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Saporito A, Quadri C, Kloth N, Capdevila X. Injection line pressure – inaccurate but still useful? A reply. Anaesthesia 2019; 74:681. [DOI: 10.1111/anae.14653] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- A. Saporito
- Bellinzona Regional Hospital Bellinzona Switzerland
| | - C. Quadri
- Lugano Regional Hospital Lugano Switzerland
| | - N. Kloth
- See‐Spital Horgenand Kilchberg Horgen Switzerland
| | - X. Capdevila
- Montpellier University Hospital University Montpellier France
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Saporito A, Quadri C, Capdevila X. Real-time continuous injection pressure monitoring during regional anaesthesia administration. Anaesthesia 2019; 74:404. [PMID: 30734947 DOI: 10.1111/anae.14598] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- A Saporito
- Bellinzona Regional Hospital, Bellinzona, Switzerland
| | - C Quadri
- Bellinzona Regional Hospital, Bellinzona, Switzerland
| | - X Capdevila
- Bellinzona Regional Hospital, Bellinzona, Switzerland
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Saporito A, Quadri C, Capdevila X. The ability of a real-time injection pressure monitoring system to discriminate between perineural and intraneural injection of the sciatic nerve in fresh cadavers. Anaesthesia 2018; 73:1118-1122. [DOI: 10.1111/anae.14330] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/20/2018] [Indexed: 11/28/2022]
Affiliation(s)
- A. Saporito
- Bellinzona Regional Hospital; Bellinzona Switzerland
| | - C. Quadri
- Service of Anaesthesia; Lugano Regional Hospital; Lugano Switzerland
| | - X. Capdevila
- Montpellier University Hospital; University Montpellier; France
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Saporito A, Quadri C, Kloth N, Capdevila X. The effect of rate of injection on injection pressure profiles measured using in-line and needle-tip sensors: an in-vitro study. Anaesthesia 2018; 74:64-68. [DOI: 10.1111/anae.14415] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/02/2018] [Indexed: 11/26/2022]
Affiliation(s)
- A. Saporito
- Bellinzona Regional Hospital; Bellinzona Switzerland
| | - C. Quadri
- Service of Anaesthesia; Lugano Regional Hospital; Lugano Switzerland
| | - N. Kloth
- See-Spital Horgen and Kilchberg; Switzerland
| | - X. Capdevila
- Montpellier University Hospital; University Montpellier; France
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Ceruti S, Anselmi L, Minotti B, Franceschini D, Aguirre J, Borgeat A, Saporito A. Prevention of arterial hypotension after spinal anaesthesia using vena cava ultrasound to guide fluid management. Br J Anaesth 2018; 120:101-108. [DOI: 10.1016/j.bja.2017.08.001] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2017] [Revised: 08/18/2017] [Accepted: 08/25/2017] [Indexed: 10/18/2022] Open
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Patella M, Pini R, Saporito A, Inderbitzi R, Cafarotti S. P-173PERSISTENT AIR LEAK IN THORACIC SURGERY: A NEW POSTOPERATIVE TECHNIQUE TO REDUCE THE PLEURAL SPACE AFTER LUNG RESECTION. Interact Cardiovasc Thorac Surg 2017. [DOI: 10.1093/icvts/ivx280.173] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Quadri C, Saporito A, Capdevila X. Real-time continuous monitoring of injection pressure at the needle tip for peripheral nerve blocks: description of a new method. Anaesthesia 2017; 73:187-194. [DOI: 10.1111/anae.14041] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/04/2017] [Indexed: 12/01/2022]
Affiliation(s)
- C. Quadri
- Anaesthesiology Department; Lugano Regional Hospital; Lugano Switzerland
| | - A. Saporito
- Anaesthesiology Department; Bellinzona Regional Hospital; Bellinzona Switzerland
| | - X. Capdevila
- Department of Anaesthesiology and Critical Care Medicine; Inserm Unit 1051; Montpellier University Hospital; University Montpellier 1; Montpellier France
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Valle G, Cucciolito ME, Ganis P, Saporito A. The crystal structure of Cu(II)-bis[1-(2-pyridinyl)-2-propanonato-N,O]. Z KRIST-CRYST MATER 2015. [DOI: 10.1524/zkri.1989.189.14.125] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Saporito A, Sturini E, Borgeat A, Aguirre J. A reply. Anaesthesia 2015; 70:232. [PMID: 25583194 DOI: 10.1111/anae.13002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- A Saporito
- Bellinzona Regional Hospital, Bellinzona, Switzerland
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Saporito A, Sturini E, Borgeat A, Aguirre J. The effect of continuous popliteal sciatic nerve block on unplanned postoperative visits and readmissions after foot surgery - a randomised, controlled study comparing day-care and inpatient management. Anaesthesia 2014; 69:1197-205. [DOI: 10.1111/anae.12710] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/25/2014] [Indexed: 11/27/2022]
Affiliation(s)
- A. Saporito
- Anaesthesiology Service; Regional and Ambulatory Anesthesia Unit; Bellinzona Regional Hospital; Bellinzona Switzerland
| | - E. Sturini
- Anaesthesiology Service; St. Chiara Clinic; Locarno Switzerland
| | - A. Borgeat
- Division of Anaesthesiology; Balgrist University Hospital; Zurich Switzerland
| | - J. Aguirre
- Division of Anaesthesiology; Balgrist University Hospital; Zurich Switzerland
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Smilari P, Praticò AD, Salafia S, Praticò ER, Cilauro S, Saporito A, Pavone P, Ruggieri M. Brain ultrasound features in multiple births due to spontaneous conception compared with assisted reproductive techniques: a cross-sectional, population-based study. Minerva Pediatr 2014; 66:17-22. [PMID: 24608578] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
AIM Multiple pregnancies from spontaneous conception and obtained by assisted reproductive techniques (ART) are associated with a disproportionate share of complications compared with natural singleton pregnancies. The outcome of multiple pregnancies obtained by ART is still the subject of controversial opinions in the medical literature as they are associated with increased rates of perinatal complications, and perinatal mortality, as well as maternal complications. Aim of this study was to determine whether there are differences between these two groups of infants. METHODS We examined the imaging findings by means of brain ultrasound (performed at birth and sequentially up to their 6th month of age) in a cohort of 296 twins and triplets born following different techniques of assisted fertilization (63 pregnancies; 119 neonates) vs. spontaneous conception (94 pregnancies; 177 neonates). RESULTS We did record, by means of X square corrected test, statistically significant differences (P=0.002) between the two populations at birth in the number of normal ultrasound scans (ART<spontaneous neonates); transient hyperechogenecity (spontaneous<ART neonates) and persistent hyperechogenecity (ART<spontaneous neonates). CONCLUSION No differences in brain ultrasound findings between the two groups of ART and between spontaneous vs. assisted conceptions (P=0.959) at long-term follow-up have been noticed.
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Affiliation(s)
- P Smilari
- Unit of Pediatrics, Department of Pediatrics University of Catania, Catania, Italy -
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Baldi G, Altomonte F, Altomonte M, Ghirarduzzi A, Brusasco C, Parodi RC, Ricciardi A, Remollino V, Spisni V, Saporito A, Caiazza A, Musso G, Cervellin G, Lamberti S, Buzzalino M, De Giorgi F, Del Prato C, Golinelli MP, Gai V, Monsù R, Gioffre' M, Giovanardi D, Cattaneo S, Frumento F, Caporrella A, Re G, De Iaco F, Bologna G, Nocenti F, Lorenzi C, Zoratti R, Sciolla A, Tiscione V, Pastorello M, Vandelli A, Villa A, Zanna M, De Palma A, Iorio A. Intracranial Haemorrhage in Patients on Antithrombotics: Clinical Presentation and Determinants of Outcome in a Prospective Multicentric Study in Italian Emergency Departments. Cerebrovasc Dis 2006; 22:286-93. [PMID: 16847397 DOI: 10.1159/000094604] [Citation(s) in RCA: 31] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2006] [Accepted: 05/22/2006] [Indexed: 02/01/2023] Open
Abstract
BACKGROUND Intracranial haemorrhage (ICH) is the type of stroke associated with the highest death rate, and about 30% of ICH occurs in patients on antithrombotic treatment. This study relates clinical presentations and outcome of ICH patients on oral anticoagulant (OA) or antiplatelet (AP) therapy admitted to 33 Italian emergency departments (ED). METHODS Consecutive patients were enrolled after cranial computed tomography (CT). Primary outcome was the Modified Rankin Scale (MRS) score at 3 months of follow-up. Common descriptive statistics were computed after stratification for traumatic or spontaneous ICH and identification of the anatomical location of bleeding. Multivariate logistic regression was used to assess predictors of death. RESULTS We recruited 434 patients on AP therapy and 232 on OA. There were 432 spontaneous and 234 traumatic ICH patients. The proportions of AP and OA patients undergoing neurosurgery were 21.8 and 19.4%, respectively, while < 30% underwent procoagulant medical treatment. At the 3-month follow-up, the case fatality rate was 42.0%, while disability or death (MRS 3-6) was 68.1%. The odds ratio for death in OA versus AP patients was 2.63 (95% CI 1.73-4.00) in the whole population and 2.80 (95% CI 1.77-4.41) in intraparenchymal event patients. Glasgow Coma Scale, age, spontaneous event and anticoagulant use were found to be predictors of death both in traumatic and spontaneous events. CONCLUSION This study confirms the high prevalence of death or disability in OA and AP patients with ICH. As far as the determinants of mortality and disability are concerned, the results of this study might be useful in the clinical management and allocation of resources in the ED setting. The observed low use of procoagulant therapy highlights the need for ED educational programmes to heighten the awareness of available and effective haemostatic treatments.
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De Renzi A, Di Blasio B, Saporito A, Scalone M, Vitagliano A. Synthesis, structure, and stereochemistry of five-coordinate platinum(II)-olefin complexes with a chiral diamine. Inorg Chem 2002. [DOI: 10.1021/ic50206a033] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Damush TM, Stump TE, Saporito A, Clark DO. Predictors of older primary care patients' participation in a submaximal exercise test and a supervised, low-impact exercise class. Prev Med 2001; 33:485-94. [PMID: 11676591 DOI: 10.1006/pmed.2001.0919] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
OBJECTIVES This study is an investigation of physical activity promotion among a nonvolunteer sample of community-dwelling, older, urban primary care patients. Our primary interest was in the rates of exercise test and class participation. Of secondary interest were the medical record and baseline survey predictors of test and class participation. METHODS The first 500 nonterminally ill women ages 50 years or more with a visit at one of two predominantly African-American, inner-city primary care clinics received a physician screen, a referral to a submaximal exercise test, and, subsequently, a free, supervised exercise program located in a nearby community center. RESULTS Eighty-one percent were eligible for the exercise test per provider screen. Of these, 29% completed the exercise test and 28% attended at least one exercise class. After 1 year, 9.2% were attending the exercise classes. Higher exercise outcome expectations, not smoking, and clinic site were associated with exercise test and class participation. CONCLUSIONS Providing free, traditional exercise classes and a primary care referral to the classes resulted in limited physical activity participation among older, urban primary care patients. More development and testing of physical activity promotion programs are needed in this population.
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Affiliation(s)
- T M Damush
- Indiana University Center for Aging Research, Regenstrief Institute for Health Care, 1050 Wishard Boulevard, RG-6, Indianapolis 46202-2872, USA.
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Smilari P, La Spina M, Cilauro S, Saporito A, Romeo DM, Romeo MG, Incorpora G. [Neonatal thrombosis of the middle cerebral artery. Three clinical cases with a 24-month follow up]. Minerva Pediatr 2001; 53:359-65. [PMID: 11573071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/21/2023]
Abstract
Three patients with neonatal thrombosis of the middle cerebral artery are described. In two patients the thrombosis was secondary to neonatal asphyxia. The third patient had a porencephalic cyst twenty days after birth suggesting a prenatal origin of the thrombotic event. The follow-up was carried out for two years. In the first year, two patients had infantile spasms and hyparrhythmic pattern of EEG. This type of epilepsy has never been previously reported. Futhermore, all three patients presented hemiplegia and reduction of cranial circumference. The neuroradiologic procedures showed to be very useful for the diagnosis and long term follow-up. These patients must be followed carefully since the development of a subsequent epilepsy is reported to be approx 11%.
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Affiliation(s)
- P Smilari
- Dipartimento di Pediatria, Azienda Policlinico, Divisione di Terapia Intensiva e Subintensiva Neonatale, Università degli Studi di Catania, Italy
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Abstract
A female infant with caudal regression syndrome and annular pancreas is described. This is the first time this association appears to have been described.
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Distefano G, Rodono A, Cilauro S, Saporito A, Pennisi F, Smilari P, Romeo MG, Amato M. Fibrinolytic treatment of portal vein thrombosis after umbilical catheterization using systemic urokinase. Pediatr Int 2000; 42:82-4. [PMID: 10703242 DOI: 10.1046/j.1442-200x.2000.01166.x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Affiliation(s)
- G Distefano
- Department of Neonatology, University of Catania, Italy
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Smilari P, Incorpora G, Sciacca P, Marletta M, Saporito A, Mazzone L, Romeo DM, Cilauro S, Romeo MG. Vein of Galen aneurysmal malformation. Different clinical expressiveness. Three case reports. Minerva Pediatr 2000; 52:55-62. [PMID: 10829593] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/16/2023]
Abstract
The vein of Galen aneurysmal malformation (VGAM) is a rare cerebro-vascular disorder in neonates. It is characterized by an abnormal direct communication between one or several cerebral arteries and the vein of Galen. It may appear in the neonatal period or afterwards. Three cases of patients affected by VGAM with different clinical expression are presented. Two of them were treated successfully with endovascular embolization. It was not possible to provide the same treatment to the third patient for an intractable congestive heart failure already existing when VGAM was diagnosed.
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Affiliation(s)
- P Smilari
- Department of Pediatrics, Catania University School of Medicine, Azienda Policlinico
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Romeo MG, Tina LG, Cilauro S, Morano C, Virzì G, Rodonò A, Betta P, Saporito A, Distefano G. [The importance of using the cerebral function monitor (CFM) in the neurological prognosis of neonates in intensive care]. Pediatr Med Chir 1998; 20:197-9. [PMID: 9744012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023] Open
Abstract
Cerebral function monitor (CFM), unlike traditional EEG, allows a long-term evaluation of electric brain activity, without interfering with the nursing of the newborn in the intensive care unit. Our aim was to evaluate the prognostic value of CFM for neurological outcome. We studied 102 newborns (gestational age 34.5 +/- 4.36 weeks; weight 1980 +/- 720 grams) by Multitrace CFM (Lectromed) 5 hours daily in the first week following admission. The patients also underwent cerebral echography, EEG and neurological follow-up to the 24th month. CFM was found to correlate well with the EEG recorded 3 months later. The persistence for at least one week of an I.C. tracing or the normalization of initial tracing have a good prognostic value (positive predictive value 95.23%), a persistently pathologic registration has a negative prognostic value (negative predictive value 85.18%), that even increases if cerebral echographic alterations are demonstrated (98.57%). The association of CFM and ultrasound abnormalities determines a relative risk for neurological motor impairment of 69.14, whereas CFM alone gives a relative risk of 6.4.
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Affiliation(s)
- M G Romeo
- Clinica Pediatrica II, Università di Catania, Italia
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Distefano G, Rodonò A, Smilari P, Saporito A, Di Bella D, Magro G, Sanges G, Romeo MG. [The VACTERL association: a report of a clinical case with hepatic cystic lymphangiectasis]. Pediatr Med Chir 1998; 20:223-6. [PMID: 9744019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023] Open
Abstract
VACTERL association includes three or more of the following six anomalies: V (vertebral anomalies), A (anal atresia), C (cardiac abnormalities), TE (tracheo-esophageal fistula and/or esophageal atresia), R (reno-urinary anomalies) and L (limb defects). VACTERL cases are classified as "associated" when other than the typical six defects are present in the same infant, or "isolated" when they are not. We report a case of VACTERL association "associated" that presents an hepatic cystic lymphangiectasia that was never described before in literature. We also consider the most important factors involved in the aetiology of the typical anomalies.
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Affiliation(s)
- G Distefano
- Cattedra di Neonatologia, Università di Catania, Italia
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Smilari P, Pavone V, Saporito A, Parisi M, Carpinato C, Sorge G. [The FF complex: a rare congenital malformation]. Pediatr Med Chir 1997; 19:215-7. [PMID: 9340614] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Affiliation(s)
- P Smilari
- Reparto di Neonatologia e Terapia Intensiva Neonatale, Clinica Pediatrica II, Università degli Studi di Catania, Italia
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Marranzano M, Agodi A, Romeo M, Saporito A, Sciacca A, Campanile F. Molecular typing of Klebsiella pneumoniae isolates from a neonatal intensive care unit. New Microbiol 1996; 19:293-300. [PMID: 8914129] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
The epidemiological features of 60 multiresistant K. pneumoniae strains isolated from 1991 to 1995 in a neonatal ward are described. Antibiotic. Susceptibility testing and plasmid profile analysis were used as subtyping procedures. Antibiotic susceptibility typing was not informative enough since discrimination among isolates was typically poor. Plasmid profile analysis demonstrated that 58 out of 60 strains harboured one or more plasmid DNA bands, of different molecular weights ranging between 1.8 and 150 Mda. Small plasmids were best visualized after the alkaline lysis procedure, while large plasmids by the Kado and Liu method. A combination of plasmid patterns obtained by the two extraction procedures was used to define the final plasmid profile for each strain. Thirteen different plasmid profiles were identified among the collection of K. pneumoniae isolates from newborn patients of the same intensive care unit. The investigation showed that the strains were not responsible for a single outbreak.
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Affiliation(s)
- M Marranzano
- Institute of Hygiene and Preventive Medicine, University of Catania, Italy
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Romeo MG, Tina LG, Sciacca A, Betta P, D'Amico P, Saporito A, Distefano G. [Decreased plasma fibronectin (pFN) level in preterm infants with infections]. Pediatr Med Chir 1995; 17:563-6. [PMID: 8668594] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023] Open
Abstract
Plasma fibronectic (pFN) is a high molecular weight multifunction glycoprotein, which augments neutrophil and macrofage phagocytosis and acts as a nonspecific opsonin for the reticuloendothelial system. In this study we have determined pFN concentrations in fifty eight preterm infants to discriminate infected from non infected ones. Concentrations of pFN decreased from baselin in babies with early or late onset infections. The changes in pFN concentrations were not found before sepsis, but on day 1. By day 5 pFN concentrations have increased and have been no longer different from controls. We have calculated sensitivity (73.68%), specificity (74.36%), positive (58.35%) and negative (85.29%) predictive values of pFN and of other markers of infections (C-reactive protein--CRP-, Immature/Mature neutrophil ratio--I/M n. ratio-). Adding these tests to pFN, provided equal specificity and positive predictive value, but increased sensitivity (94.73%) and negative predictive value (96.43%). Thus, low concentrations of pFN may be a valuable but not early marker for neonatal infections. The combination of pFN, CRP and I/M n. ratio increase the precision of diagnostic testing.
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Affiliation(s)
- M G Romeo
- Clinica Pediatrica II, Policlinico dell'Università di Catania, Italia
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Romeo MG, Betta P, Tina LG, Cilauro S, Saporito A, Distefano G. [Oral administration of doxapram in preterm neonates with aminophylline-resistant idiopathic apnea crisis]. Pediatr Med Chir 1995; 17:123-6. [PMID: 7610073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023] Open
Abstract
Doxapram is an analeptic capable of stimulating both central and periferal areas of the respiratory system. During the last few years, intravenous infusion of doxapram has been carried out, with success, for the treatment of idiopathic apnea in preterm infants otherwise unresponsive to methylxantine. Since doxapram has a tendency to precipitate into various solution containing amino acids and calcium gluconate, oral administration has been suggested. The Authors in this study have seen that in 18 preterm infants suffering from idiopathic apnea unresponsive to amynofillina, an oral administration of doxapram at 12 mg/kg/6h resulted in a complete recovery from apnea spells in 66.7% of cases, while 22.2% gave a partial positive response and only 11.1% a negative result. Furthermore the Authors would like to stress that doxapram showed a good tolerance level when administered orally. In fact, no side effects which were previously reported in other publications were presented in the infants studied.
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Affiliation(s)
- M G Romeo
- Cattedra di Neonatologia, Università di Catania, Italia
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Sciacca A, Betta P, Cilauro S, Saporito A, Tina LG. [Oral administration of itraconazole in a case of neonatal hepatic candidiasis]. Pediatr Med Chir 1995; 17:173-5. [PMID: 7610086] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023] Open
Abstract
Systemic Candida A. infections are increasing in Neonatal Intensive Care Units. For many years, Amphotericin B, alone or in combination with 5-fluorocytosine, have been used. Recently a search for new and less toxic drugs has been started. In this study we report the case of hepatic candidosis in a preterm newborn. The patient has been treated with itraconazole, an oral antifungal agent with broad spectrum activity. Its tolerance has been good. No severe side effects were observed and biochemical parameters showed no consistent drug induced effects.
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Affiliation(s)
- A Sciacca
- Clinica Pediatrica I, Università di Catania, Italia
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