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Related Concept Videos

Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

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Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
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In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
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Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
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Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic01:26

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Healthcare-associated infections (HAIs) occur in a healthcare facility while a person receives care for another ailment. This category also includes work-related infections among healthcare staff.
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Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
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Updated: Nov 16, 2025

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
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Readmissions Following Hospitalization for Infection in Children With or Without Medical Complexity.

Jessica L Markham1,2, Matt Hall1,3, Jennifer L Goldman1,2

  • 1Department of Pediatrics, Children's Mercy Kansas City and the University of Missouri-Kansas City School of Medicine, Kansas City, Missouri.

Journal of Hospital Medicine
|February 22, 2021
PubMed
Summary
This summary is machine-generated.

Pediatric infection readmissions vary widely by infection type. Improving care for children with complex chronic conditions and specific respiratory infections could significantly reduce readmissions and save millions.

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Area of Science:

  • Pediatric hospital medicine
  • Healthcare economics
  • Infectious disease epidemiology

Background:

  • Infection-related readmissions in children represent a significant healthcare burden.
  • Understanding readmission patterns is crucial for optimizing pediatric care and resource allocation.

Purpose of the Study:

  • To determine the prevalence and characteristics of infection-related readmissions in children.
  • To identify opportunities for reducing these readmissions and estimate potential cost savings.

Main Methods:

  • Retrospective analysis of 380,067 pediatric hospitalizations from the 2014 Nationwide Readmissions Database.
  • Comparison of 30-day, all-cause unplanned readmissions and costs across 22 infection categories.
  • Stratification of analyses by the presence or absence of a complex chronic condition (CCC).

Main Results:

  • The overall 30-day readmission rate was 4.9%, with significant variation across infections and by CCC status.
  • Potentially avoidable readmissions were estimated at 42.6% for children with a CCC and 54.7% for those without, with substantial cost savings.
  • Bronchiolitis, pneumonia, and upper respiratory tract infections showed the highest potential for readmission reduction and cost savings.

Conclusions:

  • Infection-related readmission rates in children are highly variable depending on the specific infection.
  • Future preventative strategies should focus on children with complex chronic conditions and specific diagnoses like respiratory illnesses to improve hospital resource utilization.