Imported Swine Count, September 2012

The imported swine court report monthly by the Department of Agricultural.

Pro-adrenomedullin usefulness in the management of children with community-acquired pneumonia, a preliminary prospective observational study

BackgroundIn adult population with community acquired pneumonia high levels of pro-adrenomedullin (pro-ADM) have been shown to be predictors of worse prognosis. The role of this biomarker in pediatric patients had not been analyzed to date. The objective of this study is to know the levels of pro-ADM in children with community acquired pneumonia (CAP) and analyze the relation between these levels and the patients¿ prognosis.FindingsProspective observational study including patients attended in the emergency service (January to October 2009) admitted to hospital with CAP and no complications at admission. The values for pro-ADM were analyzed in relation to: need for oxygen therapy, duration of oxygen therapy, fever and antibiotic therapy, complications, admission to the intensive care unit, and length of hospital stay. Fifty patients were included. Ten presented complications (7 pleural effusion). The median level of pro-ADM was 1.0065¿nmol/L (range 0.3715 to 7.2840¿nmol/L). The patients presenting complications had higher levels of pro-ADM (2.3190 vs. 1.1758¿nmol/L, p¿=¿0.013). Specifically, the presence of pleural effusion was associated with higher levels of pro-ADM (2.9440 vs. 1.1373¿nmol/L, p¿<¿0.001).ConclusionsIn our sample of patients admitted to hospital with CAP, pro-ADM levels are related to the development of complications during hospitalization.

Imported Swine Count, December 2012

The imported swine court report monthly by the Department of Agricultural.

Imported Swine Count, October 2012

The imported swine court report monthly by the Department of Agricultural.

Imported Swine Count, November 2012

The imported swine court report monthly by the Department of Agricultural.

Imported Swine Count, January 2013

The imported swine court report monthly by the Department of Agricultural.

Imported Swine Count, February 2013

The imported swine court report monthly by the Department of Agricultural.

Imported Swine Count, March 2013

The imported swine court report monthly by the Department of Agricultural.

Imported Swine Count, April 2013

The imported swine court report monthly by the Department of Agricultural.

Imported Swine Count, May 2013

The imported swine court report monthly by the Department of Agricultural.

Imported Swine Count, June 2013

The imported swine court report monthly by the Department of Agricultural.

Imported Swine Count, July 2013

The imported swine court report monthly by the Department of Agricultural.

Imported Swine Count, August 2013

The imported swine court report monthly by the Department of Agricultural.

Imported Swine Count, September 2013

The imported swine court report monthly by the Department of Agricultural.

Etiology of community-acquired pneumonia in hospitalized children based on WHO clinical guidelines.

Community-acquired pneumonia (CAP) is a major cause of death in developing countries and of morbidity in developed countries. The objective of the study was to define the causative agents among children hospitalized for CAP defined by WHO guidelines and to correlate etiology with clinical severity and surrogate markers. Investigations included an extensive etiological workup. A potential causative agent was detected in 86% of the 99 enrolled patients, with evidence of bacterial (53%), viral (67%), and mixed (33%) infections. Streptococcus pneumoniae was accounted for in 46% of CAP. Dehydration was the only clinical sign associated with bacterial pneumonia. CRP and PCT were significantly higher in bacterial infections. Increasing the number of diagnostic tests identifies potential causes of CAP in up to 86% of children, indicating a high prevalence of viruses and frequent co-infections. The high proportion of pneumococcal infections re-emphasizes the importance of pneumococcal immunization.