Anales de pediatria最新文献_第3页

Infecciones bacterianas invasivas en neonatos febriles con infección por el virus influenza 感染流感病毒的发热新生儿的侵袭性细菌感染

IF 2.1 4区医学

Anales de pediatria Pub Date : 2025-09-01 DOI: 10.1016/j.anpedi.2025.503966

Arantxa Aparicio Coll , Lorena Algarrada Vico , Ariadna Rigalós Cases , Victoria Trenchs Sainz de la Maza , Carles Luaces Cubells , Susanna Hernández Bou

{"title":"Infecciones bacterianas invasivas en neonatos febriles con infección por el virus influenza","authors":"Arantxa Aparicio Coll , Lorena Algarrada Vico , Ariadna Rigalós Cases , Victoria Trenchs Sainz de la Maza , Carles Luaces Cubells , Susanna Hernández Bou","doi":"10.1016/j.anpedi.2025.503966","DOIUrl":"10.1016/j.anpedi.2025.503966","url":null,"abstract":"<div><h3>Introduction</h3><div>Febrile infants with a confirmed viral infection are at lower risk of an invasive bacterial infection (IBI). Several authors recommend individualizing screening in febrile infants aged 1 to 3 months, but there are currently no specific recommendations for neonates. The objective of our study was to determine the prevalence of IBI in febrile neonates with influenzavirus infection.</div></div><div><h3>Methods</h3><div>Observational descriptive study in febrile infants aged less than 29 days managed in the emergency department with a microbiological diagnosis of influenza over a 21-year period (2004-2023). We excluded patients with an abnormal pediatric assessment triangle or who had received antibiotherapy in the past week.</div></div><div><h3>Results</h3><div>The sample included 112 patients. Urine culture was performed in all, blood culture in 108 (96.4%) and lumbar puncture in 61 (54.5%). A total of 102 (91.1%) were admitted to hospital, of who 61 (59.8%) received antibiotics. An IBI was identified in one patient (prevalence 0.9%; 95% CI, 0.2%-4.9%): a girl aged 8 days with a bloodstream infection by <em>Escherichia coli</em>. Additionally, 7 (6.3%, 95% CI: 3.1–12.3%) patients presented with a urinary tract infection.</div></div><div><h3>Conclusions</h3><div>The prevalence of IBI in febrile neonates with influenza infection is very low, with no detection of cases of bacterial meningitis. Confirmation of these results in a multicenter study, which could also identify associated risk factors, would allow a less aggressive approach to the management of low-risk patients.</div></div>","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"103 3","pages":"Article 503966"},"PeriodicalIF":2.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144922002","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

Tricotilomanía de cejas y pestañas: hallazgos dermatoscópicos 眉毛和睫毛毛滴虫病：皮肤镜检查结果

IF 2.1 4区医学

Anales de pediatria Pub Date : 2025-09-01 DOI: 10.1016/j.anpedi.2025.503931

Aniza Giacaman, Juan Garcías-Ladaria, Luis Javier del Pozo Hernando

引用次数: 0

Fusión hepatopulmonar asociada a hernia diafragmática derecha en un recién nacido 新生儿中与右膈疝相关的肝肺融合

IF 2.1 4区医学

Anales de pediatria Pub Date : 2025-09-01 DOI: 10.1016/j.anpedi.2025.503943

Verónica Castro Palaguachi, Marjorie Rodríguez-Guerrero, Luis Marcano Sanz, Miurkis Endis Miranda, Lenín Quezada Méndez

引用次数: 0

Atención segura para todos los recién nacidos y todos los niños 为所有新生儿和儿童提供安全护理

IF 2.1 4区医学

Anales de pediatria Pub Date : 2025-09-01 DOI: 10.1016/j.anpedi.2025.503989

María R. Fernández García , Aurora Madrid Rodríguez

引用次数: 0

Relación entre el sueño infantil, el estrés parental y el colecho a los 2 años de edad 儿童睡眠、父母压力与2岁时腹泻的关系

IF 2.1 4区医学

Anales de pediatria Pub Date : 2025-09-01 DOI: 10.1016/j.anpedi.2025.503970

Luis Bachiller-Carnicero, Lucía Torres Aguilar, María Carmen Torres Hinojal

{"title":"Relación entre el sueño infantil, el estrés parental y el colecho a los 2 años de edad","authors":"Luis Bachiller-Carnicero, Lucía Torres Aguilar, María Carmen Torres Hinojal","doi":"10.1016/j.anpedi.2025.503970","DOIUrl":"10.1016/j.anpedi.2025.503970","url":null,"abstract":"<div><h3>Introduction</h3><div>Parental stress may contribute to neurodevelopmental disorders in children, and lack of sleep may be at the root of the issue. The aim of our study was to assess the association between infant sleep and parental stress, as well as the influence of socioeconomic factors or co-sleeping.</div></div><div><h3>Material and methods</h3><div>We conducted a prospective observational study in children aged 2 years. Parents completed 3 questionnaires: the Parenting Stress Index-4-Short Form (PSI-SF-4), the Brief Infant Sleep Questionnaire and a questionnaire that assessed socioeconomic and sleep-related variables.</div></div><div><h3>Results</h3><div>The sample included 109 families. The median (interquartile range) duration of nighttime sleep, time spent awake at night and sleep onset latency (in minutes) and number of nocturnal awakenings in the children were 500 (447.5-602.5), 15 (5-60), 1 (0-3) and 10 (8-20), respectively. The mean total score±SD in the PSI-SF-4 was 61.1±12.3. The correlation between the PSI-SF-4 total score and the minutes of nighttime sleep was: 0.478 (<em>P</em>   <!-->min, mainly on account of the dysfunctional parent-child interaction and difficult child subscales. Parental stress was increased significantly with the practice of co-sleeping and with parental age less than 20 years or more than 40 years. Co-sleeping was associated with shorter nighttime sleepduration, more time awake at night and an increased number of nocturnal awakenings.</div></div><div><h3>Conclusions</h3><div>Decreased infant sleep duration at night caused an increase in parental stress. Likewise, co-sleeping and early or advanced parenthood are associated with a higher level of stress.</div></div>","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"103 3","pages":"Article 503970"},"PeriodicalIF":2.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144921865","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

Medidas de frecuencia, riesgo e impacto en epidemiología 流行病学中的频率、风险和影响测量

IF 2.1 4区医学

Anales de pediatria Pub Date : 2025-09-01 DOI: 10.1016/j.anpedi.2025.503877

Carlos Ochoa Sangrador , Eduardo Ortega Páez , Manuel Molina Arias , Fernando Carvajal Encina , Eduardo Cuestas Montañes , Comité de Trabajo de Pediatría Basada en la Evidencia

引用次数: 0

Recomendaciones para el uso de la resonancia magnética cerebral en el periodo neonatal 关于在新生儿期使用脑核磁共振成像的建议

IF 2.1 4区医学

Anales de pediatria Pub Date : 2025-09-01 DOI: 10.1016/j.anpedi.2025.503935

Miriam Martinez-Biarge , Juan Arnaez , Gemma Arca , Eva Valverde , Roberto Llorens-Salvador , Alfredo García-Alix , en representación del Grupo Cerebro Neonatal Español

{"title":"Recomendaciones para el uso de la resonancia magnética cerebral en el periodo neonatal","authors":"Miriam Martinez-Biarge , Juan Arnaez , Gemma Arca , Eva Valverde , Roberto Llorens-Salvador , Alfredo García-Alix , en representación del Grupo Cerebro Neonatal Español","doi":"10.1016/j.anpedi.2025.503935","DOIUrl":"10.1016/j.anpedi.2025.503935","url":null,"abstract":"<div><div>Magnetic resonance imaging (MRI) of the brain is a key tool in the diagnosis and prognosis of neurological conditions in newborn infants, especially when used along cranial ultrasound. Although its use has increased over the last decade, significant variations in protocols between centers persist. This document, developed by the Spanish Neonatal Brain Group in collaboration with pediatric neuroradiologists, establishes recommendations based on scientific evidence and clinical experience to standardize its use.</div><div>The document describes the logistics of neonatal MRI, including patient preparation, image acquisition, and condition-specific protocols. Clinical indications and optimal timing of MRI are outlined to maximize its diagnostic and prognostic value in different pathologies such as hypoxic-ischemic encephalopathy, metabolic encephalopathy, arterial infarction, venous sinus thrombosis, congenital infections and brain damage associated with hypoglycemia, hyperbilirubinemia or prematurity. Condition-specific patterns of damage and their prognostic correlation are described.</div><div>The document offers recommendations for the standardization of radiological reports and the reporting of critical findings to improve communication between radiologists, clinicians and parents.</div><div>In conclusion, these recommendations aim to optimize the use of brain MRI in neonatology, which will result in improved diagnostic accuracy and better-informed therapeutic decision-making, with the ultimate goal of improving neurodevelopmental outcomes in this vulnerable population.</div></div>","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"103 3","pages":"Article 503935"},"PeriodicalIF":2.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144921874","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

Neumatosis intestinal secundaria a tratamiento inmunosupresor 采用免疫抑制治疗的继发性肠道肺炎

IF 2.1 4区医学

Anales de pediatria Pub Date : 2025-08-01 DOI: 10.1016/j.anpedi.2025.503873

Begoña de Miguel Lavisier , Miguel Ángel Molina Gutiérrez , Yasmina Mozo del Castillo , Eduardo Alonso Gamarra

引用次数: 0

Trastornos de la conducta alimentaria: intervención del pediatra en la prevención, detección precoz, evaluación y tratamiento interdisciplinar 饮食行为障碍：儿科医生参与预防、早期发现、评估和跨学科治疗

IF 2.1 4区医学

Anales de pediatria Pub Date : 2025-08-01 DOI: 10.1016/j.anpedi.2025.503907

Raquel Jiménez García , Covadonga Canga-Espina , Andrea Múñoz Domenjó , Gemma Ochando Perales , Azucena Díez-Suárez

{"title":"Trastornos de la conducta alimentaria: intervención del pediatra en la prevención, detección precoz, evaluación y tratamiento interdisciplinar","authors":"Raquel Jiménez García , Covadonga Canga-Espina , Andrea Múñoz Domenjó , Gemma Ochando Perales , Azucena Díez-Suárez","doi":"10.1016/j.anpedi.2025.503907","DOIUrl":"10.1016/j.anpedi.2025.503907","url":null,"abstract":"<div><div>Eating disorders are severe mental health disorders characterized by changes in eating-related behavior, thoughts and emotions. They typically manifest at young ages, chiefly in adolescence or preadolescence. Due to their complexity, the management of eating disorders requires a multidisciplinary approach led by mental health professionals. However, the high demand for services may delay access to specialized care, which makes it necessary for pediatricians to adopt a proactive role.</div><div>Pediatricians play a key role in the prevention of eating disorders by promoting a healthy relationship with food and body image as well as in their detection and initial management, enabling the implementation of early interventions to stabilize the patient while coordinating specialized care. The pediatrician is also a key figure throughout the followup in monitoring the physical and mental health of affected patients, guaranteeing the delivery of comprehensive care in collaboration with the multidisciplinary team.</div></div>","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"103 2","pages":"Article 503907"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144749919","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

Reemergencia de la tosferina en Ecuador en 2025: un desafío para la salud pediátrica 2025年厄瓜多尔再次出现百日咳：对儿童健康的挑战

IF 2.1 4区医学

Anales de pediatria Pub Date : 2025-08-01 DOI: 10.1016/j.anpedi.2025.503961

Doménica Denisse Villacís Ponce, Joshua Israel Culcay Delgado

引用次数: 0