Pediatr Crit Care Me
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To describe the geography of pediatric critical care services and the relationship between poverty and distance to these services across the United States. ⋯ In the United States, the distance to pediatric critical care services increases with poverty. This carries implications for access to care and health outcome disparities.
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Pediatr Crit Care Me · Dec 2021
Characteristics and Outcomes of Children With Necrotizing Pneumonia.
In this study, we describe the characteristics and outcomes of pediatric necrotizing pneumonia in the United States. ⋯ Bacterial etiology of necrotizing pneumonia in children varied with the presence or absence of a complex chronic condition. Bacterial isolation is associated with increased invasive procedures and complications. The mortality rate is higher in children with complex chronic conditions. This study provides national data on necrotizing pneumonia among hospitalized children.
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Pediatr Crit Care Me · Dec 2021
Application of Multiplex Polymerase Chain Reaction for Pathogen Identification and Antibiotic Use in Children With Respiratory Infections in a PICU.
To compare the pathogen identification rate and use of antibiotics before and after the implementation of multiplex polymerase chain reaction testing in children with respiratory infections in a PICU. ⋯ Although the pathogen identification rate, especially for viral pathogens, increased using multiplex polymerase chain reaction testing, antibiotic use did not reduce in children with respiratory infections in the PICU. Definitive identification of bacterial pathogens and implementation of evidence-based antimicrobial stewardship programs employing multiplex polymerase chain reaction testing are warranted.
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Pediatr Crit Care Me · Dec 2021
Pediatric Chronic Critical Illness: Validation, Prevalence, and Impact in a Children's Hospital.
Large populations of chronically critically ill patients test the critical care system's resource utilization ability. Defining and tracking this group is necessary for census predictions. ⋯ Pediatric chronic critical illness patients occupied more than one third of the ICU beds and have five times longer stay. This mounting load needs to be uniformly defined, addressed at regional and national levels, and considered in the current pandemic planning.
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Pediatr Crit Care Me · Dec 2021
ICU Admission in Children With Acute Lymphoblastic Leukemia in Sweden: Prevalence, Outcome, and Risk Factors.
Despite progress in the treatment of childhood acute lymphoblastic leukemia, severe complications are common, and the need of supportive care is high. We explored the cumulative prevalence, clinical risk factors, and outcomes of children with acute lymphoblastic leukemia, on first-line leukemia treatment in the ICUs in Sweden. ⋯ The need for intensive care in children with acute lymphoblastic leukemia, especially for children with T cell acute lymphoblastic leukemia and CNS leukemia, is high with most admissions occurring during early treatment.