Kevin P. Pieroni

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OBJECTIVE Aluminum is a contaminant in all parenteral nutrition solutions. Manufacturers currently label these products with the maximum aluminum content at the time of expiry, but there are no published data to establish the actual measured concentration of aluminum in parenteral nutrition solution products prior to being compounded in the clinical(More)
BACKGROUND Pediatric home parenteral nutrition (PN) patients present a unique challenge with risks of catheter-associated bloodstream infections (CABSIs), sometimes requiring subsequent catheter removal. Recurrent infections can lead to line removal and potential loss of venous access in the future. OBJECTIVE Demonstrate that weekly ethanol lock therapy(More)
Ethanol lock therapy has been implemented to prevent infections of central venous catheters as well as to treat infections. Fungal catheter-associated blood stream infections are historically more difficult to treat and have required removal of central venous catheters. We report the largest case series to date, successfully treating 5 of 7 fungal(More)
Aluminum (Al) is a contaminant in all parenteral nutrition (PN) solution component products. Manufacturers currently label these products with the maximum Al content at the time of expiry. We recently published data to establish the actual measured concentration of Al in PN solution products prior to being compounded in the clinical setting [1]. The(More)
A 29-year-old female, G1P0, presented to an outside hospital at 30 weeks estimated gestational age with abdominal pain and contractions. Her past medical history was significant only for hypothyroidism that was being treated with levothyroxine. A fetal ultrasound was performed and demonstrated diffusely dilated fetal small intestines and polyhydramnios,(More)
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