Browsing by Autor "Erica Ludi"

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Antimicrobial Resistance in Hospital-acquired Bloodstream Infections among Children in a Pediatric Hospital in Bolivia
(Medknow, 2025) Diana Rodríguez; Shirley Equilia; Cristian Roca; Erica Ludi; Graciela Espada; Z Garcia; Blanca Machuca; Taryn Clark; Robert H. Gilman
In the present study, we report that isolated bacteria showed significant resistance to multiple drugs, and most demonstrated increased resistance over time. Worryingly, <i>K</i>. <i>pneumoniae</i> showed an increasing resistance to commonly used antibiotics. Overall, despite the limitations, our study, which is one of the first of its kind in Bolivia, demonstrates the need for stricter policies of antibiotic stewardship in similar settings due to the global threat of AMR.
Geriatric Trauma in Santa Cruz, Bolivia
(Elsevier BV, 2019) Erica Ludi; Marissa A. Boeck; Samuel D. South; Joaquín Monasterio; Mamta Swaroop; Esteban Foíanini
International Female Surgeon Pioneers: Paving the Way for Generations to Come
(Lippincott Williams & Wilkins, 2020) Erica Ludi; Monica Vera Zalles; Laurenss Fabiola Villazon Antenzana; Mamta Swaroop; Esteban J Foianini Gutierrez
Although gender inequalities in surgical residency and leadership positions still exist, many women around the world have made great sacrifices to provide surgical care to patients, and they have paved the way for their female successors. Worldwide, the percentage of female medical students is starting to match, and in some instances, even surpass, the number of male counterparts. Data from 2015 in the US demonstrate females represent almost 48% of medical students enrolled in allopathic medical schools, a 5-fold increase from 9% in 1970. 1 Association of American Medical CollegesThe state of women in academic medicine: the pipeline and pathways to leadership, 2015-2016. https://www.aamc.org/system/files/reports/1/2015table1.pdfDate accessed: December 29, 2019 Google Scholar Additionally, the number of female faculty in medical programs has doubled in the last 3 decades, increasing from 13% to 27%. However, the female surgical workforce continues to be low in high-income countries. In high-income countries, women represent 38% of resident trainees, but only 10% of full professors; this number is predicted to be even lower in low-to-middle–income countries. 2 2019 Clinical Congress NewsShortages in the global surgical workforce exacerbated by gender inequity. https://www.acsccnews.org/shortages-in-the-global-surgical-workforce-exacerbated-by-gender-inequity/Date accessed: December 19, 2019 Google Scholar Women continue to face challenges when electing to pursue a career in surgery, with overt and subtle sexism being prevalent in cultures around the world and at the same time, encountering a paucity of female mentors and role models. This article presents a chronological history of international female pioneers in surgery. It is our distinct desire to show the significant contributions that have been made by women throughout history, despite facing undue hardships and at times, outright discriminations and bias. We also hope to inspire the upcoming generation of women in surgery and those women who are considering pursuing a career in surgery.
Lessons learned during the COVID-19 pandemic using virtual basic laparoscopic training in Santa Cruz de la Sierra, Bolivia: effects on confidence, knowledge, and skill
(Springer Science+Business Media, 2022) Constance S. Harrell; Alexandra Reitz; Erica Ludi; Raúl Rojas Aban; Lorena Jáuregui Paravicini; Federico Serrot
The Bolivian trauma patient's experience: A qualitative needs assessment
(Elsevier BV, 2020) Jordan M. Rook; Ethan Wood; Marissa A. Boeck; Kevin J. Blair; Alexa Monroy; Erica Ludi; Eric J. Keller; David Victorson; Esteban Foíanini; Mamta Swaroop
Trauma Responders Unify to Empower Communities in Santa Cruz, Bolivia: Course Participants and their Feedback
(2013) Mamta Swaroop; Erica Ludi; Alexandra Reitz; Pablo O Peñaranda Dávalos; Gustavo Moraes dos Santos; Morgan E. Jackson; Lucy Lopez Quiroga; Leah C. Tatebe; Jorge Gutiérrez
Introduction: More than half of all trauma deaths occur in the prehospital setting with low-and middle-income countries assuming the greatest burden. Coordinated prehospital responses to trauma, including layperson first responders, can reduce the mortality. Trauma first responder courses (TFRCs) in Bolivia have improved participant knowledge and confidence levels. This study aims to analyze participant baseline characteristics and postworkshop evaluations to inform future course promotion and development. Materials and methods: Trauma responders unify to empower (TRUE)-Bolivia is a 4-hour didactic and practical TFRC covering scene safety, basic airway management, bleeding control, and pelvic binding. Participants, recruited from Santa Cruz, Bolivia, completing all pre-and post-course assessments were included. Quantitative data were aggregated and analyzed in SAS v9.4 with Chi-square analyses, and qualitative data were analyzed for thematic content in Microsoft Excel. Results: A total of 269 people, with an average age of 35.4 years, participated in 18 courses. Most participants were male (n = 211/269, 78.4%) with n = 149/253 (58.9%) working in public transportation, n = 64/253 (25.3%) in medical training, and n = 40/253 (15.8%) working in other fields. Of the 246 and 205 participants who responded to the safety behavior questions, respectively, 55.7% (n = 137/246) of participants wore seat belts less than 50% of the time and 60.5% (n = 124/205) wore helmets less than half the time while on a motorcycle. On post-course evaluation, n = 118/250 (47.2%) quoted skill acquisition to be the greatest benefit of the course, n = 37/250 (14.8%) quoted helping others, and n = 64/250 (25.6%) stated a combination of the two. Suggestions for improvement included adding content on burns, head injuries, and cardiopulmonary resuscitation. Conclusion: Understanding participants' background and incorporating feedback allowed us to tailor the course to participants' interests while maintaining the focus on trauma prevention and initial management. To maximize course impact, a local partnership has been formed with the municipal government to provide the courses to public transportation drivers who are likely to arrive first at a scene of trauma. Clinical significance: The didactic and practical content of TRUE-Bolivia empowers participants to save lives in the prehospital setting where ambulances can take over an hour to arrive.
TRUE-Bolivia: Trauma Responders Unifying to Empower Communities in Santa Cruz, Bolivia
(Elsevier BV, 2022) Morgan E. Jackson; Erica Ludi; Alexandra Reitz; Gustavo Moraes dos Santos; Irene Helenowski; Lucy Lopez Quiroga; Esteban Foíanini; Mamta Swaroop