RESUMEN
Telemedicine, or the use of electronic communication technology to improve patient health, is becoming more widely adopted as a means of bringing together patients, providers and family members to facilitate evaluation, monitoring, diagnosis and treatment. A particularly vulnerable group consists of children with dependence on technology, such as chronic mechanical ventilation. This chapter will provide an overview of how telehealth technology is currently being used, for supporting this patient population through 1) inpatient support 2) integration with the medical home 3) bridging care transitions 4) remote patient management and 5) multispecialty consultations. We will also discuss the impact on quality and cost, the current research environment and practical points for implementation into clinical practice.
Asunto(s)
Respiración Artificial/métodos , Síndrome de Dificultad Respiratoria del Recién Nacido/terapia , Telemedicina/métodos , Humanos , Lactante , Monitoreo Ambulatorio/métodos , Calidad de la Atención de Salud , Consulta Remota/métodos , Síndrome de Dificultad Respiratoria del Recién Nacido/enfermería , Mecánica RespiratoriaRESUMEN
We report the use of 16S ribosomal RNA gene amplification and sequencing to diagnose culture-negative intracerebral abscesses in younger patients. These 3 cases demonstrate the optimal application of gene sequencing from direct specimens for patients with negative culture results compromised by antibacterial therapy but histories highly suggestive of acute bacterial infection.