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

Content Provider	Europe PMC
Author	Howes, Cynthia Hiatt, Kerith Turlington, Katherine Foster, Cortney Holloway, Adrian Graciano, Ana Lia Custer, Jason Bhutta, Adnan Bagdure, Dayanand
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.
Related Links	https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC6978170&blobtype=pdf
ISSN	21464618
Volume Number	9
DOI	10.1055/s-0039-1695045
PubMed Central reference number	PMC6978170
Issue Number	1
PubMed reference number	31984151
Journal	Journal of Pediatric Intensive Care [J Pediatr Intensive Care]
e-ISSN	21464626
Language	English
Publisher	Georg Thieme Verlag KG
Publisher Date	2019-08-28
Publisher Place	Stuttgart · New York
Access Restriction	Open
Rights License	© Thieme Medical Publishers
Subject Keyword	botulism pediatrics pediatric intensive care unit mechanical ventilation
Content Type	Text
Resource Type	Article
Subject	Critical Care and Intensive Care Medicine Pediatrics, Perinatology and Child Health