Student, Resident AND Fellow Research post-infectious pneumatocele. giant cells, suggesting a post-obstructive changes in the lung secondary to accu- leading to the expansion of previously un- expansion of a mucous plug, which re- mulation of an intrapulmonary mucocele. detected cystic lesions was considered, but sorbed, leaving cystic lesions that ruptured RSV is a frequent cause of pneumonitis altitude of helicopter transport and walled into the pleural space, leading to a pneu- in infants, rarely resulting in complica- features argued against this. mothorax with tension physiology. tions, but it is important to recognize the On day 17 of his hospitalization, the possibility of such complications, which infant underwent segmental resection of Discussion may occur even as the primary infection is his right upper lobe. Pathologic examina- Secondary air leaks and cyst evolution as resolving. tion showed air-filled cystic areas lined by sequelae of RSV are exceedingly rare. This chronic inflammatory with foamy case highlights the potential for cystic

PEDIATRIC RESIDENT RESEARCH AND QUALITY IMPROVEMENT WINNER IFELAYO P. OJO, MBBS, MPH,1 ETA Q. OBEYA, MD,1 DANIEL A. GABDERO, MBBS,2 AND TINA M. SLUSHER, MD1,3 1UNIVERSITY OF MINNESOTA; 2BOWEN UNIVERSITY TEACHING HOSPITAL, OGBOMOSO, OYO STATE, NIGERIA; 3HENNEPIN COUNTY MEDICAL CENTER Evaluation of ThermoSpot for measurement of body in Nigerian infants receiving phototherapy and validation of caregiver ThermoSpot reading

evere neonatal jaundice is a major Methods ers treated temperature deviations appro- cause of death and/or disability Baby-caregiver dyads receiving photother- priately. No neonate had hyperthermia or Samong newborns in resource-limited apy at Bowen University Teaching Hospital without appropriate changes settings. Conventional phototherapy (PT) in Ogbomoso, Nigeria, were recruited in the ThermoSpot noted. is often unavailable. Filtered sunlight pho- after informed consent was obtained. A totherapy (FSPT) is efficacious in jaundice brief education was provided to caregivers Conclusion treatment, but neonates under FSPT are about ThermoSpot color markers, which ThermoSpot accurately displayed temper- prone to both hypothermia and hyperther- were applied to two predetermined spots— atures for neonates receiving PT or FSPT. mia. ThermoSpot, a liquid crystal display skin over the , in the armpit, on the Caregivers identified appropriate action(s). thermometer designed as a noninvasive temple, or on the neck. Data was recorded Challenges included insufficient variability hypothermia indicator, changes color hourly indicating disc position and color, in temperatures, too high of a high tem- when the neonate’s core body temperature axillary temperature, and caregiver and perature cut point, and decreased sticki- changes. It has been proven to accurately health care worker action. Data analysis ness of ThermoSpot discs after 2 or 3 uses. detect hypothermia. However, no stud- was performed using Microsoft Excel. Future research will include development ies have been performed on neonates of a new disc with improved hyperthermia outdoors. We designed a cross-sectional Findings cutoffs. These revisions could dramatically study to determine whether ThermoSpot Thirty-two neonates (40 patient days) had improve the ThermoSpot’s usefulness in accurately displays temperature range in ~5 valid temperatures/day for each patient. neonates under FSPT and those in nurser- Nigerian neonates receiving either PT or In the majority (95%) of the 216 observa- ies in low-resource settings. FSPT. tions, the neonates were normothermic (36.0-37.9°C), and the ThermoSpot was green. Six infants had temperature >38°C recorded for 9 observations and at least 1 ThermoSpot was blue. However, 3 of the hyperthermia observations were discor- dant between either caregiver and health care worker observation, or the 2 discs placed on the same infant. One infant was hypothermic at 35.7°C and ThermoSpot was red. Caregivers and health care work-

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