Original ArticleOpen Access

Prevalence, Predictors, Echocardiographic Features, and Clinical Outcomes of Infective Endocarditis in Patients with Streptococcus agalactiae Septicemia

Jamnongprasatporn S, Sethalao P, Udol K, Ratanasit N, Jakrapanichakul D

There was a significant proportion of GBS infective endocarditis (IE) in patients admitted due to GBS septicemia. Younger age, new murmur, and stroke/systemic embolism (SE) were independent predictors of IE in patients with GBS septicemia. Echocardiography should be performed in patients with these particular predictors to find the evidence and intracardiac complications of GBS IE.

Original ArticleOpen Access

Outcomes of Newborn Infants with Neonatal Sepsis Receiving IgM-Enriched Intravenous Immunoglobulin as Adjunctive Treatment

Charoenwong K, Paopongsawan P, Jirapradittha J, Kiatchoosakun P

IgM-enriched IVIG failed to demonstrate benefit as an adjunctive treatment for newborn infants with neonatal sepsis. It also failed to show reduction in length of hospital stay and hospital cost. Routine prescription of IgM-enriched IVIG in neonatal sepsis was not recommended.

Original ArticleOpen Access

Lymphaticovenular Anastomosis for Patients with Lymphedema of the Lower Extremity: A Cumulative Experience at Siriraj Hospital

Yodrabum N, Kamnerdnakta S, Chu-Ongsakul S, Chortrakarnkij P, Aojanepong C, Khaogate K, Prompattanapakdee J, Taweepraditpol S

LVA is an effective operation for lower extremity lymphedema. LVA can satisfactorily reduce excessive lymphedematous tissues and cellulitis episodes. According to the cumulative data of LVA at Siriraj Hospital, the outcome of LVA in the lower extremity has an acceptable outcome; the same holds true for the upper extremity. Unfortunately, a number of patients disregarded the surgical treatment. There should be an effective healthcare team to encourage this valuable treatment practice.

Original ArticleOpen Access

Postoperative Hypothermia after Cardiac Surgery: A Retrospective Cohort Study of Incidence and Risk Factors

Suksompong S, Khamtuikrua C, Sujirattanawimol K, Chaikittisilpa N

Approximately 43.4% of the cardiac surgical patients develop hypothermia following open cardiac and/or thoracic aortic surgeries. Factors associated with PH were increasing age, female patients, deep hypothermia during cardiopulmonary bypass (CPB) and administration of >3L of intravenous fluid after separation of CPB until discharge from the OR.