首页 > 最新文献

Pediatrics and Neonatology最新文献

英文 中文
Predictive factors of progression to chronic glomerulonephritis in pediatric patients with post streptococcal acute glomerulonephritis 链球菌感染后急性肾小球肾炎儿科患者发展为慢性肾小球肾炎的预测因素。
IF 2.3 4区 医学 Q2 PEDIATRICS Pub Date : 2024-11-01 DOI: 10.1016/j.pedneo.2023.11.005
Ida Ayu Laksmi Arnita Utari , Surya Adhi , Kristia Hermawan , Eggi Arguni

Background

Post streptococcal acute glomerulonephritis (PSAGN) patients have favorable prognosis, in which most patients showed full recovery in terms of kidney function. However, there is a slight chance ranging from 3 to 6% that PSAGN patients develop chronic kidney diseasewhich may progress into end-stage kidney disease in later life. It is important to identify the factors that can predict the development of chronic glomerulonephritis following PSAGN. Therefore, early intervention can be performed to halt the progression of chronic kidney disease. This study aimed to determine the predictive factors of chronic glomerulonephritis in pediatric patients with PSAGN.

Methods

This study was an analytical observational study with retrospective cohort design. The accessible population was children within the age of 2–18 years old who were admitted with PSAGN between January 2015 and December 2020 in Dr. Sardjito General Hospital Yogyakarta. All anonymized patient data were evaluated for demographic variables, clinical features, laboratory profiles and outcome. Multivariate analysis was performed with multivariate logistic regression method.

Results

A total of 124 patients with PSAGN were obtained from medical record data. There were 65 patients (52.4%) with chronic glomerulonephritis. Bivariate analysis was performed on assumed predictive factors with the results indicating massive proteinuria with hypoalbuminemia (OR 1.670, 95%CI 1.199–2.326; p = 0.003), oliguria (OR 1.517, 95%CI 1.101–2.089; p = 0.028) and macroscopic hematuria (OR 1.647, 95%CI:1.061–2.555; p = 0.013) were significantly higher in the PSAGN group with chronic glomerulonephritis compared to those without. Results of the multivariate logistic regression analysis showed massive proteinuria with hypoalbuminemia (OR 2.896, 95%CI 1.177–7.123, p = 0.021) and macroscopic hematuria (OR 2.457, 95%CI ,1.018–5.933, p = 0.046) would highly predict chronic glomerulonephritis in subjects with PSAGN.

Conclusion

We concluded that massive proteinuria with hypoalbuminemia and macroscopic hematuria are the predictive factors which highly predict chronic glomerulonephritis in PSAGN.
背景大多数链球菌急性肾小球肾炎(PSAGN)患者预后良好,肾功能完全恢复。然而,PSAGN 患者有 3% 至 6% 的几率发展为慢性肾病,并可能在晚年发展为终末期肾病。确定哪些因素可以预测 PSAGN 后慢性肾小球肾炎的发展非常重要。因此,早期干预可以阻止慢性肾脏病的发展。本研究旨在确定 PSAGN 儿童患者慢性肾小球肾炎的预测因素。研究对象为2015年1月至2020年12月期间在日惹Dr. Sardjito综合医院住院的2-18岁患有PSAGN的儿童。对所有匿名患者数据进行了人口统计学变量、临床特征、实验室特征和结果评估。通过多变量逻辑回归法进行了多变量分析。其中 65 名患者(52.4%)患有慢性肾小球肾炎。对假定的预测因素进行了二元分析,结果显示大量蛋白尿伴低蛋白血症(OR 1.670,95%CI 1.199-2.326;P = 0.003)、少尿(OR 1.517,95%CI 1.101-2.089;P = 0.028)和大镜下血尿(OR 1.647,95%CI:1.061-2.555;P = 0.013)在有慢性肾小球肾炎的 PSAGN 组中明显高于无慢性肾小球肾炎者。多变量逻辑回归分析结果显示,大量蛋白尿伴低蛋白血症(OR 2.896,95%CI 1.177-7.123,p = 0.021)和镜下血尿(OR 2.457,95%CI ,1.018-5.933,p = 0.结论我们得出结论,大量蛋白尿伴低蛋白血症和镜下血尿是高度预测 PSAGN 患者慢性肾小球肾炎的预测因素。
{"title":"Predictive factors of progression to chronic glomerulonephritis in pediatric patients with post streptococcal acute glomerulonephritis","authors":"Ida Ayu Laksmi Arnita Utari ,&nbsp;Surya Adhi ,&nbsp;Kristia Hermawan ,&nbsp;Eggi Arguni","doi":"10.1016/j.pedneo.2023.11.005","DOIUrl":"10.1016/j.pedneo.2023.11.005","url":null,"abstract":"<div><h3>Background</h3><div>Post streptococcal acute glomerulonephritis (PSAGN) patients have favorable prognosis, in which most patients showed full recovery in terms of kidney function. However, there is a slight chance ranging from 3 to 6% that PSAGN patients develop chronic kidney diseasewhich may progress into end-stage kidney disease in later life. It is important to identify the factors that can predict the development of chronic glomerulonephritis following PSAGN. Therefore, early intervention can be performed to halt the progression of chronic kidney disease. This study aimed to determine the predictive factors of chronic glomerulonephritis in pediatric patients with PSAGN.</div></div><div><h3>Methods</h3><div>This study was an analytical observational study with retrospective cohort design. The accessible population was children within the age of 2–18 years old who were admitted with PSAGN between January 2015 and December 2020 in Dr. Sardjito General Hospital Yogyakarta. All anonymized patient data were evaluated for demographic variables, clinical features, laboratory profiles and outcome. Multivariate analysis was performed with multivariate logistic regression method.</div></div><div><h3>Results</h3><div>A total of 124 patients with PSAGN were obtained from medical record data. There were 65 patients (52.4%) with chronic glomerulonephritis. Bivariate analysis was performed on assumed predictive factors with the results indicating massive proteinuria with hypoalbuminemia (OR 1.670, 95%CI 1.199–2.326; <em>p</em> = 0.003), oliguria (OR 1.517, 95%CI 1.101–2.089; <em>p</em> = 0.028) and macroscopic hematuria (OR 1.647, 95%CI:1.061–2.555; <em>p</em> = 0.013) were significantly higher in the PSAGN group with chronic glomerulonephritis compared to those without. Results of the multivariate logistic regression analysis showed massive proteinuria with hypoalbuminemia (OR 2.896, 95%CI 1.177–7.123, <em>p</em> = 0.021) and macroscopic hematuria (OR 2.457, 95%CI ,1.018–5.933, <em>p</em> = 0.046) would highly predict chronic glomerulonephritis in subjects with PSAGN.</div></div><div><h3>Conclusion</h3><div>We concluded that massive proteinuria with hypoalbuminemia and macroscopic hematuria are the predictive factors which highly predict chronic glomerulonephritis in PSAGN.</div></div>","PeriodicalId":56095,"journal":{"name":"Pediatrics and Neonatology","volume":"65 6","pages":"Pages 571-575"},"PeriodicalIF":2.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140784208","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}
引用次数: 0
Alport syndrome: Expanding diagnosis and treatment. 阿尔波特综合征:扩大诊断和治疗范围。
IF 2.3 4区 医学 Q2 PEDIATRICS Pub Date : 2024-10-30 DOI: 10.1016/j.pedneo.2024.10.005
Hou-Xuan Huang, I-Jung Tsai, Larry A Greenbaum

Alport syndrome (AS) is the second common monogenic cause of end-stage kidney disease (ESKD) worldwide and is caused by defective type 4 collagen due to pathogenic variants of COL4A3, COL4A4, or COL4A5. Type 4 collagen also exists in the eyes and ears, and thus ocular defects and hearing loss occur in AS. The understanding of AS has expanded over the past two decades due to greater availability of genetic testing and research on genotype-phenotype correlation. Patients previously diagnosed with idiopathic steroid resistant nephrotic syndrome or ESKD of unknown etiology may now be diagnosed as AS if pathogenic COL4A3-5 variants are identified. Some carriers of heterozygous COL4A3-5 variants may now be classified into females with X-linked AS or autosomal dominant AS, if there are typical pathologic changes in the glomerular basement membrane or if there is proteinuria and progression of kidney disease. Lastly, it has been recommended that renin-angiotensin-aldosterone system inhibition be started as soon as possible for selected AS patients for its long-term protective effect against kidney function deterioration. The purpose of this review is to introduce these important concepts to general pediatricians and pediatric nephrologists.

阿尔波特综合征(AS)是导致终末期肾病(ESKD)的全球第二大常见单基因病因,其病因是 COL4A3、COL4A4 或 COL4A5 的致病变体导致 4 型胶原蛋白缺陷。4型胶原蛋白也存在于眼睛和耳朵中,因此强直性脊柱炎患者会出现眼部缺陷和听力损失。在过去的二十年里,由于基因检测的普及和基因型与表型相关性的研究,人们对强直性脊柱炎的认识不断加深。以前被诊断为特发性类固醇抵抗性肾病综合征或病因不明的 ESKD 的患者,如果发现 COL4A3-5 变体,现在可能会被诊断为 AS。如果肾小球基底膜有典型的病理变化或出现蛋白尿和肾病进展,一些杂合子COL4A3-5变异体的携带者现在可被归类为女性X连锁强直性肾病或常染色体显性强直性肾病。最后,有研究建议,对于选定的强直性脊柱炎患者,应尽早开始肾素-血管紧张素-醛固酮系统抑制剂的治疗,以发挥其对肾功能恶化的长期保护作用。本综述旨在向普通儿科医生和儿科肾病专家介绍这些重要概念。
{"title":"Alport syndrome: Expanding diagnosis and treatment.","authors":"Hou-Xuan Huang, I-Jung Tsai, Larry A Greenbaum","doi":"10.1016/j.pedneo.2024.10.005","DOIUrl":"https://doi.org/10.1016/j.pedneo.2024.10.005","url":null,"abstract":"<p><p>Alport syndrome (AS) is the second common monogenic cause of end-stage kidney disease (ESKD) worldwide and is caused by defective type 4 collagen due to pathogenic variants of COL4A3, COL4A4, or COL4A5. Type 4 collagen also exists in the eyes and ears, and thus ocular defects and hearing loss occur in AS. The understanding of AS has expanded over the past two decades due to greater availability of genetic testing and research on genotype-phenotype correlation. Patients previously diagnosed with idiopathic steroid resistant nephrotic syndrome or ESKD of unknown etiology may now be diagnosed as AS if pathogenic COL4A3-5 variants are identified. Some carriers of heterozygous COL4A3-5 variants may now be classified into females with X-linked AS or autosomal dominant AS, if there are typical pathologic changes in the glomerular basement membrane or if there is proteinuria and progression of kidney disease. Lastly, it has been recommended that renin-angiotensin-aldosterone system inhibition be started as soon as possible for selected AS patients for its long-term protective effect against kidney function deterioration. The purpose of this review is to introduce these important concepts to general pediatricians and pediatric nephrologists.</p>","PeriodicalId":56095,"journal":{"name":"Pediatrics and Neonatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633323","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
Acid-base homeostasis in the neonate. 新生儿的酸碱平衡。
IF 2.3 4区 医学 Q2 PEDIATRICS Pub Date : 2024-10-30 DOI: 10.1016/j.pedneo.2024.10.004
Michael G Michalopulos, Raymond Quigley
{"title":"Acid-base homeostasis in the neonate.","authors":"Michael G Michalopulos, Raymond Quigley","doi":"10.1016/j.pedneo.2024.10.004","DOIUrl":"https://doi.org/10.1016/j.pedneo.2024.10.004","url":null,"abstract":"","PeriodicalId":56095,"journal":{"name":"Pediatrics and Neonatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633309","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
Advocacy for DOHaD research optimizing child kidney health. 倡导 DOHaD 研究优化儿童肾脏健康。
IF 2.3 4区 医学 Q2 PEDIATRICS Pub Date : 2024-10-29 DOI: 10.1016/j.pedneo.2024.10.006
You-Lin Tain

Emerging antenatal risk factors have been associated with an increased risk of kidney disease throughout the offspring's life course. However, the intricate kidney programming mechanisms underlying these risks remain complex and are incompletely understood, but they are rooted in structural and functional alterations within the kidneys. The Developmental Origins of Health and Disease (DOHaD) theory underscores the significance of elucidating core mechanisms initiated through the maternal-fetal interface, which trigger kidney programming. Furthermore, it offers a promising avenue for preventing kidney disease at its earliest stages through a process known as reprogramming. This concise review aims to synthesize existing knowledge regarding the impact of kidney programming on offspring kidney disease and to provide an overview of documented reprogramming strategies as observed in animal models of kidney programming. By consolidating this information, we aim to expedite the translation of research breakthroughs into practical clinical solutions, ultimately resulting in enhanced outcomes for children facing kidney-related issues.

新出现的产前风险因素与后代一生中罹患肾病的风险增加有关。然而,这些风险背后错综复杂的肾脏程序机制仍然十分复杂,人们对其了解并不全面,但其根源在于肾脏结构和功能的改变。健康与疾病的发育起源(DOHaD)理论强调了阐明通过母胎界面启动的核心机制的重要性,这些机制触发了肾脏编程。此外,该理论还为通过一种被称为重编程的过程在肾脏疾病的早期阶段预防肾脏疾病提供了一种前景广阔的途径。这篇简明综述旨在总结有关肾脏编程对后代肾脏疾病影响的现有知识,并概述在肾脏编程动物模型中观察到的有据可查的重编程策略。通过整合这些信息,我们旨在加快将研究突破转化为实用的临床解决方案,最终提高面临肾脏相关问题的儿童的治疗效果。
{"title":"Advocacy for DOHaD research optimizing child kidney health.","authors":"You-Lin Tain","doi":"10.1016/j.pedneo.2024.10.006","DOIUrl":"https://doi.org/10.1016/j.pedneo.2024.10.006","url":null,"abstract":"<p><p>Emerging antenatal risk factors have been associated with an increased risk of kidney disease throughout the offspring's life course. However, the intricate kidney programming mechanisms underlying these risks remain complex and are incompletely understood, but they are rooted in structural and functional alterations within the kidneys. The Developmental Origins of Health and Disease (DOHaD) theory underscores the significance of elucidating core mechanisms initiated through the maternal-fetal interface, which trigger kidney programming. Furthermore, it offers a promising avenue for preventing kidney disease at its earliest stages through a process known as reprogramming. This concise review aims to synthesize existing knowledge regarding the impact of kidney programming on offspring kidney disease and to provide an overview of documented reprogramming strategies as observed in animal models of kidney programming. By consolidating this information, we aim to expedite the translation of research breakthroughs into practical clinical solutions, ultimately resulting in enhanced outcomes for children facing kidney-related issues.</p>","PeriodicalId":56095,"journal":{"name":"Pediatrics and Neonatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142585255","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
Gut dysbiosis as a susceptibility factor in childhood idiopathic nephrotic syndrome. 肠道菌群失调是儿童特发性肾病综合征的易感因素。
IF 2.3 4区 医学 Q2 PEDIATRICS Pub Date : 2024-10-29 DOI: 10.1016/j.pedneo.2024.10.003
Kazunari Kaneko

Idiopathic nephrotic syndrome (INS) is a relatively common renal disorder of childhood characterized by severe proteinuria and associated hypoproteinemia and edema. Although the pathogenesis of INS remains unknown, the prevailing theory of its pathogenesis is as follows. Antigenic stimulation, such as viral infections or vaccines, in children with susceptibility factors for INS triggers abnormal immune responses, resulting in production of pathogenic substances that injure podocytes (renal glomerular epithelial cells). The injured podocytes then change their function and morphology, resulting in increased permeability of plasma proteins. Consequently, plasma proteins, especially albumin, are leaked into urine and massive proteinuria ensues. Research on susceptibility factors for INS has focused on polymorphisms in several genes including human leukocyte antigen class II genes. However, we propose that dysbiosis of the intestinal microbiota could be a susceptibility factor for relapse. This proposal is based on our research group finding that children with INS and frequent relapses have gut dysbiosis characterized by a decreased proportion of beneficial bacteria such as short-chain fatty acid-producing bacteria. Dysbiosis from the neonatal period to infancy may result from environmental factors, such as cesarean section delivery and antibiotic administration, which prevent the establishment of a normal intestinal microbiota. Dysbiosis leads to aberrant gut immunity and is characterized by a decreased ratio of T helper 1 cells/T helper 2 cells and an increased ratio of T helper 17 cells/regulatory T-cells. Therefore, relapse occurs when immunologically pathogenic factors that injure podocytes are produced in response to trigger events in children with INS and gut dysbiosis. Our recent clinical trial suggested that long-term oral administration of butyric acid-producing bacterium as a probiotic is promising for suppressing relapse. Therefore, studying the causal relationship between dysbiosis and relapses in patients with INS in a larger number of patients is necessary.

特发性肾病综合征(INS)是一种相对常见的儿童肾脏疾病,其特点是严重蛋白尿以及相关的低蛋白血症和水肿。虽然特发性肾病综合征的发病机制尚不清楚,但目前流行的发病机制理论如下。具有 INS 易感因子的儿童受到病毒感染或疫苗等抗原刺激后,会引发异常免疫反应,从而产生致病物质,伤害荚膜细胞(肾小球上皮细胞)。受伤的荚膜细胞会改变其功能和形态,导致血浆蛋白通透性增加。因此,血浆蛋白,尤其是白蛋白,会渗漏到尿液中,继而出现大量蛋白尿。对 INS 易感因素的研究主要集中在几个基因的多态性上,包括人类白细胞抗原 II 类基因。然而,我们认为肠道微生物群失调可能是导致疾病复发的一个易感因素。我们的研究小组发现,患有 INS 并经常复发的儿童存在肠道菌群失调,其特点是有益菌(如产生短链脂肪酸的细菌)比例下降。从新生儿期到婴儿期的菌群失调可能是环境因素造成的,如剖腹产和使用抗生素,这些因素阻碍了正常肠道微生物群的建立。菌群失调会导致肠道免疫异常,其特征是 T 辅助细胞 1/T 辅助细胞 2 的比例降低,T 辅助细胞 17/ 调节性 T 细胞的比例升高。因此,当 INS 和肠道菌群失调患儿在触发事件后产生损伤荚膜细胞的免疫致病因子时,病情就会复发。我们最近的临床试验表明,长期口服产生丁酸的细菌作为益生菌有望抑制复发。因此,有必要在更多 INS 患者中研究肠道菌群失调与复发之间的因果关系。
{"title":"Gut dysbiosis as a susceptibility factor in childhood idiopathic nephrotic syndrome.","authors":"Kazunari Kaneko","doi":"10.1016/j.pedneo.2024.10.003","DOIUrl":"https://doi.org/10.1016/j.pedneo.2024.10.003","url":null,"abstract":"<p><p>Idiopathic nephrotic syndrome (INS) is a relatively common renal disorder of childhood characterized by severe proteinuria and associated hypoproteinemia and edema. Although the pathogenesis of INS remains unknown, the prevailing theory of its pathogenesis is as follows. Antigenic stimulation, such as viral infections or vaccines, in children with susceptibility factors for INS triggers abnormal immune responses, resulting in production of pathogenic substances that injure podocytes (renal glomerular epithelial cells). The injured podocytes then change their function and morphology, resulting in increased permeability of plasma proteins. Consequently, plasma proteins, especially albumin, are leaked into urine and massive proteinuria ensues. Research on susceptibility factors for INS has focused on polymorphisms in several genes including human leukocyte antigen class II genes. However, we propose that dysbiosis of the intestinal microbiota could be a susceptibility factor for relapse. This proposal is based on our research group finding that children with INS and frequent relapses have gut dysbiosis characterized by a decreased proportion of beneficial bacteria such as short-chain fatty acid-producing bacteria. Dysbiosis from the neonatal period to infancy may result from environmental factors, such as cesarean section delivery and antibiotic administration, which prevent the establishment of a normal intestinal microbiota. Dysbiosis leads to aberrant gut immunity and is characterized by a decreased ratio of T helper 1 cells/T helper 2 cells and an increased ratio of T helper 17 cells/regulatory T-cells. Therefore, relapse occurs when immunologically pathogenic factors that injure podocytes are produced in response to trigger events in children with INS and gut dysbiosis. Our recent clinical trial suggested that long-term oral administration of butyric acid-producing bacterium as a probiotic is promising for suppressing relapse. Therefore, studying the causal relationship between dysbiosis and relapses in patients with INS in a larger number of patients is necessary.</p>","PeriodicalId":56095,"journal":{"name":"Pediatrics and Neonatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633302","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
Exome re-analysis increases the diagnostic yield of monogenic diseases in children. 外显子组再分析提高了儿童单基因疾病的诊断率。
IF 2.3 4区 医学 Q2 PEDIATRICS Pub Date : 2024-10-23 DOI: 10.1016/j.pedneo.2024.10.001
Atanu Kumar Dutta, Niladri Sekhar Bhunia, Rohit Bhowmik, Nihar Ranjan Mishra, Rimjhim Sonowal, Nibedita Sarma, Sumit Mukherjee, Kalyan Goswami
{"title":"Exome re-analysis increases the diagnostic yield of monogenic diseases in children.","authors":"Atanu Kumar Dutta, Niladri Sekhar Bhunia, Rohit Bhowmik, Nihar Ranjan Mishra, Rimjhim Sonowal, Nibedita Sarma, Sumit Mukherjee, Kalyan Goswami","doi":"10.1016/j.pedneo.2024.10.001","DOIUrl":"https://doi.org/10.1016/j.pedneo.2024.10.001","url":null,"abstract":"","PeriodicalId":56095,"journal":{"name":"Pediatrics and Neonatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549184","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
A case of neonatal COVID-19 encephalopathy: White matter injury and subsequent infantile spasms. 一例新生儿 COVID-19 脑病:白质损伤和随后的婴儿痉挛。
IF 2.3 4区 医学 Q2 PEDIATRICS Pub Date : 2024-10-23 DOI: 10.1016/j.pedneo.2024.07.009
Jung Sook Yeom, Young-Soo Kim
{"title":"A case of neonatal COVID-19 encephalopathy: White matter injury and subsequent infantile spasms.","authors":"Jung Sook Yeom, Young-Soo Kim","doi":"10.1016/j.pedneo.2024.07.009","DOIUrl":"https://doi.org/10.1016/j.pedneo.2024.07.009","url":null,"abstract":"","PeriodicalId":56095,"journal":{"name":"Pediatrics and Neonatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633308","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
Iatrogenic pharyngoesophageal perforation in very low birth weight infants. 极低出生体重儿先天性咽食管穿孔。
IF 2.3 4区 医学 Q2 PEDIATRICS Pub Date : 2024-10-21 DOI: 10.1016/j.pedneo.2024.10.002
Chung-Ming Chen
{"title":"Iatrogenic pharyngoesophageal perforation in very low birth weight infants.","authors":"Chung-Ming Chen","doi":"10.1016/j.pedneo.2024.10.002","DOIUrl":"https://doi.org/10.1016/j.pedneo.2024.10.002","url":null,"abstract":"","PeriodicalId":56095,"journal":{"name":"Pediatrics and Neonatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633353","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
Starry sky and leukodystrophy-like pattern in multiple neurocysticercosis. 多发性神经囊虫病的星空和白营养不良样模式
IF 2.3 4区 医学 Q2 PEDIATRICS Pub Date : 2024-10-20 DOI: 10.1016/j.pedneo.2024.07.008
Sarbesh Tiwari, Pradeep Kumar Gunasekaran, Kandha Kumar Uk, Lokesh Saini
{"title":"Starry sky and leukodystrophy-like pattern in multiple neurocysticercosis.","authors":"Sarbesh Tiwari, Pradeep Kumar Gunasekaran, Kandha Kumar Uk, Lokesh Saini","doi":"10.1016/j.pedneo.2024.07.008","DOIUrl":"https://doi.org/10.1016/j.pedneo.2024.07.008","url":null,"abstract":"","PeriodicalId":56095,"journal":{"name":"Pediatrics and Neonatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549187","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
Risk factors for bacteremia in infants with urinary tract infection. 婴儿尿路感染菌血症的风险因素。
IF 2.3 4区 医学 Q2 PEDIATRICS Pub Date : 2024-10-19 DOI: 10.1016/j.pedneo.2024.09.004
Hsiang-Chin Chiu, Chih-Chieh Yang, Cai-Sin Yao, Shih-Ju Huang, Nai-Wen Fang

Background: Some infants with urinary tract infection (UTI) may exhibit concurrent bacteremia, potentially leading to septic shock or bacterial meningitis. Identifying risk factors for bacteremia in infants with UTI is crucial for prompt intervention to prevent subsequent adverse outcomes.

Methods: Between 2015 and 2021, a total of 632 infants with UTI aged ≤12 months were enrolled at Kaohsiung Veterans General Hospital (KSVGH), among whom 20 had concurrent bacteremia. We analyzed their differences in outcomes and demographic, clinical, and laboratory characteristics. Independent risk factors for bacteremic UTI were identified using binary logistic regression analysis.

Results: A positive underlying disease (including congenital anomalies of kidney and urinary tract [CAKUT] and prematurity), C-reactive protein (CRP) > 8 mg/dL, lower body weight, and positive urinary nitrite were independent risk factors for infants with UTI and bacteremia.

Conclusions: Physicians should be mindful of the potential for bacteremia to develop in infants with UTI, particularly those with concurrent positive underlying diseases or CRP >8 mg/dL.

背景:一些患有尿路感染(UTI)的婴儿可能会并发菌血症,从而可能导致脓毒性休克或细菌性脑膜炎。确定尿路感染婴儿发生菌血症的风险因素对于及时干预以防止后续不良后果的发生至关重要:方法:2015年至2021年间,高雄荣民总医院共收治了632名年龄小于12个月的UTI婴儿,其中20名同时患有菌血症。我们分析了他们在预后、人口统计学、临床和实验室特征方面的差异。通过二元逻辑回归分析确定了菌血症性UTI的独立风险因素:结果:阳性基础疾病(包括肾脏和泌尿道先天性异常 [CAKUT] 和早产)、C 反应蛋白 (CRP) > 8 mg/dL、体重较轻和尿亚硝酸盐阳性是婴儿患 UTI 和菌血症的独立风险因素:医生应注意尿毒症婴儿,尤其是同时患有阳性基础疾病或 CRP >8 mg/dL 的婴儿发生菌血症的可能性。
{"title":"Risk factors for bacteremia in infants with urinary tract infection.","authors":"Hsiang-Chin Chiu, Chih-Chieh Yang, Cai-Sin Yao, Shih-Ju Huang, Nai-Wen Fang","doi":"10.1016/j.pedneo.2024.09.004","DOIUrl":"https://doi.org/10.1016/j.pedneo.2024.09.004","url":null,"abstract":"<p><strong>Background: </strong>Some infants with urinary tract infection (UTI) may exhibit concurrent bacteremia, potentially leading to septic shock or bacterial meningitis. Identifying risk factors for bacteremia in infants with UTI is crucial for prompt intervention to prevent subsequent adverse outcomes.</p><p><strong>Methods: </strong>Between 2015 and 2021, a total of 632 infants with UTI aged ≤12 months were enrolled at Kaohsiung Veterans General Hospital (KSVGH), among whom 20 had concurrent bacteremia. We analyzed their differences in outcomes and demographic, clinical, and laboratory characteristics. Independent risk factors for bacteremic UTI were identified using binary logistic regression analysis.</p><p><strong>Results: </strong>A positive underlying disease (including congenital anomalies of kidney and urinary tract [CAKUT] and prematurity), C-reactive protein (CRP) > 8 mg/dL, lower body weight, and positive urinary nitrite were independent risk factors for infants with UTI and bacteremia.</p><p><strong>Conclusions: </strong>Physicians should be mindful of the potential for bacteremia to develop in infants with UTI, particularly those with concurrent positive underlying diseases or CRP >8 mg/dL.</p>","PeriodicalId":56095,"journal":{"name":"Pediatrics and Neonatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549185","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
期刊
Pediatrics and Neonatology
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1