The Internet journal of pediatrics and neonatology最新文献_第7页

Gestational Age Assessment In The Newborn – A Review 新生儿胎龄评估——综述

The Internet journal of pediatrics and neonatology Pub Date : 2009-12-31 DOI: 10.5580/1295

P. Opara

引用次数: 13

Severe P. falciparum malaria in children in a tertiary care center of Allahabad region of india. 印度阿拉哈巴德地区三级保健中心儿童的严重恶性疟原虫疟疾。

The Internet journal of pediatrics and neonatology Pub Date : 2009-12-31 DOI: 10.5580/11e1

Arvind Kumar, A. Shrivastava, A. Taksande, D. Singh, R. Rai

{"title":"Severe P. falciparum malaria in children in a tertiary care center of Allahabad region of india.","authors":"Arvind Kumar, A. Shrivastava, A. Taksande, D. Singh, R. Rai","doi":"10.5580/11e1","DOIUrl":"https://doi.org/10.5580/11e1","url":null,"abstract":"Background & objectives: Despite a substantial disease burden in this area, little is known about the natural history of complicated falciparum malaria. Therefore, the present prospective study was undertaken to assess the clinical course, complications and outcome i.e. to understand the pattern of morbidity and mortality of falciparum malaria in children in tertiary care center of Allahabad.Methods: This was a prospective hospital based study conducted on 150 consecutive pediatric admissions under the age group of 1-5 years of slide positive complicated falciparum malaria cases between May 2005 to June 2007. The cases were retrieved and scrutinised using a prepared case sheet performa on the basis of patient’s detailed history, clinical findings, investigations, treatment and complications.Results: 150 children with complicated Falciparum malaria with a mean age of 4.9±4.08 years to look for occurrence of different complications in younger and older age groups and overall mortality picture. Prostration (49.3%), Severe anemia (48.6%), unarousable coma (27.3%), and Respiratory distress(24.0%) were commonest complications. Under five children had higher risk of development of severe anemia (P<0.05) cerebral malaria (P<0.05), respiratory distress (<0.05) and seizures (P<0.05); whereas above five children had higher risk of prostration (P<0.05), jaundice (P<0.05) and acute renal failure (P<0.05). Over all mortality was 13.7%, cerebral malaria being the commonest cause (14.6%). Conclusion : Malaria is responsible for major health concern in this region especially in rural areas, particularly in rainy season and is found to affect comparatively the younger children population. High degree suspicion should be maintained to detect these complications in early stage so that malarial mortality and morbidity can be prevented.","PeriodicalId":75037,"journal":{"name":"The Internet journal of pediatrics and neonatology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70812166","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: 7

Vomiting in a Neonate 新生儿呕吐

The Internet journal of pediatrics and neonatology Pub Date : 2009-12-31 DOI: 10.5580/2243

Dorothy T. Damore

引用次数: 0

Oral Films - Patient Compliant Dosage Form For Pediatrics 口服片-儿科患者符合剂型

The Internet journal of pediatrics and neonatology Pub Date : 2009-12-31 DOI: 10.5580/44e

S. Malke, S. Shidhaye, J. Desai, V. Kadam

引用次数: 26

Highly differentiated sacrococcygeal teratoma. 高分化骶尾骨畸胎瘤。

The Internet journal of pediatrics and neonatology Pub Date : 2009-12-31 DOI: 10.5580/c1

S. Fuentes, Cecilia Moreno, R. Tejedor, D. Cabezalí, M. Benavent, A. Gómez

引用次数: 2

Deep sedation with propofol by pediatric intensive care physician during magnetic resonance imaging procedures: a prospective experience. 小儿重症监护医师在磁共振成像过程中使用异丙酚深度镇静:一种前瞻性经验。

The Internet journal of pediatrics and neonatology Pub Date : 2009-12-31 DOI: 10.5580/24f7

E. Gómez, C. Lopez-Menchero, D. Lozano, P. Oyágüez, Calos Zabaleta

引用次数: 0

Targeted Neonatal Echocardiography (TnECHO) and Increased Detection of Intracardiac Thrombi and Endocarditis in Very low Birth Weight Infants 靶向新生儿超声心动图(TnECHO)和极低出生体重婴儿心内血栓和心内膜炎的检测增加

The Internet journal of pediatrics and neonatology Pub Date : 2009-12-31 DOI: 10.5580/1ff4

Cathryn Carroll, A. El-Khuffash, E. Molloy, S. Knowles, K. Walsh

{"title":"Targeted Neonatal Echocardiography (TnECHO) and Increased Detection of Intracardiac Thrombi and Endocarditis in Very low Birth Weight Infants","authors":"Cathryn Carroll, A. El-Khuffash, E. Molloy, S. Knowles, K. Walsh","doi":"10.5580/1ff4","DOIUrl":"https://doi.org/10.5580/1ff4","url":null,"abstract":"Objectives: Infective Endocarditis is a rare but potentially serious condition in very low birth weight infants and we aimed to evaluate the incidence and outcomes in this population. Study design: 203 infants <1500g were admitted to the NICU over 24 months. Routine echocardiography was introduced in the unit on all infants <1500g by a neonatologist trained in echocardiography. Echocardiography was specifically requested for persistent positive blood cultures, new onset murmur and patent ductus arteriosus evaluation. Results: Five infants were diagnosed with endocarditis giving an incidence of 2.5% compared to 0.4% in the previous 2 years. There were no cases of Congenital Heart Disease. All infants had a history of central venous or central arterial catheter use and received six weeks of antibiotic treatment. Four infants with endocarditis had persistently positive blood cultures and 2 infants received low molecular weight heparin. In all but one case, the sepsis resolved and the vegetative intracardiac lesions disappeared prior to completion of treatment.Conclusion: The diagnosis of endocarditis increased in VLBWs which coincided with institution of regular echocardiography. Thrombocytopenia, persistent positive blood cultures and a new murmur require urgent echocardiography to outrule endocarditis in VLBW infants.","PeriodicalId":75037,"journal":{"name":"The Internet journal of pediatrics and neonatology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70816900","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: 0

Blood Culture From The Umbilical Vein In The Diagnosis Of Neonatal Sepsis. 脐静脉血培养在新生儿败血症诊断中的应用。

The Internet journal of pediatrics and neonatology Pub Date : 2009-12-31 DOI: 10.5580/6f0

N. I. Fos, R. Gomis, C. V. Gomis, J. Rubio, P. Justich, J. Válera, F. Chicano, E. Borrajo

{"title":"Blood Culture From The Umbilical Vein In The Diagnosis Of Neonatal Sepsis.","authors":"N. I. Fos, R. Gomis, C. V. Gomis, J. Rubio, P. Justich, J. Válera, F. Chicano, E. Borrajo","doi":"10.5580/6f0","DOIUrl":"https://doi.org/10.5580/6f0","url":null,"abstract":"Background: Sepsis is a significant cause of mortality and morbidity in Neonatology Departments. Frequently neonatologists use the presence of a positive blood culture to confirm diagnosis and then they undergo lumbar puncture. Positive blood cultures are the gold standard and are used to predict neonatal outcome and determine type of antibiotics combination ant length of treatment. Objective: The aim of this study was to obtain blood culture from umbilical vein in newborns with infection risk factors and seeing if its culture is more sensible for isolating micro-organisms. Design: A prospective study of 784 deliveries with 45 infection risk factors newborns Patients: We select a cohort of newborns with perinatal infection risk factors during 3 months. Clinical data for these neonates were recorded prospectively and in the delivery room a blood sample from the umbilical vein was culture. These neonates were followed during almost the firsts 72 hours of live and clinical and laboratory test was made. Results. We obtained a total sample size in this study of 30 blood cultures. From this sample blood culture was positive in 13 (43%) and negative in 17 (57%). Of the 13 positive blood cultures 7 (54%) neonates presents clinical and laboratory findings and sepsis diagnosis was made, 3 (23%) were considered contaminants and 3 (23%) were bacteraemies. In all neonates serial RBC, leukocyte counts and CRP were made and in newborns with positive blood culture a new blood sample for culture and CSF culture was performed. Conclusions: Diagnosis of neonatal sepsis by positive blood culture in clinical practice is difficulted by maternal antibiotic prophylaxis and blood sample size. Various diagnostics approaches are necessary to make diagnosis and to determine the length of therapy. Umbilical vein samples represented a new and more sensible way to diagnostics early neonatal sepsis.","PeriodicalId":75037,"journal":{"name":"The Internet journal of pediatrics and neonatology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70824761","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: 9

Obstructive Sleep Apnoea – Is Ethnicity an Independent Risk Factor, in Adenotonsillectomy Patients? 阻塞性睡眠呼吸暂停:种族是腺扁桃体切除术患者的独立危险因素吗?

The Internet journal of pediatrics and neonatology Pub Date : 2009-12-31 DOI: 10.5580/144e

P. Roche, T. Moran, R. Wormald, M. Geraghty, A. Blayney, T. O’Dwyer, H. Rowley, M. Colreavy, A. Naudé

引用次数: 0

Tuberous Sclerosis Complex with Diffuse Cytomegalovirus Fetal Infection: Case Report and Review of the Literature 结节性硬化症合并弥漫性巨细胞病毒胎儿感染:病例报告及文献复习

The Internet journal of pediatrics and neonatology Pub Date : 2009-12-31 DOI: 10.5580/4b1

N. Jin, S. Shuja, C. Monteiro, R. Makary

引用次数: 0