No abstract

Background: We studied the incidence of catheterassociated bloodstream infections (CABSI) in a tertiary specialist 23-bedded paediatric intensivecare unit (PICU). Ongoing surveillance of CABSI incidence is important for continuous quality improvement and maintaining patient safety. There is little published data on the incidence of CABSI in UK paediatric intensive care units. Methods: We prospectively collected daily clinical and laboratory data on all PICU admissions for four months, retrospectively using electronic patient records to supplement missing data. All positive blood cultures were identified and the total number of catheter days was calculated. We used the UK National Patient Safety Association "Matching Michigan" (MM) case definitions to identify bloodstream infections and CABSI and determined the rate of CABSI.

We report a retrospective case study of the use of clomethiazole for treatment of non‐convulsive status epilepticus in a patient not responding to benzodiazepines, illustrated by EEG and video. Clomethiazole can be considered as a safe oral option for management of non‐convulsive status epilepticus when conventional treatment has failed. [Published with video sequences online]