Indian pediatricsPub Date : 2026-07-01Epub Date: 2026-04-15DOI: 10.1007/s13312-026-00339-y
Thirunavukkarasu Arun Babu
{"title":"Mother's Kiss Technique for Nasal Foreign Body Removal in Children.","authors":"Thirunavukkarasu Arun Babu","doi":"10.1007/s13312-026-00339-y","DOIUrl":"10.1007/s13312-026-00339-y","url":null,"abstract":"","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":" ","pages":"528"},"PeriodicalIF":1.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147689991","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}
Indian pediatricsPub Date : 2026-07-01DOI: 10.1007/s13312-026-00375-8
Neelam Mohan
{"title":"Universal Early-Life Screening in India: Time for a National Integrated Strategy.","authors":"Neelam Mohan","doi":"10.1007/s13312-026-00375-8","DOIUrl":"10.1007/s13312-026-00375-8","url":null,"abstract":"","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":" ","pages":"461-463"},"PeriodicalIF":1.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148301148","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}
Indian pediatricsPub Date : 2026-07-01Epub Date: 2026-03-11DOI: 10.1007/s13312-026-00303-w
Annaswamy V Renuka Devi, Vinoth Selvaraj, B Sreelatha Venkat, Vanidha Kandasamy
{"title":"Comparison of Efficacy of Albendazole, Mebendazole and Pyrantel Pamoate in Achieving Remission and Preventing Recurrence of Enterobius vermicularis Infestation in Children: A Randomised Controlled Trial.","authors":"Annaswamy V Renuka Devi, Vinoth Selvaraj, B Sreelatha Venkat, Vanidha Kandasamy","doi":"10.1007/s13312-026-00303-w","DOIUrl":"10.1007/s13312-026-00303-w","url":null,"abstract":"<p><strong>Objective: </strong>Enterobius vermicularis also known as pinworm is one of the most common parasitic infestations in humans. Repeated cycles of reinfection make it difficult to eradicate. Therefore, this study was planned to determine the efficacy of drugs in achieving remission and preventing recurrences of pinworm infestation.</p><p><strong>Methods: </strong>This was an open-label randomized controlled trial conducted from March to August 2025 at Karaikal, Puducherry. Children aged 2-12 years (n = 126) with confirmed pinworm infestation were randomized to one of the three groups (1:1:1)- albendazole (400 mg stat dose), mebendazole (100 mg stat dose) or pyrantel pamoate (11 mg/kg stat dose) with a repeat dose of same drug after two weeks. The efficacy of the three drugs was compared by using a novel objective symptomatic remission (clearance of worms after treatment initiation) and recurrence (no reappearance of worms after remission) scores. Each parent was explained the hygiene measures to be followed and compliance to hygiene was checked in a diary during subsequent visits.</p><p><strong>Results: </strong>Albendazole, Mebendazole and Pyrantel pamoate achieved the highest remission score in 70.5%,59.5% and 67.5% respectively; (P value = 0.483). The highest recurrence score was achieved by Mebendazole in 97.6%, followed by pyrantel pamoate (82.1%) and albendazole (69%); (P value = 0.010). The majority of the children (n = 113) practiced proper hygiene, among whom,102 (90.3%) had no recurrence of worms; P value = 0.001.</p><p><strong>Conclusion: </strong>Albendazole, mebendazole and pyrantel pamoate had similar efficacy in inducing remission, while mebendazole was better than the other two agents in preventing recurrences.</p>","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":" ","pages":"501-506"},"PeriodicalIF":1.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147432487","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}
Indian pediatricsPub Date : 2026-07-01Epub Date: 2026-06-19DOI: 10.1007/s13312-026-00376-7
Varun Kumar, Devendra Mishra
{"title":"American Heart Association/American Stroke Association 2026 Guideline for the Early Management of Patients with Acute Ischemic Stroke: Pediatric Perspective.","authors":"Varun Kumar, Devendra Mishra","doi":"10.1007/s13312-026-00376-7","DOIUrl":"10.1007/s13312-026-00376-7","url":null,"abstract":"<p><p>As new evidence on the evaluation and management of patients with acute ischemic stroke continues to emerge, the American Heart Association/ American Stroke Association released its latest guidelines for the early management of acute ischemic stroke. These guidelines, for the first time, incorporate evidence-based recommendations for assessment and interventional management of pediatric patients with acute ischemic stroke. This update emphasizes on the new pediatric-specific recommendations and also discusses key differences from other pediatric stroke guidelines.</p>","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":" ","pages":"517-521"},"PeriodicalIF":1.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148277244","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}
Indian pediatricsPub Date : 2026-07-01Epub Date: 2026-04-08DOI: 10.1007/s13312-026-00330-7
K M T Siddharth, Shrikrishna V Acharya, Praveen Nayak
{"title":"Cord Blood Leptin Levels and Neonatal Anthropometry in Relation to Maternal Gestational Weight Gain.","authors":"K M T Siddharth, Shrikrishna V Acharya, Praveen Nayak","doi":"10.1007/s13312-026-00330-7","DOIUrl":"10.1007/s13312-026-00330-7","url":null,"abstract":"","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":" ","pages":"526-527"},"PeriodicalIF":1.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147633288","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}
{"title":"In-Hospital Outcomes of Very Preterm and Very Low Birth Weight Neonates: A Multicenter Retrospective Study from India.","authors":"Venkateshwarlu Vardhelli, Praveen Rao Vadije, Rajagopal Kishore Kumar, Vidheya Venkatesh, Arvind Balakrishna Kasaragod","doi":"10.1007/s13312-026-00289-5","DOIUrl":"10.1007/s13312-026-00289-5","url":null,"abstract":"<p><strong>Objective: </strong>To determine the in-hospital neonatal outcomes of very preterm and very low birth weight (VLBW) neonates delivered in tertiary neonatal centres in India.</p><p><strong>Methods: </strong>This retrospective study analyzed the in-hospital outcomes of very preterm (24<sup>0/7</sup>-31<sup>6/7</sup>) and VLBW (501-1500 g) born between January 2018 and December 2022 from 14 tertiary neonatal units across India. Survival during hospital stay and morbidities, including bronchopulmonary dysplasia (BPD) at 36 weeks post-menstrual age, intraventricular hemorrhage (IVH), periventricular leukomalacia (PVL), and retinopathy of prematurity (ROP), were analyzed.</p><p><strong>Results: </strong>A total of 1691 very preterm neonates with a mean (SD) gestational age of 29 (1.9) weeks were included. Survival on discharge rates were 8.7% at 24 weeks, 51% at 25 weeks, 67.2% at 26 weeks, 86.3% at 27 weeks, 89.8% at 28 weeks, 92.2% at 29 weeks, 93.5% at 30 weeks, 97.7% at 31 weeks. 87.8% very preterm neonates were alive on discharge; corresponding figures for extreme preterm and extremely low birth weight (ELBW) neonates were 64.4% and 66.3%, respectively. Morbidity rates were 4% (n = 67) for BPD, 2.4% (n = 40) for IVH grade 3 or more, 0.9% (n = 15) for cystic PVL, and 5.1% (n = 86) for ROP requiring treatment. The VLBW group included 1,754 neonates with a mean (SD) gestational age of 29.8 (2.8) weeks. Survival before discharge in the VLBW group was 88%.</p><p><strong>Conclusion: </strong>The survival and outcomes of very preterm and VLBW neonates from these tertiary neonatal centers in India were good.</p>","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":" ","pages":"507-512"},"PeriodicalIF":1.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147270809","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}
Indian pediatricsPub Date : 2026-07-01Epub Date: 2026-02-23DOI: 10.1007/s13312-026-00278-8
Asma Shaheen Tak, Priyanka Gupta, Ramesh Agarwal, Vandana Jain
{"title":"Body Composition of Healthy Term Indian Newborns by Air Displacement Plethysmography: A Cross-Sectional Study.","authors":"Asma Shaheen Tak, Priyanka Gupta, Ramesh Agarwal, Vandana Jain","doi":"10.1007/s13312-026-00278-8","DOIUrl":"10.1007/s13312-026-00278-8","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the body composition of Indian newborns using air displacement plethysmography (ADP) and assess the correlation between fat mass percentage (FM%) and anthropometric parameters.</p><p><strong>Methods: </strong>A cross-sectional study at a single centre in New Delhi, India, assessed the body composition of singleton, term, healthy newborns at 24-72 h of life by ADP technique using Peapod and described as FM%, fat mass index (FMI) and fat-free mass index (FFMI). Comprehensive anthropometry (head, arm, abdomen and chest circumferences; 5-site skinfold thicknesses) and parental anthropometry was also performed in a subset. Anthropometric data were converted to Z-scores using WHO Anthro software.</p><p><strong>Results: </strong>One hundred and forty-five newborns (73 males) were evaluated. The mean (SD) birthweight was 2882 (305) g and FM% was 7.9 (3.3). FM% correlated positively with birthweight (r = 0.27, P < 0.01); mean FM% being 6.8 (3.6), 8.0 (2.9) and 8.8 (3.4), respectively, in newborns with birthweight < 2700 g (n = 41), 2700-2999 g (n = 52) and ≥ 3000 g (n = 52) (P = 0.015), respectively. Higher maternal last trimester body mass index (BMI) was associated with higher FM% (r = 0.30, P = 0.009). Gestational age correlated with birthweight (r = 0.30, P = 0.003), and FFMI (r = 0.34, P < 0.001), but not with FM% or FMI. Maternal gestational weight gain, and dairy intake correlated with birthweight (r = 0.26, P = 0.012, and r = 0.21, P = 0.040, respectively) but not with neonatal body composition. BMI and sum of SFT (subscapular, triceps and suprailiac) showed a modest correlation with FM% (r = 0.42 and r = 0.38, P < 0.001).</p><p><strong>Conclusion: </strong>Indian newborns do not demonstrate a thin-fat phenotype. FM% measured using ADP is lower than that reported in comparator populations and shows a positive association with birth weight.</p>","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":" ","pages":"488-494"},"PeriodicalIF":1.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147270801","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}
Indian pediatricsPub Date : 2026-07-01Epub Date: 2026-04-16DOI: 10.1007/s13312-026-00335-2
Xuanyou Fang, Shengli Shi, Weijian Mai
{"title":"Weight Loss and Metabolic Remission in Obese Children with MASLD: Reflections on the Use of ALT and Cohort Selection.","authors":"Xuanyou Fang, Shengli Shi, Weijian Mai","doi":"10.1007/s13312-026-00335-2","DOIUrl":"10.1007/s13312-026-00335-2","url":null,"abstract":"","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":" ","pages":"529"},"PeriodicalIF":1.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147698696","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}
{"title":"Lactobacillus rhamnosus GG to Reduce Necrotising Enterocolitis, Sepsis, and Mortality in Very Low Birth Weight Infants: A Randomized Controlled Trial.","authors":"Sachin Shah, Amita Kaul, Prerna Pandey, Surabhi Wattal, Rajesh Nare","doi":"10.1007/s13312-025-00252-w","DOIUrl":"10.1007/s13312-025-00252-w","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the efficacy of oral Lactobacillus rhamnosus GG (LGG) in reducing neonatal enterocolitis (NEC), sepsis and mortality in very low birth weight (VLBW) infants.</p><p><strong>Methods: </strong>This open-label randomized controlled trial included enterally-fed VLBW infants with gestational age ≤ 32 weeks; those with gastrointestinal anomalies, severe birth asphyxia (APGAR score < 3 at 5 min), cyanotic congenital heart disease, and those not started on feeds by 14 days of life were excluded. Participants were randomized to receive either no probiotic (control) group, or probiotic (LGG; intervention) group. The intervention group received the first dose of LGG (probiotic) at feed initiation and was continued till 35 weeks of corrected gestational age. The control group received only breast milk. Clinical outcomes (mortality, NEC, sepsis) were compared in both groups during hospital stay.</p><p><strong>Results: </strong>A total of 236 infants were enrolled. The primary composite outcome of sepsis, NEC or mortality was seen in 35 (30.4%) and 33 (27.2%) infants, respectively in the LGG and control groups (RR 0.85; 95%CI 0.48-1.50, P = 0.592). The mean (SD) time to reach full feeds was 11.9 (4.2) and 12.0 (5.5) days in the LGG and control groups, respectively; P = 0.561. The mean (SD) time to regain birth weight was 13.5 (3.9) and 13.6 (3.9) days in the LGG and control groups, respectively (P = 0.982). There was no significant difference in duration of hospital stay, duration of mechanical ventilation, or duration of antimicrobial therapy between the two groups (P > 0.05).</p><p><strong>Conclusions: </strong>Use of LGG as single component probiotic in VLBW infants did not confer any significant benefit on the composite outcome of mortality, sepsis or NEC.</p><p><strong>Trial registry: </strong>Clinical Trial Registry of India; Ref. No. CTRI/2021/03/031724 dated Mar 03, 2021.</p>","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":" ","pages":"495-500"},"PeriodicalIF":1.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145965832","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}