De otras revistas

Abstract

Source: Anales de Pediatría

Guidelines for the preparation of manuscripts and a few hints on critical reading.

Aizpurua P, González P, Aparicio M et al. Anales de Pediatría, https://doi.org/10.1016/j.anpedi.2023.09.005

Abstract

The biomedical research process should follow quality criteria in its design and preparation to ensure that the results are credible and reliable. Once completed, it is time to write an article for publication. It must present in sufficient detail, and in a clear and in a clear and transparent manner, all the information on the research work carried out. In this way, the readers, after a critical reading of what has been published, will be able to judge

the validity and relevance of the study and, if they consider it appropriate, use the findings.

With the aim of improving the description of the research process for publication, a series of guides have been developed that, in a simple and structured way, guide authors when preparing a manuscript. They are presented in the form of a list, flowchart, or structured text, and are an invaluable aid when writing an article.

This article presents manuscript writing guidelines for the most common designs, with their checklists.

Source: Nutrition in Clinical Practice

Troubleshooting the gastrostomy. Blinman T, Hiller D. Troubleshooting the pediatric gastrostomy. Troubleshooting the pediatric gastrostomy. Nutr Clin Pract. 2023;38:240-256. doi:10.1002/ncp.10958.

Summary

Gastrostomy tubes benefit patients, but they also introduce risks and costs. Most of these costs tend to be administratively invisible, but clinically expensive. Nurses, residents, emergency physicians, surgeons, and others constantly handle complaints about gastrostomy tubes or sites, and the time costs are high. Despite the widespread use of gastrostomy tubes and the large "cost of ownership," there are few instructional guidelines for resolving the wide range of problems related to gastrostomy tubes. Instead, clinical folk wisdom leaves staff disarmed, resorting to traditions or maladaptive workarounds that are useless or even harmful. But tubes and gastrostomies predictably fail. This guide reviews commonly used gastrostomy tubes and how they are placed. The routine care of these tubes in both the immediate and long-term postoperative period is detailed. Then, specific gastrostomy tube complications and their major based countermeasures are described, organized by presenting complaint. Throughout, specific clinical hazards are noted along with their remedies. The aim is to demystify these devices and dispel misleading myths.

Source: Current Opinion in Critical Care

Severe skin infections. Windsor C, Urbina T, De Prost N. Severe skin infections. Curr Opin Crit Care 2023, 29:407-414 DOI:10.1097/MCC.0000000000001069

Purpose of the review

The incidence of necrotizing soft tissue infections (NTBI) has increased during the last decades. These infections are still associated with high morbidity and mortality, underscoring the need for continuing education of the medical community. This review will focus on practical approaches to the management of INTBs with a focus on antibiotic therapies and optimization of treatment of Group A Streptococcus (GAS) associated INTBs.

Recent findings

Antibiotic therapy for patients with INTB faces several challenges because the rapid progression of INTB requires broad-spectrum agents with bactericidal action. Current recommendations support the use of clindamycin in combination with penicillin in case of INTB documented by EGA. Linezolide could be an alternative in case of clindamycin resistance.

Abstract

Reducing the time to diagnosis and first surgical debridement, early initiation of broad-spectrum antibiotics, and early referral to specialized centers are key modifiable factors that may affect the prognosis of INTB. The causative organisms vary widely depending on the topography of the underlying infection, conditions and geographic location. Approximately one-third of INTB are monomicrobial and primarily involve EGA or Staphylococcus aureus. Data on antibiotic treatment specifically for necrotizing soft tissue infections are sparse and guidelines are based primarily on expert consensus.