• Hydrocolloid dressing in pediatric burns may decrease operative intervention rates.

      Martin, Fiachra T; O'Sullivan, John B; Regan, Padraic J; McCann, Jack; Kelly, Jack L; Department of Plastic, Reconstructive and Hand Surgery, National University of Ireland, Galway, Ireland. fiachra1978@yahoo.com (2010-03)
      Partial-thickness scalds are the most common pediatric burn injury, and primary management consists of wound dressings to optimize the environment for reepithelialization. Operative intervention is reserved for burns that fail to heal using conservative methods. Worldwide, paraffin-based gauze (Jelonet) is the most common burn dressing; but literature suggests that it adheres to wounds and requires more frequent dressing change that may traumatize newly epithelialized surfaces. Hydrocolloid dressings (DuoDERM) provide an occlusive moist environment to optimize healing and are associated with less frequent dressing changes.
    • Use of palivizumab and infection control measures to control an outbreak of respiratory syncytial virus in a neonatal intensive care unit confirmed by real-time polymerase chain reaction.

      O'Connell, K; Boo, T W; Keady, D; Niriain, U; O'Donovan, D; Commane, M; Faherty, C; Cormican, M; Department of Clinical Microbiology, University College Hospital, Galway, Ireland. karinaoconnell@gmail.com (2011-04)
      Respiratory syncytial virus (RSV) is a potentially life-threatening infection in premature infants. We report an outbreak involving four infants in the neonatal intensive care unit (NICU) of our hospital that occurred in February 2010. RSV A infection was confirmed by real-time polymerase chain reaction. Palivizumab was administered to all infants in the NICU. There were no additional symptomatic cases and repeat RSV surveillance confirmed that there was no further cross-transmission within the unit. The outbreak highlighted the infection control challenge of very high bed occupancy in the unit and the usefulness of molecular methods in facilitating detection and management.