Bronchiolitis is the most common cause of hospitalization during the first twelve months of life. This study was undertaken to assess the diagnostic and management practices for bronchiolitis in a community hospital. Also, to try and determine the beginning of the respiratory syncytial (RSV) season in order to initiate palivizumab (synagis) prophylaxis in high risk patients.
ABSTRACT
Objective: To review the management/investigations performed in acute bronchiolitis.
Method: A retrospective study was conducted on 75 infants with clinical symptoms of bronchiolitis. Demographic and clinical data on the infants and compliance with the American Academy of Pediatrics (AAP) British Thoracic Society/ Scottish Intercollegiate (BTS/SIGN) Guidelines were examined.
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Neisseria meningitidis infection should be considered in patients presenting with septic arthritis especially if Gram-negative diplococcic are observed on Gram-stain.
Hospital antibiotic stewardship, combined with an
effective infection prevention and control programme,
can lead to better outcomes in the management of
patients with Clostridium difficile-associated diarrhoea.
ABSTRACT
Objective: To review the management of patients with Clostridium difficile-associated diarrhoea (CDAD).
Aggressive antibiotic therapy is essential for the management of
patients with methicillin resistant Staphylococcus aureus (MRSA)
pneumonia and this therapeutic approach will also help to prevent the
passing of the organism on to other individuals.
ABSTRACT
Staphylococcus aureus is an important pathogen in both community and healthcare associated pneumonia. We describe a case of severe pneumonia caused by the methicillin resistant Staphylococcus aureus (MRSA) clone USA 300 in a 44-year old post-partum woman and the subsequent vertical transmission of this virulent organism to her neonate.