Ugeskrift for laeger
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Ugeskrift for laeger · Dec 2007
[Methicillin resistant S. aureus and multi-resistant Enterobacteriaceae. Two of the most significant resistance problems in Denmark].
The frequency of multi resistant bacteria (MRB) is also increasing in Denmark. This creates problems in hospitals as well as in primary health care. This paper focuses on the increase in MRSA and resistance against beta-lactams and quinolones in Enterobacteriaceae, including infection control measures against the transmission of these bacteria. The increase in MRB is a direct threat against the Danish antibiotic policy and MRB should continuously be handled without hesitation.
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Ugeskrift for laeger · Dec 2007
[Prevention of ventilator associated pneumonia in an intensive care unit].
Important pathogenic mechanisms in ventilator associated pneumonia (VAP) are pharyngeal colonization, micro-aspiration, and exogenously acquired pathogens. Semirecumbent positioning, subglottic suctioning, non-invasive ventilation, oropharyngeal application of chlorhexidine or antibiotics, and selective digestive decontamination (SDD) have all been shown to lower the incidence of VAP. However, regular use of SDD is not recommended in recent guidelines due to the risk of antimicrobial resistance. High hygienic standards and routine surveillance of VAP incidence are mandatory.
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Ugeskrift for laeger · Dec 2007
Comparative Study[Firework injuries in Denmark in the period 1995/1996 to 2006/2007].
The purpose of this study was to observe the occurrence and character of firework injuries on the two days around New Year in Denmark over the last decade. ⋯ Firework injuries are now half of the level in 1996/1997. Injuries caused by illegal fireworks and serious injuries have shown a downward tendency throughout the period. The actual number of severe injuries from illegal fireworks is now only 10% of the level in the mid-1990s. This reduction can be attributed to preventive campaigns, greater knowledge of the risk of fireworks in general as well as legislation. Continued focus on preventive campaigns, control of fireworks for the general public and control of firework distribution to professionals is recommended.
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Ugeskrift for laeger · Dec 2007
Case Reports[Perforation of the intestine after ingestion of magnetic items].
The ingestion of magnetic items is a potentially dangerous condition which may result in local necrosis and perforation of the intestine due to incrustation of the bowel wall between two magnetic bodies. We report a case of a 12-year old girl who ingested several magnetic items, causing perforation of the small intestine. We recommend surgical removal if more than one magnetic foreign body is ingested. If imaging results indicate that only one magnet has been ingested, we recommend a control x-ray within a few hours to confirm a secure passage of the foreign body.
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Ugeskrift for laeger · Dec 2007
Case Reports[Multiple bowel perforations after swallowing magnetic toys].
Ingestion of small foreign bodies is common in children, and usually does not cause any harm to the gastrointestinal tract. But ingestion of multiple magnets can be hazardous because of the strong attraction of the magnets through the bowel wall, which may lead to bowel wall necrosis and perforation. We describe the case of a 6-year-old autistic boy who swallowed 4 magnets which led to bowel obstruction and 8 small perforations. It is important to be aware of this potential risk if children ingest small magnetic toys.