Publications by authors named "Huei H Shieh"
Objective: To report the prevalence and outcomes of sepsis in children admitted to public and private hospitals.
Methods: Post hoc analysis of the Latin American Pediatric Sepsis Study (LAPSES) data, a cohort study that analyzed the prevalence and outcomes of sepsis in critically ill children with sepsis on admission at 21 pediatric intensive care units in five Latin American countries.
Results: Of the 464 sepsis patients, 369 (79.
Objectives: To report the prevalence of sepsis within the first 24 hours at admission and the PICU sepsis-related mortality among critically ill children admitted to PICU in South America.
Design: A prospective multicenter cohort study.
Setting: Twenty-one PICU, located in five South America countries.
Objectives: The primary outcome was to compare the effects of dopamine or epinephrine in severe sepsis on 28-day mortality; secondary outcomes were the rate of healthcare-associated infection, the need for other vasoactive drugs, and the multiple organ dysfunction score.
Design: Double-blind, prospective, randomized controlled trial from February 1, 2009, to July 31, 2013.
Setting: PICU, Hospital Universitário da Universidade de São Paulo, Brazil.
Staphylococcus saprophyticus is a rarely reported agent of urinary tract infection (UTI) in the pediatric population. In our retrospective 3-year study, S. saprophyticus comprised 24.
View Article and Find Full Text PDFObjectives: In 2012, a new acute respiratory distress syndrome definition was proposed for adult patients. It was later validated for infants and toddlers. Our objective was to evaluate the prevalence, outcomes, and risk factors associated with acute respiratory distress syndrome in children up to 15 years according to the Berlin definition.
View Article and Find Full Text PDFArticle Synopsis
- The study aimed to determine the prevalence of uropathogens in community-acquired urinary tract infections (UTIs) among different age groups and genders.
- A total of 2577 urine cultures were analyzed, revealing a UTI prevalence of 11.3%, with E. coli being the most common pathogen (76.6%), particularly affecting females around the median age of 2.6 years.
- Notable findings included lower E. coli prevalence in infants under 3 months and higher rates of Staphylococcus saprophyticus in patients over 10 years, as well as increased Proteus mirabilis prevalence in boys compared to girls.
Objectives: To identify the most common pneumococcal serotypes in children hospitalized with invasive pneumonia, correlate isolated serotypes with those included in conjugate vaccines, and ascertain the sensitivity of the isolated pneumococcal strains to penicillin and other antibiotics.
Methods: From January 2003 to October 2008, a retrospective study of hospitalized children with a diagnosis of Streptococcus pneumoniae pneumonia was conducted at the university hospital of Universidade de São Paulo. Criteria for inclusion were: age greater than 29 days and less than 15 years, radiological and clinical diagnosis of pneumonia, and isolation of Streptococcus pneumoniae in blood cultures and/or pleural effusion.