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1.
Cureus ; 12(11): e11326, 2020 Nov 04.
Artículo en Inglés | MEDLINE | ID: mdl-33282599

RESUMEN

Coronavirus disease 2019 (COVID-19) in humans is a novel disease that can affect every organ of the body, with life-threatening consequences. Microvascular lesions and thrombosis have been previously reported in the lung, kidney, and brain. We report a case of combined intestinal lesions and Guillain-Barrè Syndrome in a patient suffering from COVID-19 in the absence of clear laboratory predictors of upcoming complications. The patient survived the severe respiratory syndrome but died after virus-related systemic organ failure.

2.
Assist Inferm Ric ; 34(3): 125-33, 2015.
Artículo en Italiano | MEDLINE | ID: mdl-26488928

RESUMEN

INTRODUCTION: The incidence of catheter related Bloodstream infections (BSI) is high in intensive care units (ICU). AIM: To evaluate the BSI rate in a population of patients admitted to a General ICU before and after the implementation of the 2011 CDC guidelines. METHODS: Retrospective observational study on patients admitted from January 2009 to December 2013. The infusion and monitoring lines were changed every 96 hours for the first 30 months, and every 7 days for the next 30. In all patients a closed infusion line with needle-free connectors pressure was used (Microclave). The following catheters were considered in the study: central venous catheter (CVC), arterial cannula (ART) and Swan Ganz catheter (SG). RESULTS: During the period with change every 96 hours 15 BSI were observed over 13395 catheters/days (C/D), 1.12 per 1000 C/D, while when lines where changed every 7 days 11 BSI were observed over 13120 C/D, 0.83 per 1000 C/D. A statistically significant reduction of BSI was observed in SG catheters (4.17 vs. no BSI p = 0.02), while the CVCS (1.12 vs 1.45 - p = 0.37) and ART (0.35 vs 0.36 - p = 0.61) infection rates remained unchanged. CONCLUSIONS: The replacement of infusion lines every 7 days in our sample did not increase the BSI, helping to reduce the costs.


Asunto(s)
Bacteriemia/enfermería , Infecciones Relacionadas con Catéteres/enfermería , Cateterismo Periférico/enfermería , Cateterismo de Swan-Ganz/enfermería , Catéteres Venosos Centrales , Estudios Controlados Antes y Después , Unidades de Cuidados Intensivos , Adulto , Anciano , Anciano de 80 o más Años , Bacteriemia/economía , Bacteriemia/epidemiología , Bacteriemia/microbiología , Infecciones Relacionadas con Catéteres/economía , Infecciones Relacionadas con Catéteres/epidemiología , Infecciones Relacionadas con Catéteres/etiología , Cateterismo Periférico/efectos adversos , Cateterismo Periférico/economía , Cateterismo Periférico/instrumentación , Cateterismo de Swan-Ganz/efectos adversos , Cateterismo de Swan-Ganz/economía , Cateterismo de Swan-Ganz/instrumentación , Catéteres Venosos Centrales/efectos adversos , Catéteres Venosos Centrales/economía , Guías como Asunto , Humanos , Incidencia , Italia/epidemiología , Persona de Mediana Edad , Estudios Retrospectivos
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