Publications by authors named "Maia D Regan"
Article Synopsis
- The study examines the effectiveness of anaerobic cultures in diagnosing pediatric septic arthritis, aiming to see how often these cultures yield relevant pathogens compared to aerobic cultures.* -
- Out of 470 cases reviewed over 14 years, only 3 cases (0.6%) showed positive results for anaerobic organisms, all of which were also detectable by aerobic methods.* -
- The findings suggest that routine anaerobic cultures may be unnecessary in pediatric septic arthritis as they rarely provide unique diagnostic value, potentially missing just 3 cases over a long period.*
Article Synopsis
- * A survey gathered insights from members of various orthopedic organizations, with a response rate of 26%, asking them to rank important factors in radiographic assessment during different visits for AIS.
- * The results showed that the Cobb angle was deemed the most critical radiographic measure, with a preference for certain X-ray positioning; key indicators for preoperative visits included sagittal contour and skeletal maturity assessments, with most respondents favoring bending films for flexibility studies.
Background: The objective was to explore the hospital-level relationship between routine pre-discharge WBC utilization (RPD-WBC) and outcomes in children with complicated appendicitis.
Methods: Multicenter analysis of NSQIP-Pediatric data from 14 consortium hospitals augmented with RPD-WBC data. WBC were considered routine if obtained within one day of discharge in children who did not develop an organ space infection (OSI) or fever during the index admission.
Objective: To evaluate whether redosing antibiotics within an hour of incision is associated with a reduction in incisional surgical site infection (iSSI) in children with appendicitis.
Background: Existing data remain conflicting as to whether children with appendicitis receiving antibiotics at diagnosis benefit from antibiotic redosing before incision.
Methods: This was a multicenter retrospective cohort study using data from the Pediatric National Surgical Quality Improvement Program augmented with antibiotic utilization and operative report data obtained though supplemental chart review.
Importance: The clinical significance of gangrenous, suppurative, or exudative (GSE) findings is poorly characterized in children with nonperforated appendicitis.
Objective: To evaluate whether GSE findings in children with nonperforated appendicitis are associated with increased risk of surgical site infections and resource utilization.
Design, Setting, And Participants: This multicenter cohort study used data from the Appendectomy Targeted Database of the American College of Surgeons Pediatric National Surgical Quality Improvement Program, which were augmented with operative report data obtained by supplemental medical record review.