Botulism in the Pediatric Intensive Care Units in the United States: Interrogating a National Database

Cynthia Howes; Kerith Hiatt; Katherine Turlington; Cortney Foster; Adrian Holloway; Ana Lia Graciano; Jason Custer; Adnan Bhutta; Dayanand Bagdure

doi:10.1055/s-0039-1695045

Journal of Pediatric Intensive Care, Inhaltsverzeichnis

J Pediatr Intensive Care 2020; 09(01): 012-015
DOI: 10.1055/s-0039-1695045

Original Article

Georg Thieme Verlag KG Stuttgart · New York

Botulism in the Pediatric Intensive Care Units in the United States: Interrogating a National Database

Authors

Cynthia Howes

¹Department of Pediatrics, Division of Pediatric Critical Care, University of Maryland Medical Center, Baltimore, Maryland, United States
Kerith Hiatt

¹Department of Pediatrics, Division of Pediatric Critical Care, University of Maryland Medical Center, Baltimore, Maryland, United States
Katherine Turlington

²Department of Pediatrics, University of Maryland School of Medicine, Baltimore, Maryland, United States
Cortney Foster

²Department of Pediatrics, University of Maryland School of Medicine, Baltimore, Maryland, United States
Adrian Holloway

²Department of Pediatrics, University of Maryland School of Medicine, Baltimore, Maryland, United States
Ana Lia Graciano

²Department of Pediatrics, University of Maryland School of Medicine, Baltimore, Maryland, United States
Jason Custer

²Department of Pediatrics, University of Maryland School of Medicine, Baltimore, Maryland, United States
Adnan Bhutta

²Department of Pediatrics, University of Maryland School of Medicine, Baltimore, Maryland, United States
Dayanand Bagdure

²Department of Pediatrics, University of Maryland School of Medicine, Baltimore, Maryland, United States

Abstract

Botulism in children can have severe complications necessitating intensive care. The current literature lacks data of children with botulism requiring critical care. We aim to describe the outcomes of pediatric botulism in the pediatric intensive care unit (PICU). Retrospective cohort data from Virtual Pediatric Systems (VPS, LLC, Los Angeles, California), from 2009 to 2016 including all PICU admissions among children with botulism, were analyzed. Characteristics and outcomes were compared with similar studies. A total of 380 children were identified over 8 years. Our cohort had the shortest length of stay (median 4.6 days), the smallest percent requiring mechanical ventilation (40%), and the highest median age (120 days) amongst comparable studies. Length of mechanical ventilation and PICU stay has decreased among children with botulism. Advances in PICU care may have contributed to these improved outcomes.

Keywords

botulism - pediatrics - pediatric intensive care unit - mechanical ventilation

Volltext

Referenzen

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