Biomedical subjects

L Glorioso

Publications and source records attributed to L Glorioso.

3 recordsLinked to original sources

PubMed1995

The role of surgery in the management of uncommon skin infections.

BACKGROUND: Some infections do not respond readily to antibiotic therapy. In particular, fungi and mycobacteria often require prolonged treatment, which is expensive and prone to adverse effects. OBJECTIVE: To investigate the role of surgery in the treatment of skin infections. METHODS: Literature review. RESULTS: Infections caused by atypical mycobacteria, certain fungi, and those involving joints often respond well to surgical treatments. In several situations excision produces a higher cure rate than antibiotic treatment. CONCLUSION: Excision, drainage, or debridement has been shown to be superior to drug therapy in several infections and a reasonable alternative in others.

Aspergillosis↗

PubMed1990

Gowning on a postpartum ward fails to decrease colonization in the newborn infant.

We conducted a randomized study to evaluate the effect of gowning by visitors and hospital personnel on a postpartum ward on nose and umbilical colonization and disease in healthy newborn infants. Cultures were obtained in infants assigned to the gowning and nongowning groups within 6 hours of birth from the anterior part of the nares and the base of the umbilicus and at the time of discharge from the nursery. There were 102 infants in the gowning group and 100 infants in the nongowning group. No significant differences were noted between the two groups with respect to sex, length of stay, mode of delivery, weight, or status of nursery admission culture results. The use of gowns on a postpartum ward failed to decrease nose or umbilical colonization when compared with infants in the nongowning group. Seventy (68.6%) of 102 infants in the gowning group and 65 (65%) of 100 infants in the nongowning group had negative umbilical cord cultures on admission to the nursery that became positive at discharge. On follow-up, no differences were noted between the two groups with respect to their health. Only one infant in each group had an infection develop in the first 4 weeks of life. We conclude that the routine use of cover gowns on postpartum units in healthy full-term infants is ineffective and costly. It may discourage health care providers from examining patients and providing care.

Cross Infection↗

PubMed1986

Management of urinomas by percutaneous drainage procedures.

The etiology and pathogenesis of urinomas are discussed. Different treatment protocols to correct the underlying cause are outlined, such as drainage by percutaneous nephrostomy or placement of a stent across a ureteral defect to promote drainage of urine from the kidney into the bladder as well as drainage of the urinoma by appropriately positioned catheters. Monitoring of renal function by means of radionuclide studies assessing plasma flow rate is advocated to ascertain effectiveness of management. Follow-up CT scans are used to affirm satisfactory resolution of the urinoma.

Cysts↗