Paediatrics & child health最新文献

{"title":"Care provider training: Dysregulation in eating disorders and management.","authors":"Jessica Willis, Renee Pang, Elisabeth Yorke","doi":"10.1093/pch/pxaf103","DOIUrl":"https://doi.org/10.1093/pch/pxaf103","url":null,"abstract":"<p><strong>Objectives: </strong>To understand how e-learning modules affect health care providers' (HCP) confidence in managing emotional distress among adolescents hospitalized for eating disorders (EDs).</p><p><strong>Methods: </strong>Paediatric HCPs completed e-modules outlining approaches to managing emotional distress in adolescents with EDs. Participants completed premodule and postmodule mixed method surveys. Results were analyzed using descriptive statistics, Wilcoxon signed-rank test and content analysis.</p><p><strong>Results: </strong>Sixteen participants completed surveys. Participants reported lacking confidence when caring for adolescents with EDs. Participants rarely (1/15) received training on meal support or distress management. After module completion, there was a significant increase in perceived confidence in managing distress (<i>r</i> = 0.16, <i>P</i> = 0.005), meal support (<i>r</i> = 0.11, <i>P</i> = 0.002) and caring for patients (<i>r</i> = 0.12, <i>P</i> = 0.034).</p><p><strong>Conclusion: </strong>Results of this study support that e-modules are perceived as an effective method of education for providers caring for adolescents with EDs. This pilot data can be used to develop emotional distress e-learning across care locations and disciplines.</p>","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"31 2","pages":"87-90"},"PeriodicalIF":2.0,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12976667/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147444572","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}

{"title":"Management of serious <i>Staphylococcus aureus</i> infections in children: A survey of paediatric infectious diseases physicians in Canada.","authors":"Alison A Lopez, Nancy Nashid, Michelle Barton, Nathalie Bridger, Jeannette L Comeau, Sergio Fanella, Carsten Krueger, Marie Astrid Lefebvre, Kirk Leifso, Nicole Le Saux, Michael R Miller, Shaun K Morris, Rupeena Purewal, Caroline Quach, Ashley Roberts, Joan Robinson, Jacqueline Wong, Jesse Papenburg","doi":"10.1093/pch/pxaf122","DOIUrl":"https://doi.org/10.1093/pch/pxaf122","url":null,"abstract":"<p><strong>Objectives: </strong><i>Staphylococcus aureus</i> (SA) infections are a common problem in children and a frequent reason for paediatric infectious diseases (PID) consultation. We sought to describe contemporary practices of Canadian PID physicians for management of serious paediatric SA infections.</p><p><strong>Methods: </strong>We developed and disseminated a national, self-administered, cross-sectional online survey of Canadian PID consultants to assess practice patterns involving the management of serious paediatric SA infections.</p><p><strong>Results: </strong>Thirty-nine of 84 (46%) PID consultants across 14 Canadian children's hospitals completed the survey; 48.7% (<i>n</i> = 19) had been practising for 10 or more years and 92.1% (<i>n</i> = 35) completed their PID training in Canada. For methicillin sensitive SA (MSSA) infections outside the central nervous system, 56.4% (<i>n</i> = 22) of respondents preferred cefazolin. Ceftriaxone/cefotaxime was used as definitive treatment for MSSA by 26.3% (<i>n</i> = 10). Prescribing penicillin for penicillin sensitive SA was divided with 51.3% (<i>n</i> = 20) choosing to use it. Most respondents chose to treat SA bacteremia (SAB) with no focus in immunocompetent children and neonates for 14 days, 89.7% (<i>n</i> = 35) and 92.3% (<i>n</i> = 36), respectively. Variability was observed in the practices of ordering abdominal ultrasounds and echocardiograms for SAB with no focus, and in the transition to oral antibiotics for MSSA bacteremia. Variability was also noted in treating osteoarticular infections with methicillin resistant SA bacteremia, with 56.4% (<i>n</i> = 22) choosing intravenous antibiotics until an appropriate clinical response is observed while others advised a minimum 7 (17.9%, <i>n</i> = 7) or 14 (12.8%, <i>n</i> = 5) day intravenous course.</p><p><strong>Conclusion: </strong>Our study highlights both areas of consistency and variability among Canadian PID physicians in managing serious SA infections in children, emphasizing the need for evidence-based paediatric guidelines and increased inclusion of children in clinical trials.</p>","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"31 3","pages":"221-227"},"PeriodicalIF":2.0,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13079086/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147699252","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}

{"title":"Characterizing all-terrain vehicle (ATV)-related harm in Saskatchewan children and youths: A retrospective chart review of patients presenting to hospitals in Saskatoon, Canada from 2016 to 2021.","authors":"Alyssa Zucchet, Tyler J Wenzel","doi":"10.1093/pch/pxaf121","DOIUrl":"https://doi.org/10.1093/pch/pxaf121","url":null,"abstract":"<p><strong>Objectives: </strong>All-terrain vehicles (ATVs) are a leading cause of serious injury in children. There are limited Saskatchewan-specific data on these injuries. We aimed to characterize ATV-related injuries in children and youths under the age of 20 in Saskatchewan.</p><p><strong>Methods: </strong>A retrospective chart analysis of the 354 patients presenting to hospitals in Saskatoon for ATV-related injuries between 2016 and 2021.</p><p><strong>Results: </strong>Incidents commonly occurred in male patients (70%) aged 12 to 16 (45%), riding a quad (as opposed to a dirt bike or other ATV) (36%) between May and August (68%). Fractures were the most common injury (50%), though moderate/severe head injuries (6%) and polytrauma (6%) were documented. The type of injury was significantly associated with the patient's health region of residence, with Saskatoon patients accounting for the highest proportion of fractures (47%), mild head injuries (71%), and soft tissue injuries (62%), while patients from the North and Far North Saskatchewan accounted for the highest proportion of moderate/severe head injuries (76%) and polytrauma (50%). Most incidents involved quads (36%), and these incidents were the most severe (14% moderate/severe head injuries and polytrauma). 48% of patients wore helmets when using four-wheeled ATVs compared with 91% of patients on dirt bikes, and this difference may account for only 2% of dirt bike incidents resulting in moderate/severe head injuries and polytrauma.</p><p><strong>Conclusions: </strong>Findings suggest a false perception of safety regarding four-wheeled ATVs. Targeted public education initiatives are needed in Saskatchewan to address ATV-related risks to promote safer riding behaviours and reduce morbidity among children and youths.</p>","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"31 2","pages":"128-135"},"PeriodicalIF":2.0,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12976680/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147444644","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}

{"title":"Early relational health training in Canadian paediatric residency programs: A national program director survey.","authors":"Katherine M Matheson, Nicole Sheridan, Sophie Zarb, Sara Citron, Michelle Ward, Blair Hammond","doi":"10.1093/pch/pxaf136","DOIUrl":"https://doi.org/10.1093/pch/pxaf136","url":null,"abstract":"<p><strong>Objectives: </strong>Early Relational Health (ERH)-a foundational determinant of lifelong mental and physical health-is emerging as a critical component of paediatric practice. However, its integration into Canadian paediatric residency training remains poorly defined. This study conducted an environmental scan of Canadian paediatric residency programs to examine the current state of ERH education, as reported by Program Directors (PDs).</p><p><strong>Methods: </strong>PDs from Canadian paediatric residency programs were invited to complete an anonymous survey (September-December 2023). The survey explored PDs' definitions of ERH, existing training opportunities, perceptions of how well ERH is addressed, and motivators for incorporating structured curricula. Data were analyzed using descriptive statistics.</p><p><strong>Results: </strong>Ten PDs completed the survey (37% response rate). All (100%) General Pediatrics PDs reported their program teaches positive parenting and early child development \"Not Very Well,\" compared with 20% of subspecialty PDs. Sixty per cent of General Pediatrics PDs and all Subspecialty PDs rated an ERH curriculum as \"Very Important\" for their learners. Nearly all respondents expressed interest in implementing a structured, evidence-based, self-guided ERH curriculum to improve resident knowledge and skills.</p><p><strong>Discussion: </strong>This is the first study to evaluate ERH training within Canadian paediatric residency programs. While some subspecialty programs have integrated ERH content, most General Pediatrics programs identified clear training gaps. All PDs recognized ERH as an essential topic despite limited formal education opportunities. Development of a structured, competency-based ERH curriculum represents a key next step in advancing paediatric training and care quality in Canada.</p>","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"31 3","pages":"200-206"},"PeriodicalIF":2.0,"publicationDate":"2026-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13079103/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147699182","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}

{"title":"Pediatric self-reported pain outcomes via texting following emergency department discharge: How does it compare to parent's perception?","authors":"Keli D Coleman, Michael Webb, Bradley J Barney, Sheikh Iqbal Ahamed, Keri Hainsworth, Elizabeth R Alpern, David C Brousseau, Amy L Drendel","doi":"10.1093/pch/pxaf125","DOIUrl":"https://doi.org/10.1093/pch/pxaf125","url":null,"abstract":"<p><strong>Objectives: </strong>Compare child and parent text message reporting of pain outcomes following emergency department (ED) discharge.</p><p><strong>Methods: </strong>Children 8 to 17 years, discharged from the ED with long-bone fracture, whose parent was enrolled in the multicenter study to report their child's pain and function outcomes (R01HD091302) were enrolled in this single-center study between April 2021 and February 2022. Both respondents reported pain-related dysfunction (scale: 0 to 10), maximum pain (scale: 0 to 10), and medication dissatisfaction (scale: 1 to 4) for 7 days by text message. Average differences in outcomes between respondents were tested using a paired <i>t</i>-test and mixed models. Text response rate was evaluated.</p><p><strong>Results: </strong>Overall, 80 child-parent dyads were included, and 80% of children texted reports on at least 1 day, 74% for ≥3 days, and 45% for all 7 days. Parents' overall response rate was 91% for at least 1 day, 80% for ≥3 days, and 44% for all 7 days. Compared to parents, child reports were not different for the child's dysfunction score (difference = 0.21 points, 95% CI: -0.03, 0.44; <i>P</i>-value = 0.086) but were higher for child's maximum pain score (0.31 points, 95% CI: 0.09, 0.52; <i>P</i>-value = 0.006) and dissatisfaction score (0.22, 95% CI: 0.15, 0.30; <i>P</i>-value = <0.001).</p><p><strong>Discussion: </strong>Children ages 8 to 17 years can report at-home pain experiences by text message at rates comparable to their parents. Children report significantly higher pain severity and dissatisfaction with pain medications, but dysfunction was similar compared to parent's report. Children and their parents can text message their at-home acute pain experiences after ED discharge.</p>","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"31 3","pages":"215-220"},"PeriodicalIF":2.0,"publicationDate":"2026-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13079089/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147699250","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}

{"title":"Recognition and management of acute kidney injury in children.","authors":"Cal Robinson, Peter Wong, Rahul Chanchlani, Kristen Pederson, Kayla Flood, Amrit Kirpalani, Cherry Mammen, Emma Heydari Ulrich","doi":"10.1093/pch/pxaf100","DOIUrl":"10.1093/pch/pxaf100","url":null,"abstract":"<p><p>Acute kidney injury (AKI) is common among hospitalized neonates and children and is associated with adverse short- and long-term outcomes. Prevention and early detection of AKI are necessary to limit injury progression and avoid complications. However, paediatric AKI is currently under-recognized in Canada and follow-up care is highly variable. This Canadian Paediatric Society statement reviews epidemiology and risk factors for paediatric AKI, strategies for its diagnosis and management in hospitalized children, the potential long-term risks of childhood AKI, and recommendations for follow-up surveillance after AKI. A separate section focuses on the nuances of neonatal AKI detection and management, due to the unique considerations applicable to this patient population.</p>","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"31 2","pages":"155-173"},"PeriodicalIF":2.0,"publicationDate":"2026-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13007596/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147513857","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}

{"title":"La détection et la prise en charge de l'insuffisance rénale aiguë chez les enfants.","authors":"Cal Robinson, Peter Wong, Rahul Chanchlani, Kristen Pederson, Kayla Flood, Amrit Kirpalani, Cherry Mammen, Emma Heydari Ulrich","doi":"10.1093/pch/pxaf101","DOIUrl":"10.1093/pch/pxaf101","url":null,"abstract":"<p><p>L'insuffisance rénale aiguë, courante chez les nouveau-nés et les enfants hospitalisés, est associée à des pronostics défavorables à court et à long terme. Il faut la prévenir et la détecter rapidement pour en limiter la progression et éviter les complications. Cependant, au Canada, elle est actuellement sous-dépistée chez les enfants, et les soins de suivi sont très variables. Le présent document de principes de la Société canadienne de pédiatrie vise à analyser l'épidémiologie et les facteurs de risque de l'insuffisance rénale aiguë chez les enfants, les stratégies pour la diagnostiquer et la prendre en charge en cas d'hospitalisation, les risques qu'elle comporte à long terme et les recommandations relatives à la surveillance dans le cadre du suivi de cette pathologie. Un volet distinct porte sur les nuances relatives à la détection et à la prise en charge de l'insuffisance rénale aiguë chez les nouveau-nés en raison des considérations propres à cette population de patients.</p>","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"31 2","pages":"164-173"},"PeriodicalIF":2.0,"publicationDate":"2026-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12976677/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147443915","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}

{"title":"Sleep matters: Supporting healthy sleep for children and youth with neurodevelopmental disabilities (NDDs).","authors":"Megan Thomas, Sarah Shea","doi":"10.1093/pch/pxaf107","DOIUrl":"https://doi.org/10.1093/pch/pxaf107","url":null,"abstract":"<p><p>Children with neurodevelopmental disabilities are at high risk for sleep problems, which can negatively affect their health and that of their families. Improving sleep may be one of the most effective ways to improve behaviour, mood, positive social interaction, attention and learning, and reduce future risks for poor metabolic and mental health. While insomnia is the most common concern, increased rates of other sleep disorders are also found in this population. Sleep problems require prompt identification and intervention, which includes recognizing or ruling out contributory medical conditions. Most sleep issues can be addressed through measures that improve sleep habits/hygiene alongside behavioural strategies that respect cultural diversity and parental priorities. If behavioural strategies fail or are only partially successful, melatonin can be used, with medical supervision. Other medication strategies may be needed in difficult cases, but these should be carefully considered and monitored because most have potential for impairing sleep quality or side effects.</p>","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"31 2","pages":"174-182"},"PeriodicalIF":2.0,"publicationDate":"2026-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12976682/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147444536","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}

{"title":"The unseen and undervalued work of families with children with medical complexity: Addressing administrative workload in pediatric complex care.","authors":"Victor Do, Cara Coleman, Ashley Edwards, Catherine Diskin","doi":"10.1093/pch/pxaf138","DOIUrl":"https://doi.org/10.1093/pch/pxaf138","url":null,"abstract":"<p><p>Children with medical complexity (CMC) have chronic conditions with multisystem comorbidities requiring high-intensity, coordinated care. A substantial yet often invisible aspect of this care is the administrative workload borne by parents and caregivers. This 'unseen and undervalued work' encompasses the relentless administrative labour required to secure services, complete forms, manage appointments, advocate across fragmented systems, and coordinate supports frequently without adequate guidance, resources, or recognition. The consequences for families are profound: lost income, burnout, foregone care, and widening inequities, particularly among structurally marginalized families. Although administrative workload also greatly affects healthcare providers, contributing to increased coordination time and strain, the least acknowledged burden falls on caregivers themselves. This commentary illustrates the scope of caregiver administrative labour for CMC, underscores its disproportionate impact on those facing structural inequities, and offers a call to action across research, clinical practice, health systems, and policy. Recognizing, measuring, and addressing this burden is essential.</p>","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"31 3","pages":"196-199"},"PeriodicalIF":2.0,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13079094/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147699258","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}

{"title":"A qualitative descriptive study exploring perspectives on a school-based take-home COVID-19 saliva testing program.","authors":"Sarah Moor, Blossom Dharmaraj, Natasha Bruno, Cindy Bruce-Barrett, Aaron Campigotto, Michelle Science, Julia Orkin","doi":"10.1093/pch/pxaf104","DOIUrl":"https://doi.org/10.1093/pch/pxaf104","url":null,"abstract":"<p><strong>Objectives: </strong>Saliva testing, a safe and comfortable screening modality, can effectively detect SARS-CoV-2 in children. Recognizing the need for accessible testing in schools, a COVID-19 School Testing Program was launched across 677 schools, providing take-home saliva kits, educational materials, and ongoing support to families and school leadership. This study aimed to explore participants' experiences with the program to inform future school-based public health initiatives.</p><p><strong>Methods: </strong>Using a prospective qualitative descriptive design, we conducted semi-structured interviews until thematic saturation was reached. Interviews were audio recorded, transcribed, and analyzed through inductive content analysis, with reflexivity, use of a critical friend, and thick description ensuring methodological rigor. Twenty-one participants were interviewed.</p><p><strong>Results: </strong>Six themes emerged: (1) improved access, (2) flexibility in testing environment, (3) less invasive option, (4) convenient drop-off, (5) prompt results, and (6) enhanced school safety.</p><p><strong>Conclusion: </strong>Findings emphasize accessibility, convenience, and flexibility as essential for effective school-based viral testing models.</p>","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"31 2","pages":"104-110"},"PeriodicalIF":2.0,"publicationDate":"2026-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12976670/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147444633","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}