فهرست مطالب مریم احمدی پور

Ventilator-induced pneumonia is the most common nosocomial infection in intensive care unit patients. The aim of this study was to compare the common ventilator-associated pneumonia in two groups of children and adults in the intensive care unit of Bahonar Hospital in Kerman in 2019.

The records of 146 patients in both pediatric and adult groups in the intensive care unit with ventilator-associated pneumonia were reviewed cross-sectional. Broncho alveolar lavage samples were taken from the patients and examined for the presence of operating bacteria.

The mean age of patients in children and adults was 11.2±5.5 and 53.8±19.3 years, respectively. The mean duration of ventilation in children and adults was 12.2±8.14 and 17.7±15.3 days, respectively. The mean time interval between ventilation and infection was not statistically significant between the two groups (P = 0.1). The mean length of hospital stay was 27.5±20.5 in the pediatric group and 40.7±23.4 days in the adult group (p=0.00). Acinetobacter (40%) was the most common disease in both age groups. Most patients in both children and adults were recovered and discharged.

According to similar crimes in the age group, in case of clinical and laboratory symptoms of VAP, a similar antibiotic treatment can be selected.

Abstract: The most common cause of gastric outlet obstruction in neonates and infants is hypertrophic pyloric stenosis. Pyloric web as a cause of gastric outlet obstruction is relatively rare in children and presents with non_bilious vomiting, abdominal pain and failure to thrive. The onset of symptoms is usually late with nonspecific symptoms like vomiting and failure to thrive that seems to be due to neuromuscular incoordination. Here we report a 3 year-old boy with prolonged fever, anorexia, and intractable postprandial non bilious vomiting and weight loss since 20 days prior to admission. Barium meal study revealed gastric outlet obstruction with a dilated stomach. The patient underwent laparotomy and pyloric web was confirmed as the cause of the symptoms and Heineke-Mikulicz pyloroplasty led to disappearing of the entire patient’s problems.