Impact of infection by verotoxigenic Escherichia coli O157:H7 on the use of surgical services in a children's hospital.
| Autor: | Cimolai N; Department of Pathology, British Columbia's Children's Hospital, Vancouver., Blair GK, Murphy JJ, Fraser GG |
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| Jazyk: | angličtina |
| Zdroj: | Canadian journal of surgery. Journal canadien de chirurgie [Can J Surg] 1997 Feb; Vol. 40 (1), pp. 28-32. |
| Abstrakt: | Objectives: To determine the impact of Escherichia coli O157:H7 infection in children on the need for surgical assessment in a pediatric surgical practice and whether clinical and bacteriologic variables might contribute to that need. Design: Examination of a case series. Setting: A tertiary-care pediatric hospital. Patients: Between 1990 and 1994, E. coli O157:H7 gastrointestinal infections were documented among 85 children, 29 of whom suffered from hemolytic-uremic syndrome. Intervention: Surgical consultation for presumed or proven complications of the infection. Main Outcome Measures: The frequency of and reasons for surgical consultation, clinical and bacteriologic variables between patients who did or did not require surgical assessment. Results: Of the 85 children, 17 (20%) were assessed by the surgical service. The majority of these children were inpatients. Two required abdominal surgery. Female gender, older age and progression to hemolytic-uremic syndrome were factors associated in univariate analyses with a likelihood of need for surgical assessment; variation in bacterial genotype was not. Conclusion: There is the potential for verotoxigenic E. coli O157:H7 infection to have a considerable impact on the utilization of pediatric surgical services. |
| Databáze: | MEDLINE |
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