[Impact of clinical practice guidelines on the incidence of bloodstream infections related to peripherally inserted central venous catheter in preterm infants].

In our neonatal intensive care unit, the incidence density of infections related to central catheters, assessed retrospectively over 2 years, exceeded that described in the literature. To reduce this incidence density, clinical practice guidelines were implemented for the insertion and maintenance of central lines. The purpose of this study was to evaluate the impact of the protocol on the incidence density and the incidence rate of nosocomial bloodborne infections.

[Streptococcus pneumoniae-induced hemolytic uremic syndrome: a serotype-3-associated case].

Hemolytic uremic syndrome (HUS) is the primary cause of acute renal failure in children younger than 3 years of age. It usually occurs after a diarrheal illness due to Shiga-toxin-producing Escherichia coli. Streptococcus pneumoniae (SP)-induced HUS remains rare, involving 5% of all cases of HUS in children, but its frequency has increased over the last decade.

[Mortality, morbidity and short-term neurologic outcome of premature infants less than or equal to 32 weeks gestational age in Fort-de-France CHR].

Unlabelled: The mortality and neurodevelopmental outcome of premature infants born between 25 and 33 weeks of gestational age in Fort-de-France (Martinique, French West Indies) is reported.

Population: The preterm cohort included 214 infants born during the years 1992 to 1995.

Results: The mortality rate during the hospitalization was 20%, but was only 14% when the birth weight was more than 1,000 g.

[Hydrops fetalis and G-6-PD deficiency].

Background: Antenatal manifestation of glucose-6-phosphate dehydrogenase deficiency is uncommon.

Case Report: A male was born by caesarian section at 34 weeks of GA for hydrops fetalis (HF). Fetal ultrasonography showed hydrops fetalis for the first time at 24 weeks of GA.

[Brachial plexus neuropathy following pyogenic cervical adenophlegmon].

Background: Brachial plexopathy is rare in children; it may follow a non-specific respiratory infection or occur after a specific viral disease or immunization.

Case Report: An 8 year-old girl was admitted suffering from presuppurative acute cervical adenitis. She was given penicillin V, netilmicin and corticosteroids.

[Development of the mortality in premature infants from 32 weeks gestation and below in Fort-de-France].

The mortality rate of prematures of gestational age less than or equal to 32 weeks during hospitalization in the neonatal intensive care unit of the University Hospital in Fort-de-France (Martinique, French Caribbeans) decreased from 69% in 1980 to 32% in 1987-1988 and to 20% in 1989. The mortality of small for gestational age children during the cumulated years 1987-1988-1989 was twice that of babies with normal birth weight. The various factors responsible for these facts were reviewed: caesarean section rates increased from 15% in 1980 to 42% in 1989, percentage of children submitted to assisted ventilation increased from 35% in 1980 to 78% in 1989 and mortality rate related to hyaline membrane disease decreased from 100% in 1980 to 33% in 1989.