Publications by authors named "L Escosa-Garcia"

Article Synopsis
  • Respiratory infections significantly affect hospitalization rates and costs for children with tracheostomies, prompting a study on antibiotic treatment patterns.
  • The research analyzed medical records of 83 children to evaluate antibiotic use for tracheobronchitis and nonspecific respiratory episodes (NSRE), revealing that a high percentage of tracheobronchitis cases received antibiotics, while many NSRE cases did not require them.
  • Factors like fever were linked to increased antibiotic prescriptions, but many cases resolved without treatment, indicating the need for careful antibiotic prescription practices to avoid unnecessary usage.
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The prevalence of multidrug-resistant Gram-negative infections, particularly carbapenem-resistant strains, has become a significant global health concern. Ceftazidime-avibactam (CZA) has emerged as a promising treatment option. However, data on its efficacy and safety in children are scarce, necessitating further investigation.

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Background: Despite respiratory infections being a leading cause of hospitalization in children with tracheostomy tubes, there are no published guidelines for their diagnosis and management. This study aims to outline the clinical, laboratory and microbiological aspects of pneumonia in these children, along with the antibiotics used and outcomes. Additionally, it seeks to determine pneumonia incidence and associated risk factors.

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Article Synopsis
  • The study aimed to investigate the relationship between bacteria found in bronchial aspirates and conjunctival swabs of pediatric ICU patients with respiratory infections and conjunctivitis.
  • Researchers analyzed data from 2015 to 2022, identifying 21 patients with positive results in both tests, revealing an 85.71% correlation.
  • The most common bacteria identified were Haemophilus influenzae, Pseudomonas aeruginosa, and Klebsiella aerogenes, suggesting that conjunctival swabs could help predict bacteria responsible for respiratory infections in similar cases.
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Background: Antimicrobial resistance (AMR) has become a significant challenge in high-complexity healthcare settings.

Aim: To evaluate the prevalence of AMR in bloodstream isolates from high-complexity paediatric units in Spain over a nine-year period.

Methods: A retrospective observational multicentre study was conducted in three tertiary hospitals, analysing bloodstream isolates from patients aged <18 years admitted to the paediatric intensive care, neonatology, and oncology-haematology units between 2013 and 2021.

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