RESUMO
Escherichia coli as a causative agent for neonatal sepsis is well established. However, there is paucity of reports in the medical literature of E. coli sepsis following scalp electrode placement. We report a preterm infant who developed scalp abscess and E. coli sepsis following a scalp electrode. We recommend a careful examination of babies with a history of fetal electrode monitoring as this could be a nidus for local and generalised infection.
Assuntos
Abscesso/etiologia , Infecções por Escherichia coli/complicações , Monitorização Fetal/efeitos adversos , Couro Cabeludo , Sepse/etiologia , Dermatopatias Bacterianas/etiologia , Abscesso/diagnóstico , Eletrodos Implantados/efeitos adversos , Feminino , Monitorização Fetal/métodos , Humanos , Recém-Nascido , Recém-Nascido Prematuro , Doenças do Prematuro/diagnóstico , Doenças do Prematuro/etiologia , Masculino , Gravidez , Couro Cabeludo/patologia , Sepse/diagnóstico , Dermatopatias Bacterianas/diagnóstico , Adulto JovemAssuntos
Proteção da Criança , Saúde da Família , Homossexualidade , Casamento , Cônjuges , Adulto , Criança , Proteção da Criança/legislação & jurisprudência , Feminino , Humanos , Masculino , Casamento/legislação & jurisprudência , Poder Familiar , Política Pública , Mudança Social , Cônjuges/legislação & jurisprudência , Estados UnidosRESUMO
Racial and ethnic disparities in health care continue to be a major impediment to improving the health of many communities in the United States. Efforts must be directed at the multiple social, economic, and historic determinants of health disparities. In addition, health care providers must be aware of these determinants and must have the tools to address them in their individual relationships with patients. This article describes a partnership that arose out of the mutual recognition by a community organization and public hospital of the need to (a) teach physicians how to recognize the root causes of health disparities, (b) improve their cross-cultural understanding and communication, and (c) enhance their awareness of the capacity of community resources to positively impact their patients' lives.