Archives De Pediatrie最新文献

{"title":"Pneumococcal antibody response in children with recurrent respiratory tract infections: A descriptive study","authors":"Falke Ceuppens ,&nbsp;Isabelle Meyts ,&nbsp;Xavier Bossuyt ,&nbsp;Kris De Boeck","doi":"10.1016/j.arcped.2023.12.006","DOIUrl":"10.1016/j.arcped.2023.12.006","url":null,"abstract":"<div><h3>Background</h3><p>The pneumococcal antibody response after vaccination with unconjugated pneumococcal vaccine can be evaluated as part of the diagnostic work-up of children with recurrent respiratory tract infections to detect an underlying polysaccharide antibody deficiency. Little is known about the prevalence of polysaccharide antibody deficiency in this population and its therapeutic consequences.</p></div><div><h3>Objectives</h3><p>This study aimed to investigate the prevalence of polysaccharide antibody deficiency in children with recurrent respiratory tract infections and to correlate polysaccharide responsiveness with clinical severity. In addition, we aimed to evaluate differences in the immunoglobulin (Ig)G2/IgG ratio, IgA level, and age in relation to the number of deficient serotype-specific antibody responses.</p></div><div><h3>Methods</h3><p>Polysaccharide antibody titers for pneumococcal serotypes 8, 9N, and 15B; clinical characteristics; and immunoglobulin levels of 103 children with recurrent respiratory tract infections were retrospectively assessed. American Academy of Allergy, Asthma, and Immunology guidelines were used for the interpretation of the polysaccharide antibody response.</p></div><div><h3>Results</h3><p>Overall, 28 children (27.2 %) were diagnosed with polysaccharide antibody deficiency. No correlation was found between the number of deficient serotype-specific antibody responses and clinical severity. The study participants with a normal response to all three serotypes had a higher IgG2/IgG ratio than those with one or more deficient responses (<em>p</em> &lt; 0.003). No significant correlation between IgA levels and polysaccharide responsiveness was found. The median age of children with normal polysaccharide responsiveness for the three tested serotypes was higher than that of children with a deficient response to one or more serotypes (<em>p &lt;</em> 0.0025).</p></div><div><h3>Conclusion</h3><p>For a large group of children (18.4 %) with recurrent respiratory tract infections, an underlying mechanism for their susceptibility was defined thanks to diagnostic unconjugated pneumococcal polysaccharide vaccination. Further research is needed to formulate age-specific normal values for polysaccharide responsiveness and to investigate the usefulness of the IgG2/IgG ratio in determining the need for diagnostic unconjugated pneumococcal polysaccharide vaccination.</p></div>","PeriodicalId":55477,"journal":{"name":"Archives De Pediatrie","volume":"31 5","pages":"Pages 293-298"},"PeriodicalIF":1.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141176761","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":"Cognitive aid and performance for simulated umbilical venous catheter placement: A randomized trial","authors":"Audrey Mowendabeka ,&nbsp;Philipe Bothorel ,&nbsp;Thomas Lauvray ,&nbsp;Marie Douchez ,&nbsp;Laurent Fourcade ,&nbsp;Antoine Bedu ,&nbsp;Sophie Martinez ,&nbsp;Vincent Guigonis ,&nbsp;Laure Ponthier","doi":"10.1016/j.arcped.2024.03.001","DOIUrl":"10.1016/j.arcped.2024.03.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Neonatal resuscitation may require urgent umbilical venous catheter (UVC) placement. Complications can be observed with umbilical venous catheterization, especially in a stressful context. Inspired by the aeronautic environment, medical routine checklists, also called “cognitive aids,” secure the equipment and environment for the patients once they are admitted to the operating room. We hypothesized that reading a cognitive aid for UVC placement in the delivery room during neonatal resuscitation simulation scenarios can (a) improve the performance in reducing catheterization duration and (b) can limit complications.</p></div><div><h3>Methods</h3><p>This was a prospective single-center randomized study. A total of 23 dyads for a simulation scenario were included: 12 in the control group and 11 in the cognitive aid group. In the cognitive aid group, the cognitive aid was read by the same facilitator for every scenario.</p></div><div><h3>Results</h3><p>No significant difference concerning the duration of the procedure was identified between the cognitive aid and control groups: 412 s [342; 420] vs. 374 s [338;402], respectively (<em>p</em> = 0.781). Nevertheless, there were significantly fewer deviations from hygiene guidelines and improved prevention of air embolism in the cognitive aid group compared with the control group.</p></div><div><h3>Conclusion</h3><p>The UVC insertion time was similar between the control and cognitive aid groups. Moreover, cognitive aid can limit infectious complications or air embolism by allowing caregivers to follow UVC placement standards.</p></div>","PeriodicalId":55477,"journal":{"name":"Archives De Pediatrie","volume":"31 5","pages":"Pages 333-339"},"PeriodicalIF":1.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0929693X24000824/pdfft?md5=e26d6031ab784553ad6fe1649a1a7e8b&pid=1-s2.0-S0929693X24000824-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141322117","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":"Care pathways in childhood neurodevelopmental disorders: Toward greater awareness of KBG syndrome among pediatricians","authors":"Marie Adamo-Croux ,&nbsp;Adriane Auger-Gilli ,&nbsp;Gwenaël Le Guyader ,&nbsp;Juliette Aubin-Courjault ,&nbsp;Henri Margot ,&nbsp;Claire Bar ,&nbsp;Didier Lacombe ,&nbsp;Julien Van-Gils ,&nbsp;Marine Legendre ,&nbsp;Aurélien Binet ,&nbsp;Xavier Le Guillou Horn","doi":"10.1016/j.arcped.2024.02.007","DOIUrl":"10.1016/j.arcped.2024.02.007","url":null,"abstract":"<div><h3>Introduction</h3><p>KBG syndrome is an autosomal dominant, polymalformative genetic syndrome that is mainly associated with neurodevelopmental and learning disorders, intellectual disability, behavioral disorders, and epilepsy as well as characteristic dysmorphic features, short stature, and ENT (ear, nose, and throat) abnormalities. However, the diagnostic pathway of these individuals is an element that has not been broadly evaluated. The main aim of this study was therefore to characterize the diagnostic pathway for these individuals, by assessing the different healthcare professionals involved and the main referral elements.</p></div><div><h3>Method</h3><p>This was a multicenter, retrospective, descriptive study. A cohort of 30 individuals with KBG syndrome who were followed up at Poitiers University Hospital and Bordeaux University Hospital we recruited.</p></div><div><h3>Results</h3><p>Pediatricians were the main healthcare professionals who referred individuals for genetic consultation, and the main reason for referral was an assessment of learning delays or intellectual disability, in association with other abnormalities.</p></div><div><h3>Conclusion</h3><p>Pediatricians play a crucial role in the diagnostic guidance of individuals with KBG syndrome, and the main reason for referral remains the assessment of a learning delay or intellectual disability. Healthcare professionals must therefore remain attentive to the child's development and the various anomalies associated with it, in particular characteristic dysmorphic features, behavioral disorders, and statural growth.</p></div>","PeriodicalId":55477,"journal":{"name":"Archives De Pediatrie","volume":"31 5","pages":"Pages 320-325"},"PeriodicalIF":1.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140893106","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":"Re: Parents’ participation in collegial meetings to discuss withholding or withdrawing treatment for their newborn: Working to improve information-sharing","authors":"Sabine Lemoine,&nbsp;Jean-Louis Chabernaud,&nbsp;Marie-France Mamzer","doi":"10.1016/j.arcped.2024.04.001","DOIUrl":"10.1016/j.arcped.2024.04.001","url":null,"abstract":"","PeriodicalId":55477,"journal":{"name":"Archives De Pediatrie","volume":"31 5","pages":"Pages 344-345"},"PeriodicalIF":1.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141163173","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":"The effect of illness-related fears of parents of children with epilepsy during the COVID-19 period on their children's seizure self-efficacy","authors":"Dijle Ayar ,&nbsp;Murat Bektas ,&nbsp;Aycan Ünalp ,&nbsp;Ünsal Yılmaz ,&nbsp;Fulya Merve Kos ,&nbsp;Tuncay Derya Okur ,&nbsp;Hatice Hilal Kırkgöz ,&nbsp;Saliha Yanar","doi":"10.1016/j.arcped.2024.02.008","DOIUrl":"10.1016/j.arcped.2024.02.008","url":null,"abstract":"<div><h3>Background</h3><p>Seizure-related self-efficacy is the belief individuals have that they can perform the necessary actions to cope effectively with their seizures. Determining, developing, strengthening, and maintaining the perception of self-efficacy in children with epilepsy facilitates the child's disease management and their ability to cope with it. This study aimed to assess the impact of epilepsy-related parental fears during the COVID-19 period on the seizure self-efficacy of their children.</p></div><div><h3>Methods</h3><p>A total of 321 children with epilepsy and their parents participated in this descriptive, correlational, and cross-sectional study. Data were collected through the Descriptive Information Form, the Seizure Self-Efficacy Scale for Children (SSES-C), and the Epilepsy-Related Fears in Parents Questionnaire (EFPQ). Descriptive statistics, including frequency, percentage, and mean scores, were used to analyze the characteristics of the children and their parents. The Shapiro–Wilk test was utilized to assess the normality of the scale data. Pearson correlation analysis examined the relationship between parents’ epilepsy-related fears and their children's seizure self-efficacy, while multiple regression analysis determined the effect of parental fears on children's seizure self-efficacy.</p></div><div><h3>Results</h3><p>The mean age of children included in the study was 12.65±2.37 years. Analysis revealed a strong and significant negative correlation between parents’ epilepsy-related fears during the COVID-19 period and the seizure self-efficacy of their children. In the model created with regression analysis, The mean scores of parents on the short-term fears of parents about epilepsy of the EFPQ explained 85 % of children's seizure self-efficacy. The mean scores of parents on the long-term fears of parents about epilepsy of the EFPQ explained 85 % of children's seizure self-efficacy. It was determined that all of these variables together explained 85 % of the seizure self-efficacy of children with epilepsy.</p></div><div><h3>Conclusion</h3><p>The findings of the study underscore the importance of addressing parents’ fears regarding epilepsy, emphasizing the need for healthcare professionals to be aware of and provide support for these concerns. Future studies should focus on interventions to enhance the seizure self-efficacy of children with epilepsy.</p></div>","PeriodicalId":55477,"journal":{"name":"Archives De Pediatrie","volume":"31 5","pages":"Pages 326-332"},"PeriodicalIF":1.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141297322","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":"Evaluation of a new tool – “Step by step with my baby” – to support parental involvement in the care of preterm infants","authors":"Claire Zores ,&nbsp;Corisande Gibier ,&nbsp;Lucile Haumesser ,&nbsp;Nicolas Meyer ,&nbsp;Stéphanie Poirot ,&nbsp;Caroline Briot ,&nbsp;Claire Langlet ,&nbsp;Laurence Dillenseger ,&nbsp;Pierre Kuhn","doi":"10.1016/j.arcped.2023.11.004","DOIUrl":"10.1016/j.arcped.2023.11.004","url":null,"abstract":"<div><h3>Background and aims</h3><p>Parental guidance is essential for supporting parental involvement, maintaining the quality and safety of infant care, and limiting parental stress. The efficiency of a new tool to support parental empowerment – “Step by step with my baby” – was evaluated. The perception of this tool by parents and nurses was studied.</p></div><div><h3>Methods</h3><p>This was a prospective, observational study conducted from September 2019 to December 2020 at a level-3 neonatal center. A total of 79 newborns (&lt;33 weeks of gestational age or small for gestational age)<em>,</em> 84 parents, and 94 nurses were included. The new tool that was evaluated is in the form of a drawing of flowers to be colored according to the parents' ability to care for their newborn. Six domains were explored and given a score (total of 35 points) according to the parents' ability to care for each item: behavior, skin-to-skin contact, carrying, oral and tube feeding, and routine care. The use and relevance of this tool were evaluated by parents and caregivers.</p></div><div><h3>Results</h3><p>At a mean of 19 days of life, parents required caregiver support regardless of the skill domain (6/35). After 26 days, the mean score increased to 19.4 (<em>p</em> &lt; 0.05). Parents felt autonomous in changing diapers and monitoring temperature but always required help for skin-to-skin contact, carrying, and feeding with or without a tube. The progression was not affected by the presence of siblings, the distance from home, and staying in the parental hospital room. For 67 % of the parents, the tool gave them a better understanding of their newborn and helped them be more confident (69 %) without feeling judged (81 %). These feelings were upheld by nurses.</p></div><div><h3>Conclusions</h3><p>This tool was efficient for evaluating parents’ autonomy and helped them take ownership of the care provided.</p></div>","PeriodicalId":55477,"journal":{"name":"Archives De Pediatrie","volume":"31 5","pages":"Pages 306-314"},"PeriodicalIF":1.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140793174","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":"Short-term azithromycin use is associated with QTc interval prolongation in children with cystic fibrosis","authors":"Asım Enhoş ,&nbsp;Hazar Doğuş Kus ,&nbsp;Can Yilmaz Yozgat ,&nbsp;Erkan Cakır ,&nbsp;Hakan Yazan ,&nbsp;Ahmet Berk Erol ,&nbsp;Ufuk Erenberk ,&nbsp;Yilmaz Yozgat","doi":"10.1016/j.arcped.2024.02.004","DOIUrl":"10.1016/j.arcped.2024.02.004","url":null,"abstract":"<div><h3>Background</h3><p>Azithromycin is used for children with cystic fibrosis (CF) for its immunomodulatory and anti-inflammatory action. This study investigated the short-term alterations in QTc interval associated with azithromycin prophylaxis in pediatric patients with CF.</p></div><div><h3>Methods</h3><p>This study included 121 patients with mild CF, of whom 76 received azithromycin (patient group) and 45 did not receive azithromycin (control group). The patient and control groups were categorized according to age as under 12 years of age and over 12 years of age. The first presentation measured all the patient and control groups at basic QTc time intervals. The QTc intervals of all patients were then remeasured systemically at 1, 3, and 6 months. Age categories and QTc intervals that were calculated at each month in the patient and control groups were compared statistically.</p></div><div><h3>Results</h3><p>A statistically significant difference was detected in the patient group between the initial QTc interval time and the electrocardiogram (ECG) findings in the first and third months after prophylaxis treatment (<em>p</em> &lt; 0.001; <em>p</em> = 0.01). However, no statistically significant difference was detected in the sixth month (<em>p</em> &gt; 0.05) in all groups. Almost all of the children's QTc intervals were within normal range and within the safety zone (under 0.44 s). No statistically significant difference was detected in the control group between the initial ECG and the QTc intervals measured at 1, 3, and 6 months.</p></div><div><h3>Conclusion</h3><p>Short-term use of azithromycin prophylaxis in pediatric patients with mild CF slightly increased the QTc interval in the first and third months of follow-up. Nevertheless, all QTc interval changes fell within the safety zone. Notably, 1 month of follow-up treatment should be performed to check for any alteration in the QTc interval. If increased QTc interval duration is not detected in the first month, azithromycin prophylaxis can be safely prescribed.</p></div>","PeriodicalId":55477,"journal":{"name":"Archives De Pediatrie","volume":"31 5","pages":"Pages 315-319"},"PeriodicalIF":1.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140786287","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":"Primary lymphedema of childhood: Treatment results from a tertiary center","authors":"Ece Cinar ,&nbsp;Benil Nesli Ata ,&nbsp;Sibel Eyigor","doi":"10.1016/j.arcped.2024.02.002","DOIUrl":"10.1016/j.arcped.2024.02.002","url":null,"abstract":"<div><h3>Background</h3><p>Primary lymphedema is the most common form of lymphedema presenting in the pediatric age group. Childhood lymphedema is caused by hereditary or congenital malformations in the lymphatic system that can manifest at birth or during childhood or adolescence.</p></div><div><h3>Objectives</h3><p>Complex decongestive therapy (CDT) is the cornerstone of conservative management of lymphedema in both adult and pediatric lymphedema patients, although pediatric treatment guidelines are still lacking. In this study we aimed to assess the effects of CDT on pediatric patients.</p></div><div><h3>Methods</h3><p>Childhood lymphedema patients who presented to the lymphedema rehabilitation unit of our university hospital before the age of 18 and who were treated for lymphedema with CDT were included in the study. Data on patient demographics, disease characteristics, and treatment duration were recorded. Limb volumes were calculated from patient measurements using a spreadsheet software (Limb Volume Calculator) that utilized the geometric formula for volume of a truncated cone. Measurements were taken before treatment and also weekly after initiation of treatment. Percent excess volume (PEV) was used instead of absolute volume difference to define the severity of lymphedema.</p></div><div><h3>Results</h3><p>A total of 34 limbs from 24 patients were included in the study. The mean age of the patients was 10.1 ± 4.9 years and 14 (58.3 %) were female. Most patients had one affected limb but 16 had bilateral lower-extremity lymphedema. The mean duration of treatment with CDT was 153.6 ± 155.8 days. Excess volume percentage change between pre-treatment PEV (602.8 ± 713.8) and post-treatment PEV (514.6 ± 699.1) was found to be statistically significant (<em>p</em> &lt; 0.05).</p></div><div><h3>Conclusion</h3><p>Pediatric lymphedema management is a difficult and less well studied area in lymphedema rehabilitation. Our data support the use of CDT, which is a safe and effective treatment method, for pediatric lymphedema patients.</p></div>","PeriodicalId":55477,"journal":{"name":"Archives De Pediatrie","volume":"31 4","pages":"Pages 245-249"},"PeriodicalIF":1.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140770423","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":"Persistent and symptomatic periodic breathing beyond the neonatal period in full-term infants: A case series","authors":"Océane Cheyrou-Lagrèze ,&nbsp;Eglantine Hullo ,&nbsp;Jessica Taytard ,&nbsp;Lisa Giovannini-Chami ,&nbsp;Patricia Franco ,&nbsp;Iulia-Cristina Ioan ,&nbsp;Laurianne Coutier","doi":"10.1016/j.arcped.2024.01.007","DOIUrl":"10.1016/j.arcped.2024.01.007","url":null,"abstract":"<div><h3>Introduction</h3><p>Periodic breathing (PB) is considered physiological in the neonatal period and usually disappears in the first months of life. There are few data available on persistent PB after the neonatal period. The objective of this study was to characterize infants born at term with persistent PB after the age of 1 month through polysomnography (PSG) performed during symptoms.</p></div><div><h3>Methods</h3><p>This retrospective case series included infants born at term between 2012 and 2021, without an underlying disease, who presented with symptoms of persistent PB during a PSG. Persistent PB was defined as more than 1 % of total sleep time (TST) of PB after 1 month of life, and PB was defined as a succession of at least three episodes of central apnea lasting more than 3 s and separated by less than 20 s of normal breathing.</p></div><div><h3>Results</h3><p>A total of 10 infants born at term were included. They underwent PSG for brief resolved unexplained events, desaturation, pauses in breathing, cyanosis, and/or signs of respiratory distress. The percentage of TST spent with PB was 18.1 % before 3 months of age (<em>n</em> = 7), and 4.7 % between 3 and 6 months of age (<em>n</em> = 10). During the first PSG, ≥3 % of desaturation events were observed in 77–100 % of the PB episodes. At the first PSG, nine of the 10 infants had an obstructive apnea–hypopnea index of &gt;10/h and five of 10 infants had a central apnea index of &gt;5/h. Gastroesophageal reflux (GER) was suspected in eight infants. All infants showed improvement in the initial symptoms during the first year of life.</p></div><div><h3>Conclusion</h3><p>This study presents cases of persistent and symptomatic PB after 1 month of life in infants born at term. The interesting finding was the presence of obstructive sleep apnea syndrome and/or central apnea syndrome in the majority of children, along with GER.</p></div>","PeriodicalId":55477,"journal":{"name":"Archives De Pediatrie","volume":"31 4","pages":"Pages 256-263"},"PeriodicalIF":1.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140771798","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":"Removal of airway foreign body using flexible bronchoscopy in children","authors":"Sabrine Louhaichi ,&nbsp;Nouha Boubaker ,&nbsp;Besma Hamdi ,&nbsp;Ella Nemsi ,&nbsp;Sonia Ouerghi ,&nbsp;Taher Mestiri ,&nbsp;Adel Marghli ,&nbsp;Jamel Ammar ,&nbsp;Agnès Hamzaoui","doi":"10.1016/j.arcped.2024.01.008","DOIUrl":"10.1016/j.arcped.2024.01.008","url":null,"abstract":"<div><h3>Background</h3><p>Flexible bronchoscopy is mainly used to diagnose airway foreign bodies (AFBs). Due to advances in pediatric anesthesia, many teams have considered the extraction of AFBs by flexible bronchoscopy. We aimed to assess the success of flexible bronchoscopy in AFB removal in children.</p></div><div><h3>Patients and methods</h3><p>We analyzed retrospectively the data of children admitted for AFB aspiration in the Pediatric Respiratory Diseases Department B of Abderrahmane Mami Hospital in Tunisia between January 2012 and December 2022. AFB removal was performed by flexible bronchoscopy through the use of a laryngeal mask airway (LMA) or intubation.</p></div><div><h3>Results</h3><p>Of the 105 children included, AFB was removed by flexible bronchoscopy in 99 children (94.3 %). The mean age of the children was 32 months (9–150 months) with a sex ratio of 2:3. The foreign body was organic in 67 % of cases. Overall, 37 children underwent rigid bronchoscopy first (35.2 %). Flexible bronchoscopy was performed through the LMA in 77 cases (73 %) and after intubation in the other cases. Thoracic surgery was needed in two cases (1.9 %). Four infants expectorated the AFB after the procedure (3.8 %). Only two children developed laryngeal edema with transient oxygen desaturation.</p></div><div><h3>Conclusion</h3><p>AFB removal using a flexible bronchoscope is an efficient and safe procedure when performed by an experienced team. The recent use of LMA has facilitated the use of a larger bronchofiberscope and the insertion of multiple tools that can reach distal airways.</p></div>","PeriodicalId":55477,"journal":{"name":"Archives De Pediatrie","volume":"31 4","pages":"Pages 264-269"},"PeriodicalIF":1.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140767734","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}