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Infant With Facial Rash Progressing Rapidly to Deep Tissue Infection. 婴儿面部皮疹迅速发展为深层组织感染。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2024-11-17 DOI: 10.1177/00099228241296236
Justin Shoemaker, Molly Posa, Stephanie Kirkconnell, Alexandra Stern, Jaclyn Otero
{"title":"Infant With Facial Rash Progressing Rapidly to Deep Tissue Infection.","authors":"Justin Shoemaker, Molly Posa, Stephanie Kirkconnell, Alexandra Stern, Jaclyn Otero","doi":"10.1177/00099228241296236","DOIUrl":"https://doi.org/10.1177/00099228241296236","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228241296236"},"PeriodicalIF":1.0,"publicationDate":"2024-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142646334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Streptococcal Mediastinitis Following Placement of a Bravo™ Capsule. 放置 Bravo™ 胶囊后出现链球菌性纵隔炎
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2024-11-17 DOI: 10.1177/00099228241293047
Joseph Peeden, Anna Conner, Dante Pappano
{"title":"Streptococcal Mediastinitis Following Placement of a Bravo<sup>™</sup> Capsule.","authors":"Joseph Peeden, Anna Conner, Dante Pappano","doi":"10.1177/00099228241293047","DOIUrl":"https://doi.org/10.1177/00099228241293047","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228241293047"},"PeriodicalIF":1.0,"publicationDate":"2024-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142646352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Examining Infectious Complications Following Lumbar Puncture in Children. 检查儿童腰椎穿刺后的感染并发症。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2024-11-17 DOI: 10.1177/00099228241293901
Talal B Seddik, Julianne E Burns, Sharon F Chen, Hayden T Schwenk, Yungting Liao, Kimberly Horstman, Rabbia Waris, Lyn M Dos Santos
{"title":"Examining Infectious Complications Following Lumbar Puncture in Children.","authors":"Talal B Seddik, Julianne E Burns, Sharon F Chen, Hayden T Schwenk, Yungting Liao, Kimberly Horstman, Rabbia Waris, Lyn M Dos Santos","doi":"10.1177/00099228241293901","DOIUrl":"https://doi.org/10.1177/00099228241293901","url":null,"abstract":"<p><p>Little is known about infectious complications of lumbar puncture (LP) in children. We reviewed records of children with bacterial meningitis, intraspinal abscess, and vertebral osteomyelitis over a 3-year period to identify infections following LP. Four children with bacterial meningitis and 1 child with vertebral osteomyelitis were identified and their clinical presentations were described. These cases were scored by infectious disease experts, using a Likert scale, for the possibility of iatrogenic causation; these scores were variable, reflecting uncertainty. The bacterial meningitis cases had repeat LPs, and the latter cerebrospinal fluid analyses were diagnostic of bacterial meningitis; the interval between the initial \"index\" LP (I-LP) and symptom onset was 8 to 10 hours in most cases. Pediatricians should be aware of this possibility, and have a low threshold to repeat LP if there is a clinical change after the I-LP that could be consistent with meningitis.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228241293901"},"PeriodicalIF":1.0,"publicationDate":"2024-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142646249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Concurrent Celiac Disease and Eosinophilic Esophagitis in a Pediatric Cohort: More Than a Coincidence. 小儿队列中并发的乳糜泻和嗜酸性粒细胞食管炎：不仅仅是巧合。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2024-11-01 Epub Date: 2024-02-19 DOI: 10.1177/00099228241232876
Arielle Bergman, Melanie Greifer, Jeremiah Levine
{"title":"Concurrent Celiac Disease and Eosinophilic Esophagitis in a Pediatric Cohort: More Than a Coincidence.","authors":"Arielle Bergman, Melanie Greifer, Jeremiah Levine","doi":"10.1177/00099228241232876","DOIUrl":"10.1177/00099228241232876","url":null,"abstract":"<p><p>Celiac disease (CeD) and eosinophilic esophagitis (EoE) are immune-mediated disorders that can occur in the same patient. A retrospective study at a tertiary care hospital was conducted to determine the prevalence of EoE in a pediatric population with CeD and to compare characteristics of patients with both diseases to patients with CeD-only. Among the 148 patients with CeD identified in the study, 11 patients had both CeD and EoE (7.4%). Patients with both CeD and EoE had a higher absolute eosinophil count (per μL) at diagnosis compared to patients with CeD-only (454.1 ± 122.7 vs 231.9 ± 19.4, <i>P</i> = .003). In conclusion, there was a higher proportion of EoE in patients with CeD than would be expected in the general population, suggesting a potential pathophysiological overlap between the 2 diseases. An elevated peripheral absolute eosinophil count may help predict which patients with CeD may additionally have EoE.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"1573-1578"},"PeriodicalIF":1.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139905217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Routine Endocrinologic Evaluation Is Unnecessary in Adolescent Boys With Gynecomastia. 对患有妇科乳腺增生的青春期男孩进行常规内分泌学评估是不必要的。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2024-11-01 Epub Date: 2024-01-29 DOI: 10.1177/00099228231225939
Ethan Blake, Erica A Eugster
{"title":"Routine Endocrinologic Evaluation Is Unnecessary in Adolescent Boys With Gynecomastia.","authors":"Ethan Blake, Erica A Eugster","doi":"10.1177/00099228231225939","DOIUrl":"10.1177/00099228231225939","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"1485-1488"},"PeriodicalIF":1.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139568801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Late Diagnosis of Congenital Chloride Diarrhea Mimicking Hirschsprung's Disease. 先天性氯化物腹泻疑似赫氏病的晚期诊断。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2024-11-01 Epub Date: 2024-02-02 DOI: 10.1177/00099228241228116
Ali Tugay Çelik, Zeren Barış, Yusuf Aydemir, Sinem Kocagil
{"title":"Late Diagnosis of Congenital Chloride Diarrhea Mimicking Hirschsprung's Disease.","authors":"Ali Tugay Çelik, Zeren Barış, Yusuf Aydemir, Sinem Kocagil","doi":"10.1177/00099228241228116","DOIUrl":"10.1177/00099228241228116","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"1494-1497"},"PeriodicalIF":1.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11487898/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139671406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Factors Associated With HIV Testing in Adolescent and Young Adult Females With a History of STI. 有性传播感染史的青少年和年轻成年女性进行 HIV 检测的相关因素。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2024-11-01 Epub Date: 2024-01-23 DOI: 10.1177/00099228241226503
Jessica Addison, Kyzwana Caves, Patrice Melvin, Susan Fitzgerald, Elizabeth R Woods, Kathleen E Walsh
{"title":"Factors Associated With HIV Testing in Adolescent and Young Adult Females With a History of STI.","authors":"Jessica Addison, Kyzwana Caves, Patrice Melvin, Susan Fitzgerald, Elizabeth R Woods, Kathleen E Walsh","doi":"10.1177/00099228241226503","DOIUrl":"10.1177/00099228241226503","url":null,"abstract":"<p><p>To determine the percentage of female adolescent patients (13-26 years old) who had HIV testing ordered within 90 days of incident sexually transmitted infection (STI) diagnosis during an outpatient clinic visit. This was a retrospective chart review study evaluating 830 visits among 589 female patients 13 to 26 years who had an incident STI diagnosed in outpatient Adolescent Medicine or Pediatric Practices in an urban, nonprofit, academic, free-standing children's hospital at the main campus and a community site in the Northeast United States. Odds of HIV screening was greater at the community-based adolescent medicine practice (odds ratio [OR] = 3.17; 95% confidence interval [CI]: [1.92, 5.24]) and when seen by an adolescent medicine provider (OR = 1.44; 95% CI: [1.02, 2.03]). Only 33.5% (n = 283) of 844 clinical encounters had HIV screening obtained within 90 days of incident STI diagnosis. Overall, HIV screening rates within 90 days of STI diagnosis was low, and there is much room for improvement.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"1520-1527"},"PeriodicalIF":1.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139519960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Necrotizing Enterocolitis Complicating Severe RSV Bronchiolitis in PICU Settings. 重症监护病房中并发严重 RSV 支气管炎的坏死性小肠结肠炎。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2024-11-01 Epub Date: 2024-02-02 DOI: 10.1177/00099228241227763
Mohammad Sallam, Ryan Breuer, Brian Wrotniak, Omar Alibrahim
{"title":"Necrotizing Enterocolitis Complicating Severe RSV Bronchiolitis in PICU Settings.","authors":"Mohammad Sallam, Ryan Breuer, Brian Wrotniak, Omar Alibrahim","doi":"10.1177/00099228241227763","DOIUrl":"10.1177/00099228241227763","url":null,"abstract":"<p><p>This retrospective study aims to analyze the baseline characteristics and factors associated with poor outcomes in patients with necrotizing enterocolitis (NEC) complicating respiratory syncytial virus (RSV) infection. Using the Virtual Pediatric Systems data registry, patients under 2 years admitted to the pediatric intensive care unit (PICU) were screened. Patients with documented RSV infection and NEC, intestinal perforation, noninfectious gastroenteritis/colitis, or pneumatosis intestinalis occurring around the timing of RSV bronchiolitis diagnosis were included. Out of the screened patients, 41 were analyzed. Most patients (93%) were aged 30 days to 2 years, one-third had baseline anatomical cardiac defects, and 20% history of prematurity. Median PICU length of stay was 11.7 days. Seven patients died before hospital discharge. While not statistically significant, nonsurvivors tended to exhibit higher PRISM-3 scores, more acidemia, and lower systolic blood pressure. These findings emphasize the need for cautious assessment of gastrointestinal symptoms in critically ill patients with RSV infection.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"1544-1550"},"PeriodicalIF":1.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139671407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Efficacy and tolerability of SEDIFLÙ in treating dry or productive cough in the pediatric population (SEPEDIA): A pilot, randomized, double-blind, placebo-controlled, multicenter clinical trial. SEDIFLÙ治疗儿童干咳或有痰咳嗽的疗效和耐受性（SEPEDIA）：一项试验性、随机、双盲、安慰剂对照、多中心临床试验。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2024-11-01 Epub Date: 2024-02-07 DOI: 10.1177/00099228241228074
Carlos Núñez, María Cristina Chiatti, Francesco Tansella, Cristóbal Coronel-Rodríguez, Ester Risco
{"title":"Efficacy and tolerability of SEDIFLÙ in treating dry or productive cough in the pediatric population (SEPEDIA): A pilot, randomized, double-blind, placebo-controlled, multicenter clinical trial.","authors":"Carlos Núñez, María Cristina Chiatti, Francesco Tansella, Cristóbal Coronel-Rodríguez, Ester Risco","doi":"10.1177/00099228241228074","DOIUrl":"10.1177/00099228241228074","url":null,"abstract":"<p><p>The aim of this trial was to assess the effectiveness of Sediflù, a medical device containing active herbal ingredients, on nocturnal and diurnal persistent coughs in children, with a duration of 3 to 7 days. Children with a dry and/or productive cough were enrolled in this prospective, interventional, multicenter, placebo-controlled, double-blind, randomized clinical study. Clinical efficacy was assessed through the evaluation of the soothing action of Sediflù against dry and/or productive coughing, both at night and during the day, and other effects of coughing associated with quality of sleep: frequency, child's quality of sleep, parental quality of sleep and severity. Treatment with Sediflù improved both night-time and day-time cough scores from day 2. The diurnal score also improved significantly in the Sediflù group at days 3 and 7. Sediflù syrup can be considered a valid treatment for cough management in younger children with upper respiratory tract infections, shortening the cough duration.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"1510-1519"},"PeriodicalIF":1.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11468240/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139696978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Extensively Hydrolyzed Formula and Infant Colic Symptoms: Secondary Analysis of a Prospective Cohort Study. 广泛水解配方奶粉与婴儿腹绞痛症状：一项前瞻性队列研究的二次分析。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2024-11-01 Epub Date: 2024-03-10 DOI: 10.1177/00099228241236033
Jerry Mack Brown, Jessica Victoria Baran, Luke Lamos, Jesse Beacker, Jared Florio, Lea Victoria Oliveros, Abigail Lea Fabbrini, Andrew Arthur Farrar, Jon Arvid Vanderhoof, Michael John Wilsey
{"title":"Extensively Hydrolyzed Formula and Infant Colic Symptoms: Secondary Analysis of a Prospective Cohort Study.","authors":"Jerry Mack Brown, Jessica Victoria Baran, Luke Lamos, Jesse Beacker, Jared Florio, Lea Victoria Oliveros, Abigail Lea Fabbrini, Andrew Arthur Farrar, Jon Arvid Vanderhoof, Michael John Wilsey","doi":"10.1177/00099228241236033","DOIUrl":"10.1177/00099228241236033","url":null,"abstract":"<p><p>Cow's milk protein allergy (CMPA) affects 2% to 3% of infants and is managed with hypoallergenic formulas. The 2022 recalls of infant formulas due to factors including contamination led to specialty formula shortages, highlighting CMPA management challenges. Understanding health care providers' (HCPs) decision-making in transitioning to alternative formulas during shortages is crucial. Limited attention has been given to how pediatric physicians make these choices. This study utilized US HCPs' de-identified survey data to assess driving factors when switching extensively hydrolyzed formulas during shortages. A total of 104 eligible HCPs participated, including general pediatrics, pediatric allergy/immunology, and pediatric gastroenterology specialists. Safety, tolerability, and efficacy were identified as top factors for switching formulas. Formula 1 was considered well-tolerated, patient-accepted, and safe by all HCPs. Most expressed strong belief in Formula 1's safety and effectiveness. Findings inform CMPA management during shortages, offering guidance to HCPs for suitable formula selection and enhanced infant care.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"1579-1584"},"PeriodicalIF":1.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140093522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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