Botulism in the Pediatric Intensive Care Units in the United States: Interrogating a National Database
2019
Botulismin children can have severe complications necessitating intensive care. The current literature lacks data of children with
botulismrequiring critical care. We aim to describe the outcomes of pediatric
botulismin the
pediatric intensive care unit(PICU). Retrospective cohort data from Virtual Pediatric Systems (VPS, LLC, Los Angeles, California), from 2009 to 2016 including all PICU admissions among children with
botulism, were analyzed. Characteristics and outcomes were compared with similar studies. A total of 380 children were identified over 8 years. Our cohort had the shortest length of stay (median 4.6 days), the smallest percent requiring
mechanical ventilation(40%), and the highest median age (120 days) amongst comparable studies. Length of
mechanical ventilationand PICU stay has decreased among children with
botulism. Advances in PICU care may have contributed to these improved outcomes.
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