Anales de pediatria最新文献

{"title":"Actualización de la guía de práctica clínica española sobre infección del tracto urinario en la población pediátrica. Síntesis de las recomendaciones sobre diagnóstico, tratamiento y seguimiento","authors":"Juan David González Rodríguez ,&nbsp;Gloria María Fraga Rodríguez ,&nbsp;César Joaquín García Vera ,&nbsp;Andrés Gómez Fraile ,&nbsp;Juan Ignacio Martín Sánchez ,&nbsp;José María Mengual Gil ,&nbsp;Carlos Ochoa Sangrador ,&nbsp;Blanca Valenciano Fuentes ,&nbsp;Joaquín Escribano Subías ,&nbsp;en nombre del Grupo de trabajo de la actualización de la Guía de Práctica Clínica sobre Infección del Tracto Urinario en la Población Pediátrica","doi":"10.1016/j.anpedi.2024.06.001","DOIUrl":"10.1016/j.anpedi.2024.06.001","url":null,"abstract":"<div><p>The management of urinary tract infection in infants and children has changed significantly over the past few decades based on scientific evidence that questioned the efficacy of strategies used to prevent kidney injury and subsequent progression to chronic kidney disease, which is very unlikely in most paediatric cases. However, there is still substantial heterogeneity in its management and uncertainty regarding the diagnosis, indication of imaging tests, treatment or followup in these patients. The Spanish clinical practice guideline has been updated through the review of the literature published since 2009 and a rigorous evaluation of current clinical practice aspects, considering the evidence on the benefits of each intervention in addition to its risks and drawbacks to attempt to provide more precise recommendations.</p></div>","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"101 2","pages":"Pages 132-144"},"PeriodicalIF":1.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1695403324001231/pdfft?md5=dd89ee58f763f74bc8f0497225e395c9&pid=1-s2.0-S1695403324001231-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141962117","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":"Análisis de prevalencias de lactancia materna y prácticas relacionadas en la región de Murcia","authors":"María Isabel Mañas-Uxó ,&nbsp;José Luis Leante-Castellanos ,&nbsp;María Dolores Hernández-Gil ,&nbsp;Carmen Martínez-Moreno ,&nbsp;Beatriz Garnica-Martínez","doi":"10.1016/j.anpedi.2024.05.013","DOIUrl":"10.1016/j.anpedi.2024.05.013","url":null,"abstract":"","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"101 2","pages":"Pages 147-148"},"PeriodicalIF":1.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1695403324001218/pdfft?md5=fc6b9e09c06b6c725e8ce312bc08b486&pid=1-s2.0-S1695403324001218-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141962124","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":"Lesión ocular de crecimiento rápido en una niña de 5 años","authors":"Ana Rita Jesus ,&nbsp;Patrícia Ribeiro Gonçalves ,&nbsp;Diana Valbom Gonçalves ,&nbsp;Joana Santos","doi":"10.1016/j.anpedi.2024.04.016","DOIUrl":"10.1016/j.anpedi.2024.04.016","url":null,"abstract":"","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"101 1","pages":"Page 66"},"PeriodicalIF":1.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1695403324001036/pdfft?md5=4bd0e7abcfb6197fe2ad125d19f70a06&pid=1-s2.0-S1695403324001036-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141401316","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":"Combinaciones de dosis fija dispersables de antituberculosos... ¡Al fin disponibles!","authors":"Antoni Noguera-Julian ,&nbsp;Cristina Latre ,&nbsp;Ángeles Flores","doi":"10.1016/j.anpedi.2024.04.008","DOIUrl":"10.1016/j.anpedi.2024.04.008","url":null,"abstract":"","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"101 1","pages":"Pages 70-71"},"PeriodicalIF":1.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1695403324000900/pdfft?md5=60f2e21248b56f696e662970146e7f44&pid=1-s2.0-S1695403324000900-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141143609","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":"Prevalencia de obesidad y factores relacionados en escolares de 3 a 4 años","authors":"Gemma Serral ,&nbsp;Catalina Londoño-Cañola ,&nbsp;Xavier Continente ,&nbsp;Silvia Brugueras ,&nbsp;Francesca Sanchez-Martínez ,&nbsp;Carlos Ariza","doi":"10.1016/j.anpedi.2024.05.006","DOIUrl":"10.1016/j.anpedi.2024.05.006","url":null,"abstract":"<div><h3>Objective</h3><p>To describe the prevalence of obesity and analyse possible differences in it according to sociodemographic characteristics, diet, physical activity, screen use and family perception of the weight and dietary habits of schoolchildren aged 3 to 4<!--> <!-->years in Barcelona.</p></div><div><h3>Methods</h3><p>We conducted a cross-sectional study in a representative sample of schools selected based on the socioeconomic status (SES) of the corresponding neighbourhood and school ownership. We selected 101 schools in Barcelona and recruited pupils aged 3 to 4<!--> <!-->years during the 2016-2017 academic year (n<!--> <!-->=<!--> <!-->2936 children). Anthropometric measurements were taken in each participant. Family members completed a questionnaire on eating habits, physical activity, sleeping hours, screen use and the family's perception of the child's weight and diet. The primary variable was the body mass index (BMI) for age and sex, subsequently categorised as normal weight, overweight or obese.</p></div><div><h3>Results</h3><p>Approximately 7.0% of girls and 7.1% of boys aged 3 to 4<!--> <!-->years presented obesity. The prevalence of obesity (8.3%) was higher in neighbourhoods of lower SES compared to those of higher SES (5.2%; <em>P</em> <!-->=<!--> <!-->.004). Parents of children with obesity reported that the child had some excess weight or excess weight in 46.9% of cases, 3.9% indicated the child's weight was appropriate and 0.9% that the child was a little underweight or underweight (<em>P</em> <!-->&lt;<!--> <!-->.001).</p></div><div><h3>Discussion</h3><p>The prevalence of obesity in children aged 3 to 4<!--> <!-->years is high. There are social and geographical inequalities, and obesity was more prevalent in areas of lower SES. A large percentage of the families of children with obesity do not consider that the child's weight is excessive.</p></div>","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"101 1","pages":"Pages 3-13"},"PeriodicalIF":1.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S169540332400105X/pdfft?md5=afc01b36aa9c6c400a2779770aa579dc&pid=1-s2.0-S169540332400105X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141390281","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":"Situación actual de la formación sanitaria especializada en pediatría y áreas específicas: retos y necesidades","authors":"José Manuel Moreno-Villares","doi":"10.1016/j.anpedi.2024.05.004","DOIUrl":"10.1016/j.anpedi.2024.05.004","url":null,"abstract":"","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"101 1","pages":"Page 69"},"PeriodicalIF":1.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1695403324001012/pdfft?md5=8303ba3fa7d7526020c8a3b9b7fab7a8&pid=1-s2.0-S1695403324001012-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141276365","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":"Influencia de la pandemia por COVID-19 en la incidencia de trastornos de la conducta alimentaria","authors":"Mercedes Murray Hurtado ,&nbsp;Álvaro Martín Rivada ,&nbsp;Silvia Pestano García ,&nbsp;Yolanda Ramallo Fariña","doi":"10.1016/j.anpedi.2024.04.013","DOIUrl":"10.1016/j.anpedi.2024.04.013","url":null,"abstract":"<div><h3>Introduction</h3><p>Eating disorders (EDs) develop more frequently in young females. Following the COVID-19 pandemic, there has been evidence of an increase in children and adolescents, with an earlier onset and a worse body weight and nutritional status. The aim of this study was to determine whether this trend has also been observed in our region over the past 6 years.</p></div><div><h3>Material and methods</h3><p>We conducted a retrospective and descriptive cohort study in paediatric patients with a diagnosis of ED, referred during the 3 years preceding and following the declaration of the state of alarm due to the pandemic. We analysed and compared clinical, anthropometric and laboratory variables and bioelectrical impedance and bone density data.</p></div><div><h3>Results</h3><p>Of the 129 patients in the sample, 28 were referred before the lockdown period and 101 after. When we compared these groups, we found a longer time elapsed from onset to the initial assessment (mean delay, 11.87 [SD, 6.75] vs 6.64 [SD, 4.36] months), a greater hospitalization rate (14.1% vs 10.1%), and lower vitamin D values (mean level, 28.19 [SD, 9.95] vs 34.39 [SD, 11.87] ng/mL) in the post-lockdown group. We also found a greater frequency of self-harm suicide attempts in these patients.</p></div><div><h3>Conclusions</h3><p>This study confirms the increasing trend in EDs in children and adolescents in our area. Moreover, we found differences in the clinical characteristics and time elapsed to diagnosis compared to the patients referred to the hospital before the pandemic.</p></div>","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"101 1","pages":"Pages 21-28"},"PeriodicalIF":1.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S169540332400095X/pdfft?md5=87f3fffa835ba1fdecd5bae88d0b3372&pid=1-s2.0-S169540332400095X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141142948","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":"Alarma en piscinas: lesiones por succión","authors":"Luz Emigdia Zelaya Contreras ,&nbsp;Fernando Vázquez Rueda ,&nbsp;José Manuel Rumbao Aguirre ,&nbsp;Rosa María Paredes Esteban","doi":"10.1016/j.anpedi.2024.05.003","DOIUrl":"https://doi.org/10.1016/j.anpedi.2024.05.003","url":null,"abstract":"","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"101 1","pages":"Pages 67-68"},"PeriodicalIF":1.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1695403324000997/pdfft?md5=402915621a4d180a643abffaa38770ac&pid=1-s2.0-S1695403324000997-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141481839","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":"Hacia el tratamiento etiológico en fases tempranas de la diabetes tipo 1 en la edad pediátrica: el inicio de una nueva era en su abordaje","authors":"Roque Cardona-Hernández ,&nbsp;Luis Antonio Castaño González ,&nbsp;Enrique Palomo Atance ,&nbsp;Itxaso Rica Echevarría","doi":"10.1016/j.anpedi.2024.03.005","DOIUrl":"10.1016/j.anpedi.2024.03.005","url":null,"abstract":"","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"101 1","pages":"Pages 1-2"},"PeriodicalIF":1.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1695403324000638/pdfft?md5=139ccfbff7ce186efe7d77faf13a2438&pid=1-s2.0-S1695403324000638-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140788861","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":"Hernia diafragmática congénita: relación entre el tamaño del defecto y evolución. Experiencia en un centro de referencia","authors":"Jesica Cecilia Otaño ,&nbsp;Victoria Murua ,&nbsp;Julieta Rugilo ,&nbsp;Aixa Reussmann ,&nbsp;Camila Gonzalez Rührnschopf ,&nbsp;Diana Fariña ,&nbsp;Gisela Lujan Salas","doi":"10.1016/j.anpedi.2024.04.014","DOIUrl":"https://doi.org/10.1016/j.anpedi.2024.04.014","url":null,"abstract":"<div><h3>Introduction</h3><p>Congenital diaphragmatic hernia (CDH) remains a therapeutic challenge. The surgical classification recommended by the Congenital Diaphragmatic Hernia study group (CDHSG), based on the size of the defect, is used for staging in reference centres. Larger defects are associated with poorer outcomes. Our aim was to describe and compare the morbidity at hospital discharge of newborns who underwent surgical correction of CDH at the Juan P. Garrahan, according to the surgical staging of the defect proposed by the CDHSG.</p></div><div><h3>Material and methods</h3><p>The study included patients with CDH admitted to the Juan P. Garrahan Hospital between 2012 and 2020, and we analysed the distribution, morbidity and mortality associated with the size of the defect. We carried out a descriptive analysis, calculating measures of central tendency and dispersion, and bivariate and multivariate analyses.</p></div><div><h3>Results</h3><p>A total of 230 patients with CDH were admitted and 158 underwent surgery. We found that defect sizes C and D sizes were associated with an increased risk of chronic pulmonary disease (CPD) (OR, 5.3; 95% CI, 2.2-13.4; <em>P</em> <!-->&lt;<!--> <!-->.0000), need of extracorporeal membrane oxygenation (OR 3.9; 95% CI, 1.3-12.8; <em>P</em> <!-->&lt;<!--> <!-->.005) and chylothorax (OR, 2.1; 95% CI, 0.8- 6.4; <em>P</em> <!-->&lt;<!--> <!-->.10]. The multivariate analysis revealed that a large defect size (C-D) was independently and significantly associated with CPD (OR 4.19; 95% CI, 1.76-9.95).</p></div><div><h3>Conclusion</h3><p>Staging the defect according to de CDHSG classification during surgery allows the application of uniform management criteria and the prediction of patient outcomes and complications during the hospital stay.</p></div>","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"101 1","pages":"Pages 29-35"},"PeriodicalIF":1.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1695403324000985/pdfft?md5=bf4b0f91818107eae8c05acf58bfe700&pid=1-s2.0-S1695403324000985-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141481840","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}