All publications of “Eduardo Juan Troster”

9 results

Comparison of enterovirus detection in cerebrospinal fluid with Bacterial Meningitis Score in children

Frederico Ribeiro Pires, Andréia Christine Bonotto Farias Franco, Alfredo Elias Gilio, Eduardo Juan Troster

DOI: 10.1590/S1679-45082017AO3880

ABSTRACT Objective To measure the role of enterovirus detection in cerebrospinal fluid compared with the Bacterial Meningitis Score in children with meningitis. Methods A retrospective cohort based on analysis of medical records of pediatric patients diagnosed as meningitis, seen at a private and tertiary hospital in São Paulo, Brazil, between 2011 and 2014. Excluded were patients with critical illness, purpura, ventricular shunt or recent neurosurgery, immunosuppression, concomitant bacterial infection requiring parenteral antibiotic therapy, and those who received antibiotics 72 hours […]

Risk factors for post-extubation stridor in children: the role of orotracheal cannula

Milena Siciliano Nascimento, Cristiane Prado, Eduardo Juan Troster, Naiana Valério, Marcela Batan Alith, João Fernando Lourenço de Almeida

DOI: 10.1590/S1679-45082015AO3255

ObjectiveTo determine the risk factors associated with stridor, with special attention to the role of the cuffed orotracheal cannula.MethodsProspective analysis of all the intubated patients submitted to mechanical ventilator support from January 2008 to April 2011. The relevant factors for stridor collected were age, weight, size and type of airway tube, diagnosis, and duration of mechanical ventilation. The effects of variables on stridor were evaluated using uni- and multivariate logistic regression models.ResultsA total of 136 patients were included. Mean age […]

Meningitis due to Haemophilus influenzae type f

Marta Pessoa Cardoso, Jacyr Pasternak, Alfredo Elias Giglio, Rejane Rimazza Dalberto Casagrande, Eduardo Juan Troster

DOI: 10.1590/S1679-45082013000400020

With the decline in the rate of infections caused by Haemophilus influenzae serotype b since the widespread vaccination, non-b serotypes should be considered as potential pathogenic agents in children with invasive disease younger than 5 years old. We report the case of an immunocompetent 1-year-old boy with Haemophilus influenzae type f meningitis. The agent was identified in cerebrospinal fluid and blood cultures. Serotyping was performed by tests using polyclonal sera and confirmed by polymerase chain reaction. All Haemophilus influenzae isolates […]

The epidemiological profile of Pediatric Intensive Care Center at Hospital Israelita Albert Einstein

Camila Sanches Lanetzki, Carlos Augusto Cardim de Oliveira, Lital Moro Bass, Sulim Abramovici, Eduardo Juan Troster

DOI: 10.1590/S1679-45082012000100005

Objective:This study outlined the epidemiological profiles of patients who were admitted to the Pediatric Intensive Care Center at Albert Einstein Israelite Hospital during 2009.METHODS:Data were retrospectively collected for all patients admitted to the PICC during 2009. A total of 433 medical charts were reviewed, and these data were extracted using the DATAMARTS System and analyzed using the statistical software package STATA, version 11.0.RESULTS:There were no statistically significant differences in regards to patient gender, and the predominant age group consisted of […]

Meningoencephalitis associated with Mycoplasma pneumoniae

Isabella Batista de Lalibera, Guilherme de Abreu Silveira, Ricardo Katsuya Toma, Jack Yung Kuo, Eduardo Juan Troster

DOI: 10.1590/S1679-45082012000100021

We report a case of a child with meningoencephalitis of atypical etiology. The patient developed the disease after an infection in the upper airways with unfavorable evolution. The clinical recovery was only possible after the administration of adequate antibiotic therapy for the etiological agent. This case report describes a child with meningoencephalitis of atypical etiology. The patient developed the disease after an infection in the superior airways with negative evolution. The clinical recovery was possible only after the introduction of […]

Acute respiratory distress syndrome caused by Mycoplasma pneumoniae in a child: the role of methylprednisolone and clarythromycin

João Fernando Lourenço de Almeida, Adalberto Stape, Eduardo Juan Troster

DOI: 10.1590/s1679-45082011rc1764

ABSTRACTMycoplasma pneumoniae is recognized as an important agent of pneumonia in pediatric population. In rare situations, severe pulmonary injury can develop. The use of corticoids in these cases remains controversial. A case of a girl with acute respiratory distress syndrome and bilateral pleural effusion secondary to pneumonia due to Mycoplasma pneumoniae is described, with good recovery after appropriate use of methylprednisolone and clarythromicyn.

Allogeneic hematopoietic stem cell transplantation in children with primary immunodeficiencies: Hospital Israelita Albert Einstein experience

Juliana Folloni Fernandes, Fabio Rodrigues Kerbauy, Andreza Alice Feitosa Ribeiro, Jose Mauro Kutner, Luis Fernando Aranha Camargo, Adalberto Stape, [...]

DOI: 10.1590/S1679-45082011AO2007

ABSTRACT Objective: To report the experience of a tertiary care hospital with allogeneic hematopoietic stem cell transplantation in children with primary immunodeficiencies. Methods: Seven pediatric patients with primary immunodeficiencies (severe combined immunodeficiency: n = 2; combined immunodeficiency: n = 1; chronic granulomatous disease: n = 1; hyper-IgM syndrome: n = 2; and IPEX syndrome: n = 1) who underwent eight hematopoietic stem cell transplants in a single center, from 2007 to 2010, were studied. Results: Two patients received transplants from […]

Red blood cell transfusion practice in a Pediatric Intensive Care Unit

Cibele Mendes, Dafne Cardoso Bourguignon da Silva, Rodrigo Genaro Arduini, Eduardo Juan Troster

DOI: 10.1590/S1679-45082011AO1884

ABSTRACT Objectives: To describe a population of children that received red blood cell transfusions. Methods: A retrospective observational study carried out at the Pediatric Intensive Care Unit of the Instituto da Criança of Hospital das Clínicas of Faculdade de Medicina of Universidade de São Paulo in 2004, with children that received red blood cell transfusions. Results: Transfusion of red blood cells was performed in 50% of the patients hospitalized. Median age was 18 months, and the primary motive for admission […]

Noninvasive ventilation for acute respiratory failure in children – a systematic review

Carolina Silva Gonzaga, Dafne Cardoso Bourguignon da Silva, Carolina Figueira Rabello Alonso, Carlos Augusto Cardim de Oliveira, Lara de Araújo Torreão, Eduardo Juan Troster

DOI: 10.1590/S1679-45082011RW1714

ABSTRACT Objective: To assess the role of noninvasive ventilation in the treatment of children with acute respiratory failure. Methods: A systematic review of literature on noninvasive ventilation in MEDLINE, LILACS, EMBASE, and Cochrane databases, besides references in articles. The outcomes evaluated were responses in blood oxygenation and ventilation, and patient survival. Results: A total of 120 studies on noninvasive ventilation were found as of May, 2010. Of these, only 19 were about noninvasive ventilation in children. On the other hand, […]