence of L. pneumophila was verified also by MALDI-TOF MS (matrix-assisted laser desorption/ionization time-of-flight mass spectrometry) analysis. The results showed the occurrence of L. pneumophila and FLA in 62.26% and 66.4% of samples taken from four paediatric clinics, respectively. Both standard methods and MALDI-TOF MS showed comparable results and they can be successfully applied for the identification of L. pneumophila strains in environmental samples. Our approach could be useful for further monitoring, prevention and decreasing risk of Legionella infection also in other hospitals.
[Mh] Termos MeSH primário: Amoeba/isolamento & purificação
Legionella pneumophila/isolamento & purificação
Espectrometria de Massas por Ionização e Dessorção a Laser Assistida por Matriz/normas
Microbiologia da Água
Abastecimento de Água/normas
[Mh] Termos MeSH secundário: Amoeba/classificação
Amoeba/crescimento & desenvolvimento
Criança
Pré-Escolar
Água Potável/microbiologia
Água Potável/parasitologia
Hospitais Pediátricos
Seres Humanos
Lactente
Recém-Nascido
Legionella pneumophila/crescimento & desenvolvimento
Eslováquia
Temperatura Ambiente
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Drinking Water)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180205
[Lr] Data última revisão:
180205
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171212
[St] Status:MEDLINE



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