Pediatric Respirology and Critical Care Medicine最新文献_第8页

Innovative interventions and approaches for pediatric respiratory problems 儿科呼吸问题的创新干预和方法

Pediatric Respirology and Critical Care Medicine Pub Date : 2018-07-01 DOI: 10.4103/PRCM.PRCM_15_18

Varinder Singh

引用次数: 1

Modified high-flow nasal cannula in young children with pneumonia: A 3-year retrospective study 改良高流量鼻插管治疗幼儿肺炎:一项3年回顾性研究

Pediatric Respirology and Critical Care Medicine Pub Date : 2018-07-01 DOI: 10.4103/PRCM.PRCM_2_18

Issaranee Vareesunthorn, A. Preutthipan

{"title":"Modified high-flow nasal cannula in young children with pneumonia: A 3-year retrospective study","authors":"Issaranee Vareesunthorn, A. Preutthipan","doi":"10.4103/PRCM.PRCM_2_18","DOIUrl":"https://doi.org/10.4103/PRCM.PRCM_2_18","url":null,"abstract":"Objectives: We aimed to report our 3-year experience in modified HFNC (MHFNC) usage in young children with community-acquired pneumonia in infectious diseases ward and to identify factors associated with MHFNC failure. Materials and Methods: A retrospective, cross-sectional study of pediatric patients, aged <5 years, with community-acquired pneumonia, who were treated with MHFNC at infectious diseases from August 2012 to December 2015 were recruited. MHFNC failure was defined as a need for further respiratory support within 48 h after initiating MHFNC. Patients: Ninety-nine patients with community-acquired pneumonia were included in this study. Setting: A tertiary care hospital. Measurements and Results: Ninety-nine children (median age of 14 months, body weight 8.6 + 3.1 kg) were included. Ninety-two children (93%) were successfully treated with MHFNC and only seven (7%) were in the failure group. The maximal flow was 3 L/kg/min. Lower oxygen saturation (SpO2)/fraction of inspired oxygen (FiO2) ratio (<264) and higher FiO2 requirement were found to be associated with failure. Maximum FiO2 requirement >0.5 had high odds ratios (22.25) to develop MHFNC failure. No serious complication from MHFNC was found. Conclusions: MHFNC is a practical respiratory support in young children with pneumonia. SpO2/FiO2 ratio (<264) and FiO2 requirement >0.5 is a risk factor for MHFNC failure.","PeriodicalId":273845,"journal":{"name":"Pediatric Respirology and Critical Care Medicine","volume":"66 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125106590","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}

引用次数: 2

Clinical profile and outcome of extrapulmonary tuberculosis in children in Indonesia 印度尼西亚儿童肺外结核的临床概况和预后

Pediatric Respirology and Critical Care Medicine Pub Date : 2018-07-01 DOI: 10.4103/PRCM.PRCM_10_18

R. Triasih, R. Helmi, I. Laksanawati

{"title":"Clinical profile and outcome of extrapulmonary tuberculosis in children in Indonesia","authors":"R. Triasih, R. Helmi, I. Laksanawati","doi":"10.4103/PRCM.PRCM_10_18","DOIUrl":"https://doi.org/10.4103/PRCM.PRCM_10_18","url":null,"abstract":"Context: Tuberculosis (TB) is a significant problem among children in Indonesia. While pulmonary TB has been widely reported, information on extrapulmonary TB (EPTB) among children in Indonesia has not been well documented. Aims: The aim of this study is to document demographic and clinical characteristics and outcome of EPTB in children. Settings and Design: A retrospective study was conducted in Dr. Sardjito Hospital, Yogyakarta, Indonesia. Subjects and Methods: Medical records were reviewed for all children aged younger than 18 years diagnosed with EPTB and admitted to this hospital between 2009 and 2015. Results: Fifty-three patients with EPTB were admitted to the hospital during the study period. EPTB was more common in children aged >5 years, with median (interquartile range) age of presentation at 12.5 years (4.1–14.7 years). Major presenting symptoms were fever (72%), cough (55%), and weight loss (38%). Common types of EPTB were meningitis (28%), miliary TB (23%), and osteoarthritis (20%). The diagnosis was confirmed by either acid-fast bacilli smear or GeneXpert MTB/rifampicin (RIF) in 13 patients. Evidence of TB infection was documented in 26 % of children with positive result of tuberculin skin test. Mycobacterium TB was detected by GeneXpert MTB/RIF in 23% of children. The mortality rate was 19% which mostly occured in children with meningitis (60%). Conclusion: EPTB was commonly seen in older children, and tuberculous meningitis was both the most common type and cause of death of EPTB in our setting.","PeriodicalId":273845,"journal":{"name":"Pediatric Respirology and Critical Care Medicine","volume":"19 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132123195","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}

引用次数: 1

Suppurative lungs, pneumothorax and 6-min walk test in children 儿童化脓性肺、气胸和6分钟步行试验

Pediatric Respirology and Critical Care Medicine Pub Date : 2018-04-01 DOI: 10.4103/PRCM.PRCM_8_18

A. Preutthipan

引用次数: 0

Correlation between 6-min walk test and cardiopulmonary exercise test in Chinese patients 中国患者6分钟步行试验与心肺运动试验的相关性研究

Pediatric Respirology and Critical Care Medicine Pub Date : 2018-04-01 DOI: 10.4103/PRCM.PRCM_24_17

P. Wong, E. Chan, D. Ng, K. Kwok, Ada Yip, Shuk-yu Leung

{"title":"Correlation between 6-min walk test and cardiopulmonary exercise test in Chinese patients","authors":"P. Wong, E. Chan, D. Ng, K. Kwok, Ada Yip, Shuk-yu Leung","doi":"10.4103/PRCM.PRCM_24_17","DOIUrl":"https://doi.org/10.4103/PRCM.PRCM_24_17","url":null,"abstract":"Aim: The aim of the study was to evaluate the correlation between the 6-min walk test (6MWT) and the cardiopulmonary exercise test (CPET) in Chinese pediatric patients. Methods: A retrospective review was undertaken for Chinese patients with exercise intolerance who had undergone both 6MWT and CPET on the same day over 21 months. Pearson's correlation analysis was used to examine the correlation between the 6-min walk distance (6MWD) and the maximum oxygen uptake (VO2 max). The 6MWD was defined as abnormal if <10th percentile of height-matched reference, and the VO2 maxwas defined as abnormal if <80% predicted. Results: Twenty-nine patients with a mean age of 14.3 ± 3.6 years were included in the study. The correlation coefficient (r) between the 6MWD and the VO2 maxwas 0.457 with P = 0.013. Twenty-six (three excluded as no reference for VO2 maxwas available for age <10 years) patients were analyzed. Using CPET as the gold standard for functional exercise capacity, 6MWT had a positive predictive value (PPV) of 92%, negative predictive value of 29%, sensitivity of 52%, specificity of 80%, and accuracy of 58% for assessing exercise capacity. Conclusion: 6MWT had a high PPV for abnormal CPET. It could still be used as a simple tool to evaluate patients with exercise intolerance.","PeriodicalId":273845,"journal":{"name":"Pediatric Respirology and Critical Care Medicine","volume":"69 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133092436","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}

引用次数: 3

'Suppurative lung disease' in children 儿童“化脓性肺病

Pediatric Respirology and Critical Care Medicine Pub Date : 2018-04-01 DOI: 10.4103/PRCM.PRCM_6_18

M. Everard

引用次数: 1

Primary spontaneous pneumothorax in children: A literature review 儿童原发性自发性气胸:文献回顾

Pediatric Respirology and Critical Care Medicine Pub Date : 2018-04-01 DOI: 10.4103/PRCM.PRCM_3_18

P. Kuo, Bao-Ren Nong, Y. Huang, Y. Chiou

引用次数: 10

Role of biocard Mycoplasma immunoglobulin M rapid test in the diagnosis of Mycoplasma pneumoniae infection 生物卡支原体免疫球蛋白M快速检测在肺炎支原体感染诊断中的作用

Pediatric Respirology and Critical Care Medicine Pub Date : 2018-01-01 DOI: 10.4103/PRCM.PRCM_30_17

Ta-Yu Liu, Hong-Ren Yu, Wei‐Ju Lee, Chih-Min Tsai, K. Kuo, Chih-Hao Chang, Yu-Tsun Su, Suiqiong Wang, C. Niu, K. Hsieh

{"title":"Role of biocard Mycoplasma immunoglobulin M rapid test in the diagnosis of Mycoplasma pneumoniae infection","authors":"Ta-Yu Liu, Hong-Ren Yu, Wei‐Ju Lee, Chih-Min Tsai, K. Kuo, Chih-Hao Chang, Yu-Tsun Su, Suiqiong Wang, C. Niu, K. Hsieh","doi":"10.4103/PRCM.PRCM_30_17","DOIUrl":"https://doi.org/10.4103/PRCM.PRCM_30_17","url":null,"abstract":"Background: Mycoplasma pneumoniae is an important pathogenic bacterium that causes community-acquired pneumonia in children. Rapid and dependable laboratory diagnosis of M. pneumoniae infection is important for starting an appropriate antibiotic treatment. Currently, the serological testing for detection of M. pneumoniae immunoglobulin M (IgM) has been used to determine the presence of an acute infection, the results of which, depending on the laboratory facility, are not available immediately. Therefore, an optimal and instant detection method is needed to facilitate a more accurate diagnosis, which leads to the appropriate treatment of patients with M. pneumoniae-related pneumonia and reduces rates of resistance to antibiotics because of their misuse. Aims: Here, we investigated the clinical diagnostic value of a rapid detection kit for M. pneumoniae-specific IgM antibody, the BioCard Mycoplasma IgM rapid test, in the detection of a Mycoplasma infection in children. Material and Method: 44 pediatric patients with clinically suspected Mycoplasma infection were enrolled for study. Result: Among 82 Mycoplasma IgM-positive samples, 51 samples were detected to be positive using the BioCard rapid test. The sensitivity and specifi city of the kit were 62.20% (51/82) and 100% (16/16), respectively. The positive and negative predictive values were 100% (51/51) and 34.04% (16/47), respectively. Conslusion: In conclusion, the BioCard Mycoplasma IgM rapid test provides an accurate point-of-care diagnosis for M. pneumonia infection.","PeriodicalId":273845,"journal":{"name":"Pediatric Respirology and Critical Care Medicine","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125145106","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}

引用次数: 3

Erratum: Airway disease and environmental aeroallergens in eczematics approaching adulthood 更正:气道疾病和环境空气过敏原湿疹接近成年

Pediatric Respirology and Critical Care Medicine Pub Date : 2018-01-01 DOI: 10.4103/2543-0343.229323

引用次数: 0

Pollution, infection and high flow 污染、感染、高流量

Pediatric Respirology and Critical Care Medicine Pub Date : 2018-01-01 DOI: 10.4103/PRCM.PRCM_4_18

K. Wong

引用次数: 0