Publications by authors named "D Niles"
Background: Group A Streptococcus (GAS) infections can cause a range of disease manifestations and severity, including invasive infections that can lead to death. In 2022-2023, there was an increased number of cases of invasive GAS in the United States following a decline in 2020-2022.
Methods: We investigated this surge at a 3-hospital system of children's hospitals in Southeast Texas.
We conducted a retrospective review of children tested for Mycoplasma pneumoniae from January 1, 2020 to June 30, 2024. M. pneumoniae polymerase chain reaction positivity increased starting in November 2023, peaking at 18.
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- - This study focused on analyzing the relationship between cumulative exposures of oxygen (PaO) and carbon dioxide (PaCO) in children who had a return of circulation after cardiac arrest, looking specifically at their survival rates and neurological outcomes within 24 hours post-event.
- - Data were collected from pediatric resuscitation sites and included children aged 1 day to 17 years, with a total of 292 participants. The study excluded cases with congenital cyanotic heart disease.
- - Results showed that while 57% of the children survived to discharge and 48% had favorable neurological outcomes, the cumulative PaO and PaCO exposure was not significantly related to these outcomes; only 24% and 58% of patients adhered to AHA
Enteric Fever in Children: An Epidemiological and Clinical Review of Cases in Southeast Texas.
J Pediatric Infect Dis Soc
June 2024
Extensively drug-resistant (XDR) strains of Salmonella enterica serotype Typhi have emerged in Pakistan and Iraq. We report 13 children with enteric fever in Southeast Texas seen over 3.5 years, of whom 23.
View Article and Find Full Text PDFObjectives: Current resuscitation guidelines recommend target chest compression depth (CCd) of approximately 4cm for infants and 5cm for children. Previous reports based on chest CT suggest these recommended CCd targets might be too deep for younger children. Our aim was to examine measurements of anterior-posterior chest diameter (APd) with a laser distance meter and calculate CCd targets in critically ill infants and children.
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