scholarly journals Reducing Unnecessary Postoperative Complete Blood Count Testing in the Pediatric Intensive Care Unit

2016 ◽  
Author(s):  
Maya Dewan
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Blood Count ◽  
Complete Blood Count ◽  
Pediatric Intensive Care

scholarly journals Primary immunodeficiency investigation in patients during and after hospitalization in a pediatric Intensive Care Unit

2014 ◽  
Vol 32 (1) ◽  
pp. 32-36 ◽  
Author(s):  
Erica Suavinho ◽  
Ana Carolina R. de Napolis ◽  
Gesmar Rodrigues S. Segundo
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Retrospective Study ◽  
Pediatric Intensive Care Unit ◽  
Blood Count ◽  
Pediatric Intensive Care ◽  
Final Diagnosis ◽  
Cyclic Neutropenia ◽  
Initial Investigation ◽  
Severe Infections

Objective: To analyze whether the patients with severe infections, admitted in the Pediatric Intensive Care Unit of the Hospital de Clínicas of the Universidade Federal de Uberlândia, underwent the active screening for primary immunodeficiencies (PID). Methods: Retrospective study that assessed the data records of patients with any severe infections admitted in the Pediatric Intensive Care Unit, covering a period from January 2011 to January 2012, in order to confirm if they performed an initial investigation for PID with blood count and immunoglobulin dosage. Results: In the studied period, 53 children were hospitalized with severe infections in the Pediatric Intensive Care Unit, and only in seven (13.2%) the initial investigation of PID was performed. Among these patients, 3/7 (42.8%) showed quantitative alterations in immunoglobulin G (IgG) levels, 1/7 (14.3%) had the diagnosis of cyclic neutropenia, and 1/7 (14.3%) presented thrombocytopenia and a final diagnosis of Wiskott-Aldrich syndrome. Therefore, the PID diagnosis was confirmed in 5/7 (71.4%) of the patients. Conclusions: The investigation of PID in patients with severe infections has not been routinely performed in the Pediatric Intensive Care Unit. Our findings suggest the necessity of performing PID investigation in this group of patients.

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