Anales de pediatria最新文献

Uso de inhibidores del cotransportador de sodio-glucosa tipo 2 (iSGLT2) en tres adolescentes con insuficiencia cardiaca por miocardiopatía hipertrófica no obstructiva 在三名因非阻塞性肥厚性心肌病导致心脏衰竭的青少年中使用2型葡萄糖钠共转运抑制剂（iSGLT2）

IF 1.5 4区医学

Anales de pediatria Pub Date : 2025-06-01 DOI: 10.1016/j.anpedi.2025.503802

Carlos Baena-Palomino, Ana Castellano-Martínez, Moisés Rodríguez-González

引用次数: 0

Intoxicaciones por errores de dosificación de fármacos en España 西班牙的药物错误剂量中毒

IF 1.5 4区医学

Anales de pediatria Pub Date : 2025-06-01 DOI: 10.1016/j.anpedi.2025.503888

Johanna Ramírez-Romero, Claudia Cifuentes, Beatriz Azkunaga, Santiago Mintegi, Grupo de Trabajo de Intoxicaciones de la Sociedad Española de Urgencias Pediátricas

{"title":"Intoxicaciones por errores de dosificación de fármacos en España","authors":"Johanna Ramírez-Romero, Claudia Cifuentes, Beatriz Azkunaga, Santiago Mintegi, Grupo de Trabajo de Intoxicaciones de la Sociedad Española de Urgencias Pediátricas","doi":"10.1016/j.anpedi.2025.503888","DOIUrl":"10.1016/j.anpedi.2025.503888","url":null,"abstract":"<div><h3>Introduction</h3><div>Dosage errors are a common mechanism of poisoning in childhood. The aim of this study was to analyze the characteristics and management of poisoning secondary to dosage errors in pediatric emergency departments (EDs) in Spain.</div></div><div><h3>Methodology</h3><div>Study based on a prospective register of poisonings documented in 58 Spanish EDs participating in the Toxicology Surveillance Observatory of the Spanish Society of Paediatric Emergency Medicine (SEUP) between 2008 and 2023.</div></div><div><h3>Results</h3><div>The register documented 3429 episodes of exposure to toxic substances, of which 289 (8.4%) were medication dosing errors, with a vast majority occurring in the home setting. Seventy-eight (27.0%) occurred in children aged less than 1 year (amounting to 37.9% of poisonings in this age group and 85.0% of poisonings in infants aged less than 3 months). Overall, the most commonly involved medications were antipyretics/analgesics (35.6%, mainly paracetamol), with significant differences depending on patient age. Forty-nine of the patients (17.0%) were symptomatic, 118 (41.8%) underwent additional testing, 83 (28.7%) received treatment, and 115 (39.8%) were admitted to the ED observation unit or to hospital. All had favorable outcomes.</div></div><div><h3>Conclusions</h3><div>Medication dosing errors constitute an important mechanism of poisoning, especially in children aged less than 1 year, leading to a significant number of interventions in EDs. Preventive measures aimed at educating families to avoid these poisonings should be considered.</div></div>","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"102 6","pages":"Article 503888"},"PeriodicalIF":1.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144185264","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}

引用次数: 0

Sospecha de maltrato en urgencias: adecuación del tipo de consultas 在紧急情况下涉嫌虐待：咨询类型的适当性

IF 1.5 4区医学

Anales de pediatria Pub Date : 2025-06-01 DOI: 10.1016/j.anpedi.2025.503808

Gerard Martínez-Segura , Silvia Rodríguez Ferradas , Cristina Macias Borras , Victoria Trenchs Sainz de la Maza , Ana Isabel Curcoy Barcenilla

引用次数: 0

Invaginación ileocecal secundaria a páncreas heterotópico 异位胰腺继发性非眼睑内陷

IF 1.5 4区医学

Anales de pediatria Pub Date : 2025-06-01 DOI: 10.1016/j.anpedi.2025.503805

Antonio Palacios Prados , Rocío Vizcaíno Pérez , Ana López Prieto , Madai Curbelo Rodríguez

引用次数: 0

La importancia de conocer cómo mide nuestro laboratorio la creatinina sérica 了解实验室如何测量血清肌酐的重要性

IF 1.5 4区医学

Anales de pediatria Pub Date : 2025-06-01 DOI: 10.1016/j.anpedi.2025.503804

Susana Ferrando-Monleón , Juan Marín-Serra , Amelia Peris-Vidal , Adela Pozo-Giráldez , Arturo Carratalá , Roberto Hernández-Marco

引用次数: 0

Histiocitosis de células de Langerhans: imagen de un caso 朗格汉斯细胞组织细胞增多症：一例

IF 1.5 4区医学

Anales de pediatria Pub Date : 2025-06-01 DOI: 10.1016/j.anpedi.2025.503780

Lidia Galán Cotelo, Tania Penas Iglesias, Natalian Mandiá Rodríguez, Alejandro Pérez Muñuzuri

引用次数: 0

Plasmalyte vs. suero fisiológico para rehidratación rápida en gastroenteritis: estudio observacional prospectivo 胃肠炎快速补液血浆与生理血清：前瞻性观察研究

IF 1.5 4区医学

Anales de pediatria Pub Date : 2025-06-01 DOI: 10.1016/j.anpedi.2025.503855

Reyes Fernández Montes , María Agustina Alonso Álvarez , María Fernández Miaja , Luis Vega López , María Álvarez Merino , Estíbaliz Garrido García

{"title":"Plasmalyte vs. suero fisiológico para rehidratación rápida en gastroenteritis: estudio observacional prospectivo","authors":"Reyes Fernández Montes , María Agustina Alonso Álvarez , María Fernández Miaja , Luis Vega López , María Álvarez Merino , Estíbaliz Garrido García","doi":"10.1016/j.anpedi.2025.503855","DOIUrl":"10.1016/j.anpedi.2025.503855","url":null,"abstract":"<div><h3>Introduction</h3><div>General recommendations suggest using physiological saline solution (PSS) in the guidelines for rapid intravenous rehydration (RIR) in children with dehydration secondary to acute gastroenteritis, although the use of a balanced crystalloid solution, such as Plasmalyte (PLA), could be more beneficial since its composition is more similar to plasma.</div></div><div><h3>Materials and Methods</h3><div>Single-center prospective and observational study with two treatment groups. The sample consisted of patients aged 3 months to 13 years with mild to moderate dehydration in whom RIR was indicated based on the SEUP guideline, who visited the pediatric emergency department (PED) of a tertiary care hospital. A total of 40mL/kg of solution (PLA or PSS, at the discretion of the physician in charge) supplemented with 2.5% glucose was administered over 2hours. We collected data on clinical and laboratory variables before and after RIR, length of stay, need for readmission and adverse events.</div></div><div><h3>Results</h3><div>A total of 169 patients (50.9% male; median age, 40 months) completed the study. Of these, 49.1% received PLA. The group that received PLA showed greater improvement in bicarbonate levels (3.7mmol/L vs 1.4mmol/L; <em>P</em>    <.001). There were no differences in clinical dehydration scales, length of stay in PED or need for readmission. No serious adverse events were observed.</div></div><div><h3>Conclusions</h3><div>The use of PLA in the RIR protocol was effective and safe, showing greater recovery of bicarbonate with lesser elevation of chloride levels compared to the use of PSS. However, we did not find differences in clinical outcomes.</div></div>","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"102 6","pages":"Article 503855"},"PeriodicalIF":1.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144185252","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}

引用次数: 0

Suplementación con vitamina D en población pediátrica sana 在健康的儿童中补充维生素D

IF 1.5 4区医学

Anales de pediatria Pub Date : 2025-06-01 DOI: 10.1016/j.anpedi.2025.503874

David Gonzalez Jiménez , Juan Rodríguez Delgado , Cristina Campoy , Rafael Galera Martínez , Mercedes Gil-Campos , Susana Redecillas Ferreiro , Miguel Sáenz de Pipaón , Rosaura Leis , en representación del Comité de Nutrición y Lactancia Materna de la AEP

{"title":"Suplementación con vitamina D en población pediátrica sana","authors":"David Gonzalez Jiménez , Juan Rodríguez Delgado , Cristina Campoy , Rafael Galera Martínez , Mercedes Gil-Campos , Susana Redecillas Ferreiro , Miguel Sáenz de Pipaón , Rosaura Leis , en representación del Comité de Nutrición y Lactancia Materna de la AEP","doi":"10.1016/j.anpedi.2025.503874","DOIUrl":"10.1016/j.anpedi.2025.503874","url":null,"abstract":"<div><h3>Objective</h3><div>To review the current scientific evidence on the efficacy of universal vitaminD supplementation in healthy children with no risk factors and to propose updated modifications to the recommendations provided in the main clinical practice guidelines.</div></div><div><h3>Methods</h3><div>Scoping review through a literature search conducted in PubMed for articles published in English or Spanish in the past 15years using the following MeSH search terms: (vitamin D) AND (supplementation). The search yielded 2133 articles, of which 22 were selected.</div></div><div><h3>Results</h3><div>In infants aged less than 1year without risk factors, administration of 400IU/day improves serum levels of calcifediol, but most studies have not found an association with improved bone health assessed by dual-energy X-ray absorptiometry. In children aged more than 1year with calcifediol levels of less than 35ng/mL, supplementation with 400 to 800IU/day of vitaminD decreases the risk of respiratory infection. There is still no evidence in the pediatric population that vitaminD supplementation either decreases the risk or severity of other infections or offers any other clinically significant extraskeletal benefits.</div></div><div><h3>Conclusion</h3><div>Based on the main clinical practice guidelines, supplementation with vitaminD at a dose of 400IU/day is recommended for breastfed infants aged less than 1year or infants who do not achieve the recommended daily intake through infant formula. In children aged more than 1year, supplementation should be individualized.</div></div>","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"102 6","pages":"Article 503874"},"PeriodicalIF":1.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144185258","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}

引用次数: 0

Consolidación radiológica y dificultad respiratoria con ecografía pulmonar normal 使用正常的肺超声波进行放射巩固和呼吸困难

IF 1.5 4区医学

Anales de pediatria Pub Date : 2025-06-01 DOI: 10.1016/j.anpedi.2025.503779

Sara Vigil Vázquez , Rebeca Gregorio Hernández , Elena Rodríguez Corrales , Manuel Sánchez Luna

引用次数: 0

¿Tumoración inguinal o femoral?: hernia crural en pediatría 腹股沟或股肿瘤吗？：儿科股疝

IF 1.5 4区医学

Anales de pediatria Pub Date : 2025-06-01 DOI: 10.1016/j.anpedi.2025.503798

Julio César Moreno-Alfonso, Ada Molina Caballero, Alberto Pérez Martínez

引用次数: 0