Perfectionnement en Pédiatrie最新文献

{"title":"Sommaire","authors":"","doi":"10.1016/S2588-932X(25)00166-4","DOIUrl":"10.1016/S2588-932X(25)00166-4","url":null,"abstract":"","PeriodicalId":101006,"journal":{"name":"Perfectionnement en Pédiatrie","volume":"8 3","pages":"Page v"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145160005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quand s’inquiéter face à une absence de vésicule biliaire sur l’échographie anténatale ?","authors":"Madeleine Aumar","doi":"10.1016/j.perped.2025.07.001","DOIUrl":"10.1016/j.perped.2025.07.001","url":null,"abstract":"","PeriodicalId":101006,"journal":{"name":"Perfectionnement en Pédiatrie","volume":"8 3","pages":"Pages 213-214"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145108747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Refus scolaire anxieux : diagnostic et modalités actuelles de prise en charge","authors":"Hélène Lahaye ,&nbsp;Marie-Pierre Hauvette ,&nbsp;Sébastien Garny de la Rivière ,&nbsp;Valentin Guyon","doi":"10.1016/j.perped.2025.07.003","DOIUrl":"10.1016/j.perped.2025.07.003","url":null,"abstract":"<div><div>Bien que constituant un enjeu actuel de santé publique, le refus scolaire anxieux (RSA) est une problématique ancienne. Il se définit par une réticence ou un refus fréquent d’aller à l’école accompagnée par de la détresse émotionnelle se traduisant par une crainte excessive, des crises de colère, de la tristesse, des symptômes physiques inexpliqués. Les absences scolaires ne sont pas dissimulées aux parents, il n’y a pas de comportements antisociaux significatifs et les parents font des efforts raisonnables pour assurer la présence de l’enfant à l’école. La prévalence est estimée entre 1,2 % et 4,8 % en population générale, jusqu’à 8 % en population pédiatrique consultant en pédopsychiatrie. Le RSA est un trouble complexe, dont les étiologies sont principalement anxieuses telles que l’anxiété de séparation chez les enfants et l’anxiété sociale chez les adolescents. Les conséquences sur la scolarité et la socialisation sont importantes et peuvent conduire à un décrochage scolaire. Les élèves sont rescolarisés à terme dans 50 à 70 % des cas. Il persiste souvent des troubles psychiatriques et une difficulté d’ajustement social. La prise en charge se doit d’être précoce et multidisciplinaire, incluant les professionnels de soins psychique et socio-éducatif. Elle repose sur le traitement des comorbidités et une psychothérapie basée sur un modèle cognitivo-comportemental.</div></div><div><div>Although it is currently a public health issue, school refusal anxiety (SRA) is an old problem. It is defined by frequent reluctance or refusal to attend school accompanied by emotional distress such as excessive fear, anger outbursts, sadness, and unexplained physical symptoms. School non-attendance is not hidden from parents, there are no significant antisocial behaviors, and parents make reasonable efforts to ensure the child's attendance at school. The prevalence of SRA is estimated between 1.2% and 4.8% in the general population, and up to 8% in clinical populations. SRA is a complex disorder, whose etiology is primarily rooted in anxiety, including separation anxiety in children and social anxiety disorder in adolescents. The consequences for schooling and socialization are significant and can lead to school dropout. Students are reintegrated into school in 50%–70% of cases. Psychiatric disorders and social adjustment difficulties often persist. Early management is essential and must be multidisciplinary, involving mental health and socio-educational professionals. It relies on the treatment of comorbidities and psychotherapy based on a cognitive-behavioral model.</div></div>","PeriodicalId":101006,"journal":{"name":"Perfectionnement en Pédiatrie","volume":"8 3","pages":"Pages 228-231"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145108748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neurodéveloppement et Cardiopathies Congénitales","authors":"Béatrice Desnous","doi":"10.1016/j.perped.2025.07.006","DOIUrl":"10.1016/j.perped.2025.07.006","url":null,"abstract":"","PeriodicalId":101006,"journal":{"name":"Perfectionnement en Pédiatrie","volume":"8 3","pages":"Pages 191-195"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145108719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Développement du microbiote intestinal des nourrissons et impact sur la santé","authors":"Raphaël Enaud","doi":"10.1016/S2588-932X(25)00169-X","DOIUrl":"10.1016/S2588-932X(25)00169-X","url":null,"abstract":"","PeriodicalId":101006,"journal":{"name":"Perfectionnement en Pédiatrie","volume":"8 3","pages":"Pages 3S3-3S9"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145160008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Histoire de l’imagerie pédiatrique","authors":"Jean-François Chateil ,&nbsp;Philippe Devred ,&nbsp;Sylviane Hanquinet","doi":"10.1016/j.perped.2025.07.004","DOIUrl":"10.1016/j.perped.2025.07.004","url":null,"abstract":"","PeriodicalId":101006,"journal":{"name":"Perfectionnement en Pédiatrie","volume":"8 3","pages":"Pages 232-240"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145108749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Infos Médicaments","authors":"Bérenger Largeau,&nbsp;Anaïs Maurier,&nbsp;Corinne Simon,&nbsp;Frédérique Beau-Salinas,&nbsp;Eve-Marie Thillard,&nbsp;Marie-Sara Agier,&nbsp;Annie-Pierre Jonville-Béra","doi":"10.1016/j.perped.2025.07.011","DOIUrl":"10.1016/j.perped.2025.07.011","url":null,"abstract":"","PeriodicalId":101006,"journal":{"name":"Perfectionnement en Pédiatrie","volume":"8 3","pages":"Pages 241-247"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145108750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Copyright Page","authors":"","doi":"10.1016/S2588-932X(25)00165-2","DOIUrl":"10.1016/S2588-932X(25)00165-2","url":null,"abstract":"","PeriodicalId":101006,"journal":{"name":"Perfectionnement en Pédiatrie","volume":"8 3","pages":"Page iv"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145160075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Traitement antibiotique de la femme enceinte et ses conséquences sur la santé du nouveau-né et de l’enfant","authors":"Camille Bréhin","doi":"10.1016/j.perped.2025.07.002","DOIUrl":"10.1016/j.perped.2025.07.002","url":null,"abstract":"&lt;div&gt;&lt;div&gt;L’utilisation des antibiotiques pendant la grossesse est courant, représentant 80 % des médicaments prescrits et exposant environ 35 % des femmes enceintes dans les pays occidentaux. Malgré des modifications pharmacocinétiques chez la femme enceinte, peu d’antibiotiques sont strictement contre-indiqués. Une vigilance reste nécessaire, surtout pour les nouvelles molécules. Une méta-analyse récente n’a pas montré de risque significatif de malformations congénitales liées à une exposition anténatale aux antibiotiques. L’antibiothérapie maternelle peut affecter le microbiote intestinal du nouveau-né, important pour le développement immunitaire et métabolique. Par exemple, l’antibioprophylaxie intra-partum contre le streptocoque du groupe B modifie temporairement la composition du microbiote de l’enfant, réduisant la diversité bactérienne et favorisant certaines familles bactériennes comme les protéobactéries. L’exposition anténatale aux antibiotiques est aussi liée à une augmentation possible de l’antibiorésistance chez le nouveau-né. Concernant le risque infectieux, plusieurs études montrent une association entre exposition prénatale aux antibiotiques et un risque accru d’infections chez l’enfant (ex : otite moyenne, infections urinaires), ainsi qu’une incidence plus élevée d’hospitalisations pour infections durant l’enfance. Le lien avec l’entérocolite ulcéro-nécrosante (ECUN) chez les prématurés reste incertain, avec des données contradictoires. Sur le plan immunoallergique, l’exposition prénatale aux antibiotiques est associée à un risque accru de maladies auto-immunes (notamment les maladies inflammatoires chroniques intestinales) et d’allergies (dermatite atopique, allergies alimentaires, rhino-conjonctivite, asthme, épisodes sifflants). Bien que des liens de causalité ne soient pas toujours démontrés, il est important de limiter l’exposition anténatale aux antibiotiques afin d’éviter des conséquences à plus long terme sur la santé de l’enfant.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;div&gt;The use of antibiotics during pregnancy is common, accounting for 80% of prescribed medications and exposing approximately 35% of pregnant women in Western countries. Despite pharmacokinetic changes in pregnant women, only a few antibiotics are strictly contraindicated. Vigilance remains necessary, especially for new agents. A recent meta-analysis did not show a significant risk of congenital malformations related to prenatal antibiotic exposure. Maternal antibiotic therapy can affect the newborn's gut microbiota, which is important for immune and metabolic development. For example, intrapartum antibiotic prophylaxis against group B streptococcus temporarily alters the child's microbiota composition, reducing bacterial diversity and promoting certain bacterial families such as Proteobacteria. Prenatal antibiotic exposure is also associated with a possible increase in antibiotic resistance in the newborn. Regarding infectious risk, several studies have shown an association b","PeriodicalId":101006,"journal":{"name":"Perfectionnement en Pédiatrie","volume":"8 3","pages":"Pages 220-225"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145104378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Un reflux qui prend la tête","authors":"Baptiste Hallope ,&nbsp;Celine Icher ,&nbsp;Sophie Missonnier ,&nbsp;Jean Delmas ,&nbsp;Edouard Gimbert ,&nbsp;Candice Tetard ,&nbsp;Thierry Lamireau","doi":"10.1016/j.perped.2025.07.008","DOIUrl":"10.1016/j.perped.2025.07.008","url":null,"abstract":"","PeriodicalId":101006,"journal":{"name":"Perfectionnement en Pédiatrie","volume":"8 3","pages":"Pages 226-227"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145104379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}