[home]
[thesaurus]
Click Here to return To Results
Infant Botulism:A Review of 12 Years'Experience at the Children; s Hosp of Phila
Pediatrics 87:159-165, Schreiner,M.S.,et al, 1991
See this aricle in Pubmed
Article Abstract
Fifty-seven patients with infant botulism were cared for at The Children's Hospital of Philadelphia between 1976 and 1987.The ages of the children ranged from 18 days to slightly more than 7 months.The average duration of hospitalization was 44+/-34 days,with the average intensive care unit stay lasting 29+/-25 days(54 of 57 patients).The majority(77%)of the patients were ultimately intubated and mechanically ventilated(68%).The principal indication for intubation was loss of protective airway reflexes and not hypercarbia or hypoxemia.In those patients who required mechanical ventilation the average duration was 23+/-22 days,with the 10 most severely affected patients(>/=28 days of mechanical ventilation)averaging 53+/-25 days.Excluding patients ventilated for more than a month,those who underwent tracheostomy were hospitalized nearly twice as long as those who were managed by masotracheal intubation only(33.5 days vs 63.2 days).The use of continuous nasogastric feedings has supplied most infants with sufficient enteral feedings to avoid weight loss and the need for central intravenous alimentation.
Related Tags
(click to filter results - removes previous filter)
apnea
autonomic dysfunction
botulinum toxin
botulism
botulism,infant
constipation
cry,abnormal
crying
electromyogram
epidemiology of neurology
feeding disorder
floppy infant
hypotonia
hypotonia,infants
inappropriate antidiuretic(A.D.H.)hormone
intubation
irritability
lethargy
neurologic signs
neuromuscular blockade
neuromuscular disease,electrodiagnosis of
neuromuscular junction,abnormality of
neurotoxin
prognosis
respirator
respiratory arrest
respiratory failure
review article
toxins,nervous system
tracheostomy
treatment of neurologic disorder
weakness
Click Here to return To Results