AI Article Synopsis
- * Out of 263 IPD cases, 19% were admitted to the PICU, primarily due to septic shock, meningitis, and complicated pneumonia, with underlying health issues increasing the likelihood of PICU admission.
- * The research found that common complications included neurological and pulmonary issues, and most patients admitted to the PICU had serotypes linked to vaccines, indicating a need for ongoing vaccine effectiveness evaluation.
Article Abstract
Introduction: Patients with invasive pneumococcal disease (IPD) may require admission into paediatric intensive care units (PICU). The aim of this study is to analyse the epidemiological, clinical, and microbiological characteristics associated with IPD that may require admission to the PICU.
Material And Methods: A prospective study was conducted on cases of IPD diagnosed in three Paediatric Hospitals in Barcelona between January 2012 and June 2016. An analysis was made of the associations between the admission to PICU and the epidemiological, clinical, and microbiological variables.
Results: A total of 263 cases with IPD were included, of which 19% (n = 50) required admission to PICU. Patients with septic shock (7; 100%), meningitis (16; 84.2%), and those with complicated pneumonia (23; 15.2%) were admitted to the PICU. The most frequent complications were pulmonary (35.2%) and neurological (39.5%). The ratio between admission and non-admission to PICU was 4.7 times higher in subjects with an underlying disease. The serotypes associated with PICU admission were 19A (23% of the total of this serotype), serotype 14 (20%), serotype 3 (17%), and serotype 1 (12.5%).
Conclusions: IPD required PICU admission in cases of septic shock and meningitis, and less so with complicated pneumonia. The percentage of admissions is greater in children with an underlying disease. Admission into the PICU involves a longer stay, complications during the acute phase, as well as sequelae, particularly neurological ones. The serotypes of the patients that were admitted to PICU were predominantly vaccine serotypes.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.anpedi.2020.03.013 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Parental and family presence are essential: A qualitative study of children's lived experiences with family presence in pediatric intensive care.
J Pediatr Nurs
January 2025
Dalhousie University, Department of Critical Care, Halifax, Nova Scotia, Canada. Electronic address:
Objective: To better understand critically ill children's lived experiences with family presence in the pediatric intensive care unit (PICU).
Study Design: This qualitative, interpretive phenomenological study is grounded in a Childhood Ethics ontology. We recruited children (aged 6-17 years) admitted to one of four participating Canadian PICUs between November 2021-July 2022 using maximum variation sampling.
Evaluation of Phoenix Sepsis Score Criteria: Exploratory Analysis of Characteristics and Outcomes in an Emergency Transport PICU Cohort From the United Kingdom, 2014-2016.
Pediatr Crit Care Med
January 2025
Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, London, United Kingdom.
Objectives: To assess characteristics and outcomes of children with suspected or confirmed infection requiring emergency transport and PICU admission and to explore the association between the 2024 Phoenix Sepsis Score (PSS) criteria and mortality.
Design: Retrospective analysis of curated data from a 2014-2016 multicenter cohort study.
Setting: PICU admission following emergency transport in South East England, United Kingdom, from April 2014 to December 2016.
Systematic review and meta-analysis of randomized controlled trials comparing the clinical outcomes of SARS-CoV-2 and influenza in pediatric patients.
Adv Clin Exp Med
January 2025
School of Medicine, Hunan Polytechnic College of Environment and Biology, Hengyang, China.
Only a few studies have examined the effects of coronavirus disease 2019 (COVID-19) and influenza on clinical outcomes in pediatric patients. Furthermore, no meta-analysis has assessed the impact of these diseases on adverse outcomes. This study aims to compare the clinical outcomes of COVID-19 and influenza in pediatric patients.
View Article and Find Full Text PDFAssociation between phosphate and 30-day in-hospital mortality in paediatric ICU: a retrospective cohort study.
BMJ Paediatr Open
December 2024
Jinan University, Guangzhou, Guangdong, China
Background: Death rates in the intensive care unit (ICU) and paediatric ICU (PICU) are approximately 10.8% and 9.13%, respectively.
View Article and Find Full Text PDFPediatric blunt liver and spleen injury treated in hospitals with pediatric intensive care units: Post-hoc analysis of a multicenter, retrospective observational study.
J Pediatr Surg
December 2024
Department of Emergency and Critical Care Medicine, Keio University School of Medicine, Tokyo, Japan.
Article Synopsis
- The study analyzed outcomes for pediatric patients with blunt liver and spleen injuries (BLSI) treated at hospitals with and without pediatric intensive care units (PICUs) between 2008 and 2019.
- Among the 1401 patients, 30-day mortality rates were lower in hospitals with PICUs (0.7%) compared to those without (1.3%), and also compared to adult ICUs.
- Overall, while adverse events were infrequent, the findings suggested that treatment in hospitals with PICUs may lead to better outcomes for pediatric patients with BLSI.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!