Martin del Valle F.,Hospital Universitario Severo Ochoa |
Calvo C.,A+ Network |
Martinez-Rienda I.,Hospital Of Cruces |
Cilla A.,Hospital Of Burgos |
And 11 more authors.
Anales de Pediatria | Year: 2017
Introduction: Human parechovirus (HPeV) is one of the recently described picornaviridae viruses that have been associated with fever of unknown origin (FUO), clinical sepsis, gastroenteritis, meningitis, or encephalitis in very young infants. The aim of this study is to describe the epidemiology and clinical features of these viruses. Patients and methods: A prospective multicentre 3-year study was conducted in 12 hospitals in Spain. Out of 850 specimens examined, 47 were positive (5.52%), with HPeV-3 being the most frequent (29 cases). Infections occurred throughout the year, but mainly in May and July, and a biennial distribution was observed. More than half (57%) were neonates, and only 2 children were older than 3 months. Fever was present in all children, with irritability in 45%, rash in 18.6%, and diarrhoea in 14%. The results of biochemical tests were all in normal range. The most common final diagnosis was FUO (61%), followed by clinical sepsis (29%). Up to 29% of infants were admitted to the intensive care unit, but only one patient had sequelae. Results: Out of 850 specimens examined, 47 were positive (5.52%) for HPeV, with HPeV-3 being the most frequent (29 cases). Infections occurred throughout the year, but mainly in May and July, and a biennial distribution was observed. More than half (57%) were neonates, and only 2 children were older than 3 months. Fever was present in all children, with irritability in 45%, rash in 18.6%, and diarrhoea in 14%. The results of biochemical tests were all in normal range. The most common final diagnosis was FUO (61%), followed by clinical sepsis (29%). Up to 29% of infants were admitted to the intensive care unit, but only one patient had sequelae. Conclusions: HPeV circulates in our country, mainly during spring and summer, and affects young infants with a FUO and clinical sepsis. Molecular diagnostic techniques in all hospitals could help in improving the management of patients with these infections. © 2017.
Gloria C.V.,Ginecologia y Obstetricia |
Sonia P.C.,Microbiologia |
Amparo I.F.,Patologia Cervical |
Daniel S.V.,Enfermera |
And 3 more authors.
Revista Chilena de Obstetricia y Ginecologia | Year: 2014
Objective: The aim of the study was to determine the reasons for non-vaccination in women outside the routine immunization programs. Method: There were evaluated by questionnaire 226 women with HPV infection. All of them had been informed of their disease and type of HPV infected by. We all had recommended the vaccine and the condom use previously. Results: 66.7% had a steady partner, 75% used condoms. The age of first sexual relationship was 17.8 years old and 47.3% of patients had 5 or more partners during their lifetime. 72% knew their HPV infection and 48.8% knew their injury. 63.7% were not vaccinated: They rejected the vaccine mainly for the price (49.5%), insufficient information (18.7%) or other causes such as primary care opposite point of view (15%). Conclusions: The prize of the vaccine and the HPV knowledge are crucial to the acceptance of vaccination.
Casal-Moro R.,Complejo Universitario Hospitalario Of Vigo |
Castro-Menendez M.,Hospital Of Monforte Of Lemos |
del Campo-Perez V.,Complejo Universitario Hospitalario Of Vigo |
Hernandez-Blanco M.,Complejo Universitario Hospitalario Of Vigo |
Jorge-Barreiro F.J.,University of Santiago de Compostela
Revista Espanola de Cirugia Ortopedica y Traumatologia | Year: 2010
Objective: To evaluate the learning curve of the Microendoscopic Discectomy (MED) for the treatment of lumbar disc herniation. Material and methods: Prospective observational clinical study of 120 patients operated by MED technique. The learning curve was assessed using surgery time, complication rate and conversion rate. The relief of pain, improvement of functional status and patient satisfaction were also assessed. The follow-up time after surgery was 5 years in all cases. Results: The duration of surgical operating time decreased over the course of the study to stabilise around 62-69. min. There were complications in 14 patients (11.7%), the most frequent of which was incidental durotomy (3 cases, all during the learning curve period). There were six (5%) conversions to open discectomy (4 patients in the first 30 cases). After this stage, conversion to open procedure was exceptional and there were no complications related to technique. The MED is a predictable and safe procedure that can treat all types of herniated discs through an 18 mm incision without detaching the muscles, providing similar results to those obtained with conventional techniques, as it is based on the same surgical principles. © 2009 SECOT.