Julio César Moreno-Alfonso , Sharom Barbosa-Velásquez , Ada Molina Caballero , Alberto Pérez Martínez , María Concepción Yárnoz Irazábal
{"title":"Exploring the role of eosinophil cell indices in diagnosing eosinophilic esophagitis","authors":"Julio César Moreno-Alfonso , Sharom Barbosa-Velásquez , Ada Molina Caballero , Alberto Pérez Martínez , María Concepción Yárnoz Irazábal","doi":"10.1016/j.anpede.2025.503809","DOIUrl":"10.1016/j.anpede.2025.503809","url":null,"abstract":"","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":"102 6","pages":"Article 503809"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276947","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}
Gerard Martínez-Segura , Silvia Rodríguez Ferradas , Cristina Macias Borras , Victoria Trenchs Sainz de la Maza , Ana Isabel Curcoy Barcenilla
{"title":"Suspected abuse in the emergency room: Appropriateness of consultations","authors":"Gerard Martínez-Segura , Silvia Rodríguez Ferradas , Cristina Macias Borras , Victoria Trenchs Sainz de la Maza , Ana Isabel Curcoy Barcenilla","doi":"10.1016/j.anpede.2025.503808","DOIUrl":"10.1016/j.anpede.2025.503808","url":null,"abstract":"","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":"102 6","pages":"Article 503808"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144287446","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}
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":"Vitamin D supplementation in the healthy pediatric population","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.anpede.2025.503874","DOIUrl":"10.1016/j.anpede.2025.503874","url":null,"abstract":"<div><h3>Objective</h3><div>To review the current scientific evidence on the efficacy of universal vitamin D 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 15 years using the following MeSH search terms: <em>(vitamin D) AND (supplementation)</em>. The search yielded 2133 articles, of which 22 were selected.</div></div><div><h3>Results</h3><div>In infants aged less than 1 year without risk factors, administration of 400 IU/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 1 year with calcifediol levels of less than 35 ng/mL, supplementation with 400 to 800 IU/day of vitamin D decreases the risk of respiratory infection. There is still no evidence in the pediatric population that vitamin D 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 vitamin D at a dose of 400 IU/day is recommended for breastfed infants aged less than 1 year or infants who do not achieve the recommended daily intake through infant formula. In children aged more than 1 year, supplementation should be individualized.</div></div>","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":"102 6","pages":"Article 503874"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303872","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}
Johanna Ramírez-Romero, Claudia Cifuentes, Beatriz Azkunaga, Santiago Mintegi, Grupo de Trabajo de Intoxicaciones de la Sociedad Española de Urgencias Pediátricas
{"title":"Poisoning due to medication dosing errors in Spain","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.anpede.2025.503888","DOIUrl":"10.1016/j.anpede.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 mo). 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":93868,"journal":{"name":"Anales de pediatria","volume":"102 6","pages":"Article 503888"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328086","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}
Patricia Corniero , Mònica Girona-Alarcón , Carme Alejandre , Roi Campos , Nuria Millán García del Real , Elisabeth Esteban
{"title":"Assessment of patient safety during interfacility transport","authors":"Patricia Corniero , Mònica Girona-Alarcón , Carme Alejandre , Roi Campos , Nuria Millán García del Real , Elisabeth Esteban","doi":"10.1016/j.anpede.2025.503884","DOIUrl":"10.1016/j.anpede.2025.503884","url":null,"abstract":"<div><h3>Objective</h3><div>The transport of critically ill pediatric patients is associated with the occurrence of adverse events (AE) and incidents that worsen patient outcomes. The primary objective was to determine the AEs and incidents that occurred during interhospital transport and to analyze changes after the implementation of safety measures. The secondary objective was to analyze the association between the presence of family accompanying the patient in the ambulance and the number of incidents.</div></div><div><h3>Material and methods</h3><div>Prospective and observational study, including patients transferred by a specialized pediatric transport team during two periods: period 1 (2017-2018) and period 2 (2022-2023). We compared incidents in the two periods after the implementation of safety measures. We also compared the presence of parents during the transport and its association with the occurrence of incidents.</div></div><div><h3>Results</h3><div>We analyzed 1369 transports. A total of 273 (20.7%) patients experienced some incident during transport, with a lower percentage in period 2 (29.2% vs 12.0%; <em>P</em> < .001), especially in patients with clinical incidents (20.3% vs 5.1%; <em>P</em> < .001). Incidents involving a lack of devices or supplies were least frequent, with no differences between the two periods.</div><div>Family accompanied the patient in the ambulance more frequently in the second period (76.0% vs 82.6%; <em>P</em> = .001), a finding that was not associated with an increase in incidents, with a higher percentage of transports with parents in the care cabin.</div></div><div><h3>Conclusions</h3><div>Interhospital pediatric transport performed by teams trained in clinical safety leads to few incidents. Implementing measures to improve patient safety can reduce the frequency of these incidents and optimize care quality.</div></div>","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":"102 6","pages":"Article 503884"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318931","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}
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