Publications by authors named "Juan-Carlos de-Carlos-Vicente"
Outcomes associated with ventilator-associated events (VAE), respiratory infections (VARI), pneumonia (VAP) and tracheobronchitis (VAT) in ventilated pediatric ICU patients: A multicentre prospective cohort study.
Intensive Crit Care Nurs
August 2024
Article Synopsis
- - The study aims to categorize respiratory infections in ventilated children, focusing on outcomes like the duration of mechanical ventilation and hospital stays, given the ongoing use of terms like ventilator-associated pneumonia (VAP) and tracheobronchitis in clinical practice.
- - Conducted across 15 Pediatric Intensive Care Units, the research analyzed data from 391 ventilated children, finding that the average hospital stay was 21 days with a mortality rate of 5.9%. Of the respiratory infections documented, 29.3% were classified as VAP and 70.7% as ventilator-associated tracheobronchitis (VAT).
- - Infections following ventilator-associated event (VAE) criteria led to
The emergence of multidrug-resistant (MDR) bacteria in children is a growing concern, particularly among septic patients, given the need for first-right dosing. Our aim was to determine the incidence rates and factors associated with MDR-sepsis in the pediatric intensive care unit (PICU), using data from the Spanish ENVIN-HELICS PICU registry between 2013 and 2019. The rate of MDR bacteria among septic children ranged between 5.
View Article and Find Full Text PDFCharacteristics and management of patients with SARS-CoV2 infection admitted to pediatric intensive care units: Data analysis of the Spanish national multicenter registry.
Pediatr Pulmonol
October 2023
Introduction: The purpose of this study is to describe the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV2) disease characteristics and management in children admitted to the pediatric intensive care units (PICU).
Methods: The present study was based on a national multicentric prospective registry including PICU patients with SARS-CoV2 infection or symptoms of multisystem inflammatory syndrome in children (MIS-C).
Results: A total of 298 patients were admitted to 41 different Spanish PICUs.
Healthcare-associated infections related to device use (DA-HAIs) are a serious public health problem since they increase mortality, length of hospital stay and healthcare costs. We performed a multicenter, prospective study analyzing critically ill pediatric patients admitted to 26 Spanish pediatric intensive care units (PICUs) over a 3-month period each year from 2014 to 2019. To make comparisons and evaluate the influence of HAI Zero Bundles (care bundles that intend to reduce the DA-HAI rates to zero) on PICU HAI rates, the analysis was divided into two periods: 2014-2016 and 2017-2019 (once most of the units had incorporated all the Zero Bundles).
View Article and Find Full Text PDFIntroduction: Drowning is one of the most frequent accidents in children. We aimed to describe demographic and epidemiological characteristics of drowned children who required admission to a pediatric intensive care unit (PICU) to identify risk factors to guide possible preventive measures to avoid severe drowning.
Methods: We conducted an observational study for 29 years (retrospective between 1991 and 2004; prospective between 2005 and 2019) that included all children (0-15 years old) requiring PICU admission after drowning.
Antibiotic misuse in pediatric intensive care units (PICUs) can lead to increased antimicrobial resistance, antibiotic-triggered side effects, hospital costs, and mortality. We performed a multicenter, prospective study, analyzing critically ill pediatric patients (≥1 month to ≤18 years) admitted to 26 Spanish PICUs over a 3-month period each year (1 April−30 June) from 2014−2019. To make comparisons and evaluate the influence of AMS programs on antibiotic use in PICUs, the analysis was divided into two periods: 2014−2016 and 2017−2019 (once 84% of the units had incorporated an AMS program).
View Article and Find Full Text PDFSevere manifestations of SARS-CoV-2 in children and adolescents: from COVID-19 pneumonia to multisystem inflammatory syndrome: a multicentre study in pediatric intensive care units in Spain.
Crit Care
November 2020
Article Synopsis
- The study examines children admitted to Pediatric Intensive Care Units (PICUs) with Multisystem Inflammatory Syndrome (MIS-C) related to COVID-19, comparing their characteristics to those with other COVID-19-related conditions.
- Of the 74 children recruited, 61% met MIS-C criteria, showing they were older and more likely to have no significant prior medical history than non-MIS-C patients.
- MIS-C patients displayed a higher prevalence of symptoms like fever, diarrhea, and shock, alongside differing laboratory results, and were treated differently than non-MIS-C patients, receiving more corticosteroids and fewer invasive ventilation treatments.
A new paediatric multisystem inflammatory syndrome, linked to SARS-CoV-2, has been described. The clinical picture is variable and is associated with an active or recent infection due to SARS-CoV-2. A review of the existing literature by a multidisciplinary group of paediatric specialists is presented in this document.
View Article and Find Full Text PDFArticle Synopsis
- * By January 7, 2020, Chinese authorities identified the cause as a new virus, initially named 2019-nCoV.
- * The World Health Organization declared it an International Emergency on January 30, 2020, and later named the virus SARS-CoV2 and the disease COVID-19 on February 11, 2020, prompting health authorities to develop clinical management protocols.
Article Synopsis
- * By January 7, 2020, authorities identified a new virus from the Coronaviridae family, initially called "new coronavirus" or 2019-nCoV.
- * The World Health Organization declared the outbreak an International Emergency on January 30, 2020, and later renamed the virus SARS-CoV2 and the disease COVID-19, leading to the creation of clinical guidelines for its management.
Article Synopsis
- The study aimed to identify prognostic factors affecting outcomes for pediatric patients admitted to the PICU after drowning incidents.
- Over a 23-year period, researchers analyzed data from 131 cases, focusing on factors like the type of initial resuscitation, Glasgow Coma Scale scores, and patient conditions upon arrival.
- Results indicated that patients needing advanced CPR with epinephrine had significantly worse outcomes, including higher rates of death and severe neurological impairment, while those who required only basic resuscitation tended to recover well.
Article Synopsis
- - A pediatric intensive care unit (PICU) is specifically designed for children with severe illnesses that need continuous, specialized medical care from an expert team in pediatric intensive care.
- - Timely intervention in the PICU can lower mortality rates, shorten hospital stays, and reduce overall healthcare costs.
- - The Spanish Association of Pediatrics, along with other medical societies, has established guidelines for patient admission, discharge, and triage to ensure high-quality care and safety for critically ill children in Spain's PICUs.
Article Synopsis
- A paediatric intensive care unit (PICU) is a specialized facility designed to provide intensive care for severely ill children, requiring a skilled medical team.
- Timely interventions in PICUs help reduce patient mortality, shorten hospital stays, and lower healthcare costs.
- Guidelines established by Spanish medical organizations aim to improve the quality of care and safety for critically ill children, ensuring they receive the appropriate level of treatment.
Introduction: Nosocomial infections (NI) are a major healthcare problem. National surveillance systems enable data to be compared and to implement new measures to improve our practice.
Methods: A multicentre, prospective, descriptive and observational study was conducted using the data from surveillance system for nosocomial infections created in 2007 for Spanish pediatric intensive care units.