Pub Date : 2024-08-01DOI: 10.1016/j.anpedi.2024.05.007
{"title":"¿Fundoscopia o ecografía ocular a pie de cama?","authors":"","doi":"10.1016/j.anpedi.2024.05.007","DOIUrl":"10.1016/j.anpedi.2024.05.007","url":null,"abstract":"","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1695403324001061/pdfft?md5=6b417d0a0efea34da59239410d5d417c&pid=1-s2.0-S1695403324001061-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141401188","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}
Pub Date : 2024-08-01DOI: 10.1016/j.anpedi.2024.06.001
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.
{"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":"","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":null,"pages":null},"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}
Pub Date : 2024-08-01DOI: 10.1016/j.anpedi.2024.05.013
{"title":"Análisis de prevalencias de lactancia materna y prácticas relacionadas en la región de Murcia","authors":"","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":null,"pages":null},"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}
Pub Date : 2024-07-01DOI: 10.1016/j.anpedi.2024.04.016
Ana Rita Jesus , Patrícia Ribeiro Gonçalves , Diana Valbom Gonçalves , Joana Santos
{"title":"Lesión ocular de crecimiento rápido en una niña de 5 años","authors":"Ana Rita Jesus , Patrícia Ribeiro Gonçalves , Diana Valbom Gonçalves , 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":null,"pages":null},"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}
Pub Date : 2024-07-01DOI: 10.1016/j.anpedi.2024.04.008
Antoni Noguera-Julian , Cristina Latre , Ángeles Flores
{"title":"Combinaciones de dosis fija dispersables de antituberculosos... ¡Al fin disponibles!","authors":"Antoni Noguera-Julian , Cristina Latre , 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":null,"pages":null},"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}
Pub Date : 2024-07-01DOI: 10.1016/j.anpedi.2024.05.004
José Manuel Moreno-Villares
{"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":null,"pages":null},"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}
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.
Methods
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.
Results
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%; P = .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 (P < .001).
Discussion
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.
{"title":"Prevalencia de obesidad y factores relacionados en escolares de 3 a 4 años","authors":"Gemma Serral , Catalina Londoño-Cañola , Xavier Continente , Silvia Brugueras , Francesca Sanchez-Martínez , 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> <!--><<!--> <!-->.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":null,"pages":null},"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}
Pub Date : 2024-07-01DOI: 10.1016/j.anpedi.2024.05.003
Luz Emigdia Zelaya Contreras , Fernando Vázquez Rueda , José Manuel Rumbao Aguirre , Rosa María Paredes Esteban
{"title":"Alarma en piscinas: lesiones por succión","authors":"Luz Emigdia Zelaya Contreras , Fernando Vázquez Rueda , José Manuel Rumbao Aguirre , 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":null,"pages":null},"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}
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.
Material and methods
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.
Results
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.
Conclusions
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.
导言:进食障碍(ED)多发于年轻女性。在 COVID-19 大流行之后,有证据表明儿童和青少年的发病率有所上升,而且发病时间更早,体重和营养状况更差。本研究的目的是确定在过去 6 年中,本地区是否也出现了这种趋势。材料和方法我们对诊断为 ED 的儿科患者进行了一项回顾性和描述性队列研究,这些患者是在因大流行而宣布进入警戒状态前后 3 年中转诊的。我们对临床、人体测量和实验室变量以及生物电阻抗和骨密度数据进行了分析和比较。在对这两组患者进行比较时,我们发现封锁期后组患者从发病到初次评估的时间更长(平均延迟时间为 11.87 [SD, 6.75] 个月 vs 6.64 [SD, 4.36] 个月),住院率更高(14.1% vs 10.1%),维生素 D 值更低(平均水平为 28.19 [SD, 9.95] vs 34.39 [SD, 11.87] 纳克/毫升)。我们还发现,这些患者试图自残自杀的频率更高。此外,我们还发现,与大流行前转诊到医院的患者相比,他们的临床特征和确诊时间存在差异。
{"title":"Influencia de la pandemia por COVID-19 en la incidencia de trastornos de la conducta alimentaria","authors":"Mercedes Murray Hurtado , Álvaro Martín Rivada , Silvia Pestano García , 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":null,"pages":null},"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}
Pub Date : 2024-07-01DOI: 10.1016/j.anpedi.2024.03.005
Roque Cardona-Hernández , Luis Antonio Castaño González , Enrique Palomo Atance , Itxaso Rica Echevarría
{"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 , Luis Antonio Castaño González , Enrique Palomo Atance , 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":null,"pages":null},"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}