keyword
https://read.qxmd.com/read/38299202/overview-of-childhood-vaccination-coverage-in-brazil-and-the-impact-of-the-covid-19-pandemic-is-our-children-s-health-at-risk-a-review-of-pre-covid-19-periods-and-during-the-covid-19-pandemic
#21
JOURNAL ARTICLE
Jéssica Paula Martins, Giulia Almeida Alatzatianos, Tais Mendes Camargo, Fernando Augusto Lima Marson
INTRODUCTION: The coronavirus disease (COVID)-19 has had a great impact on several aspects related to the population's health, including the vaccination adherence rate. This study describes how childhood vaccination coverage (CVC) in Brazil was affected by the pandemic in the period from 2020 to 2022 and explores the relationship between this data and the Human Development Index (HDI), and the number of votes received in the government with a right-wing political ideology. METHODS: An ecological analysis of CVC was carried out including 12 vaccines...
March 2024: Vaccine: X
https://read.qxmd.com/read/38271036/percutaneous-infraclavicular-subclavian-vein-catheters-in-paediatric-cancer-patients-in-comparison-with-critically-ill-children-a-one-year-experience-from-a-tunisian-hospital
#22
JOURNAL ARTICLE
Anouar Jarraya, Manel Kammoun, Ahmad Sarhan, Ahmad Abdelhedi, Kamel Kolsi
BACKGROUND: Paediatric cancer and critically ill patients frequently require central venous catheters for prolonged intravenous therapy. The aim of this study is to compare the difficulty of catheter insertion and the morbidity related to this procedure in these two populations and to investigate risk factors for complications. METHODS: This prospective observational study was conducted at the Hedi Chaker University Hospital in Sfax, Tunisia, from July 2021 to July 2022...
January 25, 2024: British Journal of Nursing: BJN
https://read.qxmd.com/read/38267590/use-of-clearguard-hd-caps-in-pediatric-hemodialysis-patients
#23
JOURNAL ARTICLE
Amy Nau, Troy Richardson, Diana Cardwell, Jennifer Ehrlich, Jyothsna Gattineni, Melisha Hanna, Mahima Keswani, Emily Neibauer, Kelly Nitz, Raymond Quigley, Michelle Rheault, Rebekah Sims, Mayna Woo, Bradley A Warady
BACKGROUND: Bloodstream infections (BSIs) are a leading cause of hospitalizations and mortality among patients receiving hemodialysis (HD) therapy, especially those with a central venous catheter (CVC) for dialysis access. The use of chlorhexidine impregnated catheter caps (ClearGuard) has been associated with a decrease in the rate of HD catheter-related BSIs (CA-BSIs) in adults; similar data have not been published for children. METHODS: We compared CA-BSI data from participating centers within the Standardizing Care to Improve Outcomes in Pediatric Endstage Kidney Disease (SCOPE) collaborative based on the center's use of ClearGuard caps for patients with HD catheter access...
January 25, 2024: Pediatric Nephrology
https://read.qxmd.com/read/38263365/invasive-device-associated-skin-complications-and-mechanical-dysfunctions-in-paediatric-healthcare-a-systematic-review-and-meta-analysis
#24
REVIEW
Mari Takashima, Areum Hyun, Victoria Gibson, Eloise Borello, Amanda Ullman
AIM: This study aimed to estimate the proportion and rate of skin complications and mechanical dysfunction associated with indwelling invasive devices in paediatric healthcare. DESIGN: This systematic review is reported in accordance with Cochrane standards for randomized controlled trials and the Meta-analysis of Observation Studies in Epidemiology for cohort studies. DATA SOURCES: MEDLINE, CINAHL, Embase, Web of Science, Scopus, Cochrane CENTRAL, clinical trial registries, and unpublished study databases were searched...
January 23, 2024: Journal of Advanced Nursing
https://read.qxmd.com/read/38254126/vascular-access-challenges-in-hemodialysis-children
#25
JOURNAL ARTICLE
Doaa M Salah, Fatina I Fadel, Mohamed A Abdel Mawla, Hesham NAbdel Mooty, Mohamed El Ghobashy, Amr M Salem, Mohamed Gamal Fathallah, Eman Abobakr Abd Alazem
BACKGROUND: Hemodialysis (HD) success is dependent mainly on vascular access (VA). The aim of this study is to share the experience of Pediatric Nephrology Unit (PNU), Cairo University Children's Hospital (CUCH), with VA-related obstacles in end stage kidney disease (ESKD) HD children. METHODS: This is a retrospective analysis of VA related data of 187 ESKD children received regular HD over 3 year duration (2019-2021). Kaplan-Meier curves were used to present arteriovenous fistula (AVF) and cuffed catheters survivals...
January 22, 2024: Italian Journal of Pediatrics
https://read.qxmd.com/read/38227054/the-success-rate-and-complications-of-midline-catheters-in-pediatric-outpatient-parenteral-antibiotic-therapy-opat
#26
JOURNAL ARTICLE
Urban Fläring, Henrik Lundevall, Åke Norberg, Andreas Andersson
The use of outpatient parenteral antimicrobial therapy (OPAT) for children has several advantages, including reduced length of hospital stay and costs. A reliable vascular access is key to delivering safe and effective pediatric OPAT. In recent years, midline catheters (MC) have been increasingly used for short-term intravenous antibiotic therapy in children. However, there are no studies investigating the use of MCs in the OPAT setting. The main aim of this paper was to evaluate the success and complications of using MCs for pediatric OPAT...
January 16, 2024: European Journal of Pediatrics
https://read.qxmd.com/read/38220445/-pathogenic-characteristics-and-influence-factors-of-bloodstream-infection-induced-severe-sepsis-in-pediatric-intensive-care-unit
#27
JOURNAL ARTICLE
J Y Dou, Y P Zhou, Y Cui, T Sun, J Y Shi, X Xiong, Y C Zhang
Objective: To summarize the pathogenic characteristics of bloodstream infection (BSI)-induced severe sepsis and analyze the influence factors in pediatric intensive care unit (PICU). Methods: Pediatric patients who were diagnosed with severe sepsis caused by BSI in the PICU of Children's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine from January 2016 to December 2021 were retrospectively selected and divided into survival group and death group according to their discharge outcomes...
January 16, 2024: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://read.qxmd.com/read/38188190/pediatric-orthopaedic-venous-thromboembolism-a-systematic-review-investigating-incidence-risk-factors-and-outcome
#28
JOURNAL ARTICLE
Neha Mulpuri, Ryan M Sanborn, Pratik Pradhan, Patricia E Miller, Maria F Canizares, Benjamin J Shore
BACKGROUND: There is growing evidence of increased venous thromboembolism (VTE) incidence in children with trauma or infection. The purpose of this study was to conduct a systematic review of existing literature related to VTE in the pediatric orthopaedic population, to estimate the overall incidence of VTE and identify risk factors associated with this condition. METHODS: A systematic review of the available literature was performed to identify articles that described VTE in pediatric orthopaedic surgery or admission...
2024: JB & JS Open Access
https://read.qxmd.com/read/38186371/safety-and-efficacy-of-peripheral-blood-stem-cells-collection-in-healthy-children-and-pediatric-patients-with-thalassemia-major-weighing-20%C3%A2-kg-or-less
#29
JOURNAL ARTICLE
Libai Chen, Jianyun Wen, Xiaoxiao Xu, Jing Du, Yongsheng Ruan, Xiaoqin Feng, Juan Li, Yuelin He, Xuedong Wu
BACKGROUND: Peripheral blood stem cell (PBSC) collection in children poses challenges due to their small size, low body weight (BW), and unique pediatric physiology, especially among children weighing 20 kg (kg) or less. METHODS: PBSC collection data of both healthy children and patients with thalassemia major (TM) weighing 20 kg or less between January 2013 and December 2020 were reviewed. Moreover, PBSCs characteristics along with various aspects of efficiency and safety between healthy donors and patients with TM were compared...
January 8, 2024: Journal of Clinical Apheresis
https://read.qxmd.com/read/38181816/venous-thromboembolism-in-children-the-rivaroxaban-experience
#30
JOURNAL ARTICLE
Luca Spiezia, Elena Campello, Daniela Tormene, Paolo Simioni
The incidence of venous thromboembolism (VTE) in the pediatric population has increased more than 10-fold in the last 20 years, as a consequence of the advancement of resuscitation and surgical techniques and the global increase in life expectancy of children suffering from chronic pathologies. Monitoring anticoagulant therapy to achieve outcomes within the target range in childhood VTE, parenteral administration of medications, and frequent blood tests in children are often cumbersome. Availability of safe and effective oral agents with pediatric data to support use would be of clear benefit...
January 5, 2024: Seminars in Thrombosis and Hemostasis
https://read.qxmd.com/read/38141144/technical-requirements-and-devices-available-for-long-term-hemodialysis-in-children-mind-the-gap
#31
REVIEW
Bruno Ranchin, Claus Peter Schmitt, Bradley A Warady, Hiroshi Hataya, Joanne Jones, Rowena Lalji, Christoph Licht, Melodie Mosca, Lynsey Stronach, Enrico Vidal, Johan Vande Walle, Rukshana Shroff
Children requiring long-term kidney replacement therapy are a "rare disease" cohort. While the basic technical requirements for hemodialysis (HD) are similar in children and adults, key aspects of the child's cardiovascular anatomy and hemodynamic specifications must be considered. In this article, we describe the technical requirements for long-term HD therapy for children and the devices that are currently available around the world. We highlight the characteristics and major technical shortcomings of permanent central venous catheters, dialyzers, dialysis machines, and software available to clinicians who care for children...
December 23, 2023: Pediatric Nephrology
https://read.qxmd.com/read/38131981/open-versus-transcutaneous-ultrasound-guided-and-based-on-anatomic-landmarks-tunneled-venous-access-to-the-right-internal-jugular-vein-in-children-a-prospective-single-center-study
#32
JOURNAL ARTICLE
Niki Kouna, George Noutsos, Christina Koufopoulou, Dimitrios Panagopoulos, Antonis Kattamis
BACKGROUND: The purpose of this study was to compare the immediate and long-term complications that are associated with the utilized techniques for the insertion of indwelling central venous catheters, that is the open surgical technique, the ultrasound-guided technique, and the transcutaneous technique based on external anatomical landmarks in the right internal jugular vein, to a pediatric population. METHODS: This was a prospective randomized trial based on a pediatric patient population under 16 years of age of a tertiary pediatric-oncological hospital...
November 30, 2023: Diseases (Basel)
https://read.qxmd.com/read/38117353/point-of-care-ultrasound-for-vascular-access-in-neonates-and-children
#33
REVIEW
Mauro Pittiruti, Maria Giuseppina Annetta, Vito D'andrea
UNLABELLED: Ultrasound plays a major role in neonatal/pediatric vascular access, both for venous access and for arterial access, not only just for the insertion of intravascular catheters, but also for many other issues related to this type of maneuver. This "global use of ultrasound" includes a systematic and consistent adoption of this technology for several steps of vascular access: (a) the pre-procedural assessment/evaluation of the vessels, (b) the ultrasound-guided puncture and cannulation of arteries and veins, (c) the real-time diagnosis of immediate, puncture-related complications, (d) the so-called "tip navigation" (i...
December 20, 2023: European Journal of Pediatrics
https://read.qxmd.com/read/38115058/trainee-educational-curriculum-to-standardize-central-venous-catheter-repair
#34
JOURNAL ARTICLE
Marina Reppucci, Connor Prendergast, Katherine Flynn, Sharon Scarbro, S Christopher Derderian, Jose Diaz-Miron
INTRODUCTION: Children may require durable central venous catheters (CVCs) for various reasons. CVC-related integrity complications are common and can often be repaired at the bedside to increase lifetime. Variability in repair techniques can lead to complications, including the need for repeat repair and Central Line Associated Blood Stream Infection (CLABSI). METHODS: The impact of an educational curriculum to standardize tunneled CVC repairs for trainees on a pediatric surgery service was studied, focusing on comfort level with tunneled CVC repair and to determine the impact on complication rates...
December 19, 2023: BMC Medical Education
https://read.qxmd.com/read/38063512/usefulness-of-peripheral-blood-cultures-in-children-with-cancer-and-episodes-of-fever-and-neutropenia
#35
JOURNAL ARTICLE
Teresita Sarquis, Carolina Ibáñez, Verónica De La Maza, Romina Valenzuela, Marcela Zubieta, Yenis Labraña, Valentina Gutiérrez, Claudia Greppi, Daniela Martínez, Paulina Díaz, María Elena Santolaya
BACKGROUND: The collection of blood cultures (BC) is key for guiding antimicrobial therapy in children with febrile neutropenia (FN), more than 90% have central venous catheters (CVC). There is no consensus on the need for peripheral BC over central BC in this population. The aim of this study was to determine the contribution of peripheral BC over central BC in the diagnosis of bloodstream infections in children with FN. METHODS: Descriptive, retrospective study, episodes of FN recorded prospectively in 6 hospitals in Santiago, Chile, from 2016 to 2021...
December 6, 2023: Pediatric Infectious Disease Journal
https://read.qxmd.com/read/38060973/prospective-external-validation-of-the-esbenshade-vanderbilt-models-accurately-predicts-bloodstream-infection-risk-in-febrile-non-neutropenic-children-with-cancer
#36
JOURNAL ARTICLE
Zhiguo Zhao, Pratik A Patel, Leonora Slatnick, Anna Sitthi-Amorn, Kevin J Bielamowicz, Farranaz A Nunez, Alexandria M Walsh, Jennifer Hess, Jenna Rossoff, Caitlin Elgarten, Regina Myers, Raya Saab, Maya Basbous, Meghan Mccormick, Catherine Aftandilian, Rebecca Richards, C Nathan Nessle, Alison C Tribble, Jessica K Sheth Bhutada, Scott L Coven, Daniel Runco, Jennifer Wilkes, Arun Gurunathan, Terri Guinipero, Jennifer A Belsky, Karen Lee, Victor Wong, Megha Malhotra, Amy Armstrong, Lauren P Jerkins, Shane J Cross, Lyndsay Fisher, Madison T Stein, Natalie L Wu, Troy Yi, Etan Orgel, Gabrielle M Haeusler, Joshua Wolf, Jenna M Demedis, Tamara P Miller, Adam J Esbenshade
PURPOSE: The optimal management of fever without severe neutropenia (absolute neutrophil count [ANC] ≥500/µL) in pediatric patients with cancer is undefined. The previously proposed Esbenshade Vanderbilt (EsVan) models accurately predict bacterial bloodstream infections (BSIs) in this population and provide risk stratification to aid management, but have lacked prospective external validation. MATERIALS AND METHODS: Episodes of fever with a central venous catheter and ANC ≥500/µL occurring in pediatric patients with cancer were prospectively collected from 18 academic medical centers...
March 1, 2024: Journal of Clinical Oncology
https://read.qxmd.com/read/38059918/uncovering-risk-factors-and-outcomes-of-pulmonary-embolism-in-a-nationwide-cohort-of-hospitalized-children
#37
JOURNAL ARTICLE
Carlos Theodore Huerta, Walter A Ramsey, Cindy Rodriguez, Joshua P Parreco, Chad M Thorson, Juan E Sola, Eduardo A Perez
PURPOSE: The incidence of pulmonary embolism (PE) in hospitalized children has increased in recent years. This study sought to characterize factors and outcomes associated with PE using a national pediatric cohort. METHODS: The Nationwide Readmissions Database was queried (2016-2018) for patients (<18 years) with a diagnosis of PE. Index and prior hospitalizations (PHs) within 1 year were analyzed. A binary logistic regression utilizing 37 covariates (demographics, procedures, comorbidities, etc...
December 7, 2023: American Surgeon
https://read.qxmd.com/read/38056188/it-takes-a-village-caregiver-diversity-and-language-contingency-in-the-uk-and-rural-gambia
#38
JOURNAL ARTICLE
Laura Katus, Maria M Crespo-Llado, Bosiljka Milosavljevic, Mariama Saidykhan, Omar Njie, Tijan Fadera, Samantha McCann, Lena Acolatse, Marta Perapoch Amadó, Maria Rozhko, Sophie E Moore, Clare E Elwell, Sarah Lloyd-Fox
INTRODUCTION: There is substantial diversity within and between contexts globally in caregiving practices and family composition, which may have implications for the early interaction's infants engage in. We draw on data from the [blinded] project, which longitudinally examined infants in the UK and in rural Gambia, West Africa. In The Gambia, households are commonly characterized by multigenerational, frequently polygamous family structures, which, in part, is reflected in the diversity of caregivers a child spends time with...
December 5, 2023: Infant Behavior & Development
https://read.qxmd.com/read/38034446/early-central-venous-catheter-replacement-after-candida-in-pediatric-intestinal-failure-patients
#39
JOURNAL ARTICLE
Daphna Katz, Natalia Jelen, Alana Xavier de Almeida, Alberto Cruz, Brandon Chatani, Amanda Fifi
BACKGROUND: Deferred central venous catheter (CVC) replacement places children with intestinal failure (IF) at risk of complications. We hypothesized that early CVC replacement after uncomplicated candidemia is safe and beneficial. METHODS: We performed a retrospective review of children with IF. Patients were divided into early (<7 days after their first negative culture), and late (≥7 days after their first negative culture) CVC replacement following uncomplicated candidemia...
November 2023: JPGN reports
https://read.qxmd.com/read/37980654/wireless-handheld-ultrasound-for-internal-jugular-vein-assessment-in-pediatric-patients
#40
JOURNAL ARTICLE
Barbara Greiner, Ulrich Kaiser, Katharina Maurer, Christian Stroszczynski, Ernst Michael Jung
BACKGROUND: Rapid evolution of ultrasound technology has allowed widespread use of handheld ultrasound devices (HHUDs) for many possible applications. Along with the adult population, the use of HHUDs for Point of Care Ultrasound (POCUS) in pediatric medicine has been increasing over the last few years. However, pediatric-specific literature is still scarce on mobile vascular ultrasound. OBJECTIVE: To evaluate diagnostic capabilities of Vscan Air™ in comparison with high-end ultrasound for the assessment of the internal jugular vein in children and adolescents...
November 17, 2023: Clinical Hemorheology and Microcirculation
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