We conducted a retrospective cohort study of children with catheter-associated bloodstream infections (BSIs) due to Escherichia coli and/or Klebsiella. Risk factors for poor outcome (ie, death or recurrence of infection) were receipt of mechanical ventilation (adjusted odds ratio [aOR], 4.6 [95% confidence interval {CI}, 1.39-16.30]) and receipt of total parenteral nutrition (aOR, 3.5 [95% CI, 1.1-10.8]). A significant proportion of children with catheter-associated BSI were treated successfully without catheter removal.
SummaryHaemorrhage is the main manifestation of the haemophilias. Although acute haemorrhages can be life threatening, especially if involving the central nervous system, repeated haemorrhages involving the musculoskeletal system lead to two conditions unique to patients with haemophilias. This pictorial essay reviews the typical imaging appearances of haemorrhages and consequences in those with haemophilias, with particular emphasis on haemophilic arthropathy and pseudotumours.
Nov. 22, 19I9] INTT STJSCFPTLONN ''v. iggI EDICAL
JOURNALOn account of the prolonged stay. in ho.lspital and the enforced recumbency, a stern but kind discipline has..to be maintained to ensure the lhapp'iness of the children, and in this the three and a' balf hours per day school tuition wlichl is given lias. been of great help. In giving exercise to their minds and an occupation to their lhands it proves a powerful aid to cure.The details anid technique of the local treatment are beyond the scope of this paper. It is carried out on conservative lines, and its aims are the preservation and restorationi of the diseased. parts. All gases of tuberculosis otlher than, pulmonary are admitted, the. majority tle 'disability may be overwome. In cases wlher the deformities are severe corrective operations are performed. It must be recorded that the type of case admitted has improved during the five years that the lhospital has been opened, and that cases with marked deformity and longstanding sinus formation are not so common as formerly.
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