Search

Children with acute leukaemia (AL) are a high-risk population for infections and life-threatening conditions requiring paediatric intensive care unit (PICU) admission, presenting an increased mortality rate. A few literature exists about PICU outcomes in this kind of patients, especially with haematopoietic stem cell transplant (HSCT) background. We investigated the clinical and epidemiological characteristics of these patients as well as their outcomes. A retrospective, single-centre analytical/observational study was conducted from January 2011 to December 2018 in the PICU of a tertiary care hospital. AL patients from 28 days to 18 years old admitted to the PICU were included, excluding those with histories of HSCT or CAR T-cell therapy. We collected epidemiological and clinical characteristics, laboratory and microbiology results and outcomes. Forty-three patients with AL required urgent admission (35 lymphoblastic and 8 myeloblastic) for 63 different episodes. The main reasons were sepsis (21, 33.3%), hyperleukocytosis (12, 19%), respiratory failure (11, 17.5%) and seizures (8, 12.7%). Nineteen (30.2%) required inotropic support, and fifteen (23.8%) required mechanical ventilation. Three patients died at the hospital (3/43, 6.9%). Sixty-day mortality was 9.3%, and 1-year mortality was 13.9%. There was no differences regarding the type of AL and 60-day mortality (log-rank 2.652, p = 0.103). Conclusion: In our study, the main cause of admission for AL patients was infection, which was associated to more severity and longer hospital admission.

One previous study recommended oral and outpatient management for those infants aged 60–90 days with urinary tract infection (UTI) meeting the low-risk criteria identified: to be well-appearing and to have a procalcitonin value of

An experimental strategy was developed to obtain ( $$\hbox {Si}_{1-x}\hbox {Ti}_{x})\hbox {O}_{\mathrm {2}}$$ ( $$x \le 0.25$$ ) porous materials via the sol–gel hydrothermal process. The sol was prepared from Si(OEt) $$_{\mathrm {4}}$$ (TEOS), Ti(OBu) $$_{\mathrm {4}}$$ (OBu: $$\hbox {OCH}_{\mathrm {2}}\hbox {CH}_{\mathrm {2}}\hbox {CH}_{\mathrm {2}}\hbox {CH}_{\mathrm {3}})$$ , anhydrous ethanol, deionized water and nitric acid. The reagents were mixed at room temperature (293 K) to obtain a homogeneous colourless liquid which was subjected to a hydrothermal process at 473 K using a stainless steel container. Finally, the material obtained was treated at 873 K in air. The surface area of the treated solids was determined by $$\hbox {N}_{\mathrm {2}}$$ adsorption/desorption isotherms. The corresponding average pore diameter was evaluated using the Barret, Joiner and Halenda and Horvath-Kawazoe methods. Porous structures were obtained, in which the average pore diameter of the microporous ones was 1.4 nm. The characterization techniques employed were Fourier transform infrared spectroscopy (FTIR), X-ray diffraction, Raman spectroscopy, scanning electron microscopy, thermal gravimetric analysis, differential scanning calorimetry and UV–Vis diffuse reflectance spectroscopy. The Si–O–Ti bonds were detected by FTIR.