scholarly journals Bloodstream infections in febrile neutropenic patients at a tertiary care center in Lebanon: a view of the past decade

2007 ◽  
Vol 11 (5) ◽  
pp. 450-453 ◽  
Author(s):  
Zeina A. Kanafani ◽  
Ghenwa K. Dakdouki ◽  
Khalil I. El-Chammas ◽  
Shaker Eid ◽  
George F. Araj ◽  
...  
Keyword(s):  
Care Center ◽  
Tertiary Care ◽  
Bloodstream Infections ◽  
Tertiary Care Center ◽  
The Past ◽  
Neutropenic Patients

scholarly journals 409. Changing Epidemiology of Fungal Bloodstream Infections in a Tertiary Care Center in India

2018 ◽  
Vol 5 (suppl_1) ◽  
pp. S156-S157
Author(s):  
Vidya Menon ◽  
Binny P P ◽  
Fabia E T ◽  
Sanjeev Singh ◽  
Keith S Kaye ◽  
...  
Keyword(s):  
Care Center ◽  
Tertiary Care ◽  
Bloodstream Infections ◽  
Tertiary Care Center

scholarly journals Cardiac Health Awareness Among Women Presenting for Routine Health Checkup at Tertiary Care Center: Time Trends Over 15 Years

2019 ◽  
Vol 04 (02) ◽  
pp. 079-084
Author(s):  
Shibba Takkar Chhabra ◽  
Gurleen Kaur ◽  
Samir Kapoor ◽  
Gagandeep Nagi ◽  
Devanshi Kajal ◽  
...  
Keyword(s):  
Care Center ◽  
Tertiary Care ◽  
Treatment Modalities ◽  
Age Group ◽  
Tertiary Care Center ◽  
Health Awareness ◽  
Health Checkup ◽  
Cardiac Health ◽  
Presenting Symptoms ◽  
The Past

Abstract Background Women have been thought to be protected against the perils of cardiovascular disease (CVD) till late in their lives. But the literature suggests quite the opposite with CVD being a major cause of death even in young women. In contrast, the lack of awareness among women is disheartening and needs to be addressed radically. Methods The study was designed and conducted as retrospective cohort at a tertiary care center. Data was collected from patients presenting for routine cardiac health checkup over the past 15 years. The parameters observed included age at presenting, symptoms and/or signs, plus area of residence or domicile. Results A total of 32,831 patients presented for routine cardiac health checkup, of which 9,211 (28.1%) patients were women and 23,620 (71.9%) were men. On 5 yearly cumulative assessment, the mean attendance of women was 28.1 ± 2.5% as compared with 71.9 ± 2.6% men. Trend observed over the past 15 years revealed little change in the number of women versus men presenting for cardiac health checkup annually. Statistical significance was seen at p < 0.01. Among the women presenting for the checkup, it was observed that most women were in the postmenopausal age group (42.8%), followed by perimenopausal age group (34.6%), and least in premenopausal age group (22.5%) during the timeline of the study. A similar trend was observed in the male attendance; the input of males being higher at all instances. Noteworthy were trends of urban women (69.6%) presenting for health checkup more often as compared with 30.4% visiting from rural residence. Conclusions Coronary artery disease (CAD) is not uncommon in female gender. It is accompanied by varying symptom presentation with high mortality. It is seen that cardiac health awareness is significantly lacking among women as compared with men. There are almost static trends observed over the past 15 years, especially in premenopausal age group and rural domicile. Corrective actions inclining toward campaigns and communication to distribute information on cardiac disease prevention and treatment modalities among women are needed to curb CAD. This may promote early detection of CAD leading to early interventions to promote a healthy heart among women. Recommendations and necessary actions steps for a woman oriented cardiac program are the need of the hour.

scholarly journals The Impact of COVID-19 Response on Central Line Associated Bloodstream Infections and Blood Culture Contamination Rates at a Tertiary Care Center in Greater Detroit Area

2020 ◽  
pp. 1-15
Author(s):  
Jennifer LeRose ◽  
Avnish Sandhu ◽  
Jordan Polistico ◽  
Joe Ellsworth ◽  
Mara Cranis ◽  
...  
Keyword(s):  
Blood Culture ◽  
Care Center ◽  
Tertiary Care ◽  
Bloodstream Infections ◽  
Blood Stream ◽  
Central Line ◽  
Tertiary Care Center ◽  
Blood Stream Infections ◽  
Detroit Area ◽  
The Impact

Abstract A comparative retrospective study to quantify the impact of Coronavirus Disease 2019 (COVID-19) on patient safety. We found a statistically significant increase in central line-associated blood stream infections and blood culture contamination rates during the pandemic. Increased length of stay and mortality was also observed during COVID-19.

Insertion site inflammation was associated with central-line–associated bloodstream infections at a tertiary-care center, 2015–2018

2020 ◽  
pp. 1-3
Author(s):  
Takaaki Kobayashi ◽  
Gosia S. Clore ◽  
Mary E. Kukla ◽  
Mohammed Alzunitan ◽  
Jeffrey Kritzman ◽  
...  
Keyword(s):  
Care Center ◽  
Tertiary Care ◽  
Insertion Site ◽  
Bloodstream Infections ◽  
Central Line ◽  
Tertiary Care Center ◽  
Central Line Insertion ◽  
Line Insertion ◽  
Automated Surveillance ◽  
Site Evaluation

Abstract There are currently no guidelines for central-line insertion site evaluation. Our study revealed an association between insertion site inflammation (ISI) and the development of central-line–associated bloodstream infections (CLABSIs). Automated surveillance for ISI is feasible and could help prevent CLABSI.

scholarly journals Trends of Multidrug-Resistant Pathogens, Difficult to Treat Bloodstream Infections, and Antimicrobial Consumption at a Tertiary Care Center in Lebanon from 2015–2020: COVID-19 Aftermath

Antibiotics ◽  
2021 ◽  
Vol 10 (8) ◽  
pp. 1016
Author(s):  
Amanda Chamieh ◽  
Rita Zgheib ◽  
Sabah El-Sawalhi ◽  
Laure Yammine ◽  
Gerard El-Hajj ◽  
...  
Keyword(s):  
Medical Center ◽  
Care Center ◽  
Tertiary Care ◽  
Bloodstream Infections ◽  
Multidrug Resistant ◽  
Infection Prevention And Control ◽  
P Value ◽  
Tertiary Care Center ◽  
Antimicrobial Consumption ◽  
Dynamic Collaboration

Introduction: We studied the trend of antimicrobial resistance and consumption at Saint George Hospital University Medical Center (SGHUMC), a tertiary care center in Beirut, Lebanon, with a focus on the SARS-CoV-2 pandemic. Materials and Methods: We calculated the isolation density/1000 patient-days (PD) of the most isolated organisms from 1 January 2015–31 December 2020 that included: E. coli (Eco), K. pneumoniae (Kp), P. aeruginosa (Pae), A. baumannii (Ab), S. aureus (Sau), and E. faecium (Efm). We considered March–December 2020 a surrogate of COVID-19. We considered one culture/patient for each antimicrobial susceptibility and excluded Staphylococcus epidermidis, Staphylococcus coagulase-negative, and Corynebacterium species. We analyzed the trends of the overall isolates, the antimicrobial susceptibilities of blood isolates (BSI), difficult-to-treat (DTR) BSI, carbapenem-resistant Enterobacteriaceae (CRE) BSI, and restricted antimicrobial consumption as daily-defined-dose/1000 PD. DTR implies resistance to carbapenems, beta-lactams, fluoroquinolones, and additional antimicrobials where applicable. Results and Discussion: After applying exclusion criteria, we analyzed 1614 blood cultures out of 8314 cultures. We isolated 85 species, most commonly Eco, at 52%. The isolation density of total BSI in 2020 decreased by 16%: 82 patients were spared from bacteremia, with 13 being DTR. The isolation density of CRE BSI/1000 PD decreased by 64% from 2019 to 2020, while VREfm BSI decreased by 34%. There was a significant decrease of 80% in Ab isolates (p-value < 0.0001). During COVID-19, restricted antimicrobial consumption decreased to 175 DDD/1000 PD (p-value < 0.0001). Total carbapenem consumption persistently decreased by 71.2% from 108DDD/1000 PD in 2015–2019 to 31 DDD/1000 PD in 2020. At SGHUMC, existing epidemics were not worsened by the pandemic. We attribute this to our unique and dynamic collaboration of antimicrobial stewardship, infection prevention and control, and infectious disease consultation.

scholarly journals Clinical Profile of Non-neutropenic Patients with Invasive Candidiasis: A Retrospective Study in a Tertiary Care Center

2021 ◽  
Vol 25 (3) ◽  
pp. 267-272
Author(s):  
Suresh Kumar ◽  
Ram Gopalakrishnan ◽  
V Ramasubramanian ◽  
Nandini Sethuraman ◽  
Sowmya Sridharan ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Invasive Candidiasis ◽  
Care Center ◽  
Tertiary Care ◽  
Clinical Profile ◽  
Tertiary Care Center ◽  
Neutropenic Patients

Sellar Metastases. Case Series of Patients Presenting to a Tertiary Care Center in the past Two Decades.

2010 ◽  
pp. P1-280-P1-280
Author(s):  
GS Bleumink ◽  
MW Schoofs ◽  
HL Tanghe ◽  
AJ van der Lelij ◽  
WW de Herder ◽  
...  
Keyword(s):  
Care Center ◽  
Tertiary Care ◽  
Case Series ◽  
Tertiary Care Center ◽  
The Past

scholarly journals Towards a benchmark of abdominal CT use during duty shifts: 15-year sample from the Netherlands

2020 ◽  
Author(s):  
Iliana V. Mengou ◽  
Derya Yakar ◽  
Ömer Kasalak ◽  
Thomas C. Kwee
Keyword(s):  
Hospital Discharge ◽  
Incidental Findings ◽  
Care Center ◽  
Tertiary Care ◽  
Ct Scans ◽  
Tertiary Care Center ◽  
Day Hospital ◽  
Abdominal Ct ◽  
The Past ◽  
Over Time

Abstract Purpose To investigate temporal changes in the utilization and patient impact of abdominal CT during duty shifts in the past 15 years. Methods This study included a random sample of 1761 abdominal CT scans that were made during evening and night duty shifts in a tertiary care center between 2005 and 2019. Results The number of CT scans significantly increased (almost threefold) between 2005 and 2019 (Mann–Kendall tau of 0.829, P < 0.001). The proportion of negative CT scans (i.e., the absence of findings related to the reason that the CT scan was made and no disease deterioration or other new and clinically relevant findings compared to a previous imaging examination when available) was 40.0% (700/1749) in the entire 15-year study frame and did not significantly change over time (Mann–Kendall tau of − 0.219, P = 0.276). The overall frequency of same-day hospital discharge after negative CT was 20.6% (150/729) in the past 15 years and showed a significant increase over time (Mann–Kendall tau of 0.505, P = 0.010). The overall proportion of CT scans with incidental findings was 3.4% (60/1761) and remained statistically stable over the past 15 years (Mann–Kendall tau of − 0.057, P = 0.804). Conclusion Over the past 15 years, the number of CT scans and the frequency of same-day hospital discharge after negative CT have increased, while the proportions of negative CT scans and incidental findings have remained stable in our tertiary care center. The data from this study can be used for interinstitutional benchmarking to define, monitor, and improve the appropriateness of imaging utilization.

THE MUCORMYCOSIS MALADY: OUR EXPERIENCE

2021 ◽  
pp. 50-52
Author(s):  
Vikram Singh Yadav ◽  
Anju Kochar
Keyword(s):  
Care Center ◽  
Tertiary Care ◽  
Tertiary Care Center ◽  
Contributing Factors ◽  
North West ◽  
The Past ◽  
Main Complaint ◽  
Ocular Symptoms ◽  
Present Trend ◽  
Second Wave

OBJECTIVES- This survey aims to nd out various factors that contribute to the occurrence of orbital mucormycosis in patients admitted in tertiary care center in North West Rajasthan during second wave of Covid-19 pandemic. METHODS AND MATERIALS- The data was collected over a period of 2 months with the means of a questionnaire that was lled by the researcher.RESULTSSample size was 106 patients. Out of them, 22% of patients presented to the hospital with ocular symptoms as their main complaint. 77% of them were tested positive for Covid-19 virus in the past. 65% patients told that they had taken systemic steroids during their treatment for Covid-19 infection. 82% of the patients were diabetic. The present trend of CONCLUSION- rise in cases of mucormycosis is of grave concern for the medical fraternity. Hence, the knowledge of contributing factors in mucormycosis will help in further modifying the existing treatment of the disease

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