ESBL (Extended Spectrum Beta Lactamase) Infections - an Emerging Problem in Children

There is an emergence of infections with ESBL-producing micro-organisms recently. They remain poorly characterized in children. We sought to characterize children in a teaching hospital from whom an ESBL-producing organism had been isolated. We identified all children under sixteen years of age who had ESBL-producing organism isolated in the year 2016 in children admitted to pediatric hospital at University Hospital center “Mother Theresa”, Tirana. The referral source was contacted for further information where possible. Clinical details and treatment were analyzed to determine likelihood of infection or colonization. Fifteen children were identified, aged three months to nine years. Thirteen isolates were obtained from urine, one each from a wound swab and a cough swab. Three isolates were obtained from hospitalized children, but only one of these needed treatment. This child presented with lymphadenitis and continued to be pyrexial and irritable despite treatment with cephalosporin. Subsequently ESBL producing organism was isolated from the urine and she responded to appropriate antibiotic. Data was available for nine out of twelve patients originating from the community. Of these, four had repeat specimens which didn\u27t grow ESBL-producer again. Three were treated and two remained asymptomatic and well. ESBL-producing organisms are increasingly isolated in children, but from our review appear frequently to be colonizers rather than pathogens. However, it is very important to be vigilant about the possibility of ESBL infection in children especially if they fail standard antibiotic therapy

The 6th Albanian Congress of Trauma and Emergency Surgery

After a three-year quarantine from the deadliest global pandemic of the last century, ASTES is organizing to gather all health professionals in Tirana, The 6th Albanian Congress of Trauma and Emergency Surgery(ACTES 2022) on 11-12 November 2022, with the topic Trauma & Emergency Surgery and not only...with the aim of providing high quality, the best standards, and the best results, for our patients ...ACTES 2022 is the largest event that ASTES (Albanian Society for Trauma and Emergency Surgery) has organized so far with 230 presentations, and 67 foreign lecturers with enviable geography, making it the largest national and wider scientific event.The scientific program is as strong as ever, thanks to the inclusiveness, where all the participants with a mix of foreign and local lecturers, select the best of the moment in medical science, innovation, and observation.The scientific committee has selected all the presentations so that the participants of each medical discipline will have something to learn, discuss, debate, and agree with updated methods, techniques, and protocols.I hope you will join us on Friday morning, and continue the journey of our two-day event together