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First century: Most cited papers in Archives of Disease in Childhood. 一世纪:《儿童疾病档案》中被引用最多的论文。
IF 3.2 3区 医学 Q1 PEDIATRICS Pub Date : 2026-01-19 DOI: 10.1136/archdischild-2025-329602
Yincent Tse
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引用次数: 0
Cystic echinococcosis in a child. 儿童囊性包虫病。
IF 3.2 3区 医学 Q1 PEDIATRICS Pub Date : 2026-01-19 DOI: 10.1136/archdischild-2025-328742
Zoe Rooke, Caroline Harris, Ina Schim van der Loeff, Ahmed Hegab, Louise Kenny, Laura Nabarro, Matthew Thomas, Marieke Emonts
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引用次数: 0
Improving primary care registration for children and young people. 改善儿童和青年的初级保健登记。
IF 3.2 3区 医学 Q1 PEDIATRICS Pub Date : 2026-01-16 DOI: 10.1136/archdischild-2025-329995
C Ronny Cheung, Joanna O'Sullivan
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引用次数: 0
Child death in the emergency department: what is known and what more can be done? 急诊科的儿童死亡:我们知道什么,还能做些什么?
IF 3.2 3区 医学 Q1 PEDIATRICS Pub Date : 2026-01-14 DOI: 10.1136/archdischild-2025-329730
Theresa Walls
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引用次数: 0
Analysis of infectious complications in paediatric autoimmune neutropenia: a French nationwide retrospective cohort study. 儿童自身免疫性中性粒细胞减少症的感染并发症分析:一项法国全国回顾性队列研究
IF 3.2 3区 医学 Q1 PEDIATRICS Pub Date : 2026-01-14 DOI: 10.1136/archdischild-2025-329509
Robin Dhersin, Estelle Trebucq, Marie Rimbert, Jérémie Rouger-Gaudichon, Florent Neumann, Pascal Chastagner, Grégory Guimard, Dominique Plantaz, Sandrine Billet, Wadih Abouchahla, Audrey Petit, Eric Jeziorski, Valérie Li Thiao Te, Nathalie Cheikh, Nathalie Aladjidi, Liana Carausu, Caroline Thomas, Audrey Grain, Joy Benadiba, Laurence Blanc, Elie Cousin, Aude Marie-Cardine, Despina Moshous, Marlène Pasquet, Julien Lejeune, Saba Azarnoush, Blandine Beaupain, Vincent Dubée, Isabelle Pellier, Jean Donadieu, Coralie Mallebranche

Background: Autoimmune neutropenia (AIN) is the main cause of chronic neutropenia in children, but its infectious consequences remain poorly studied. The primary objective of this study was to evaluate infectious events leading to emergency department or hospital admissions during the first 2 years following the diagnosis of AIN in children.

Methods: We performed a retrospective, multicentre analysis of medical records from 21 French university hospitals of patients aged under 18 years diagnosed with AIN with positive antineutrophils autoantibodies. We collected data on emergency room visits and hospitalisations in the 2 years following diagnosis, causes of these events, microbiology results, management and outcome.

Results: One hundred and sixty-eight patients were enrolled. Median age at diagnosis of AIN was 13 months. AIN was predominantly diagnosed during an infectious episode (n=120, 71%). In the 2 years of follow-up after diagnosis, 248 events of emergency room visits and/or hospitalisations were reported (0.77 per patient-year). The most frequent diagnoses were common childhood viral or bacterial infections. The incidence rate of severe infections was 0.003 per patient-year. Despite the predominance of viral infections, 177 episodes (71%) led to hospitalisation and 166 (68%) to the initiation of antibiotic therapy, for a median duration of 7 days (IQR 3-10).

Conclusion: The risk of severe infections in children with AIN is low. During follow-up, we suggest being attentive to signs of severity during fever, particularly in children over 3 years of age and/or with other immunological comorbidities but not proposing systematic hospitalisation or additional antibiotic therapy.

背景:自身免疫性中性粒细胞减少症(AIN)是儿童慢性中性粒细胞减少症的主要原因,但其传染性后果的研究仍然很少。本研究的主要目的是评估儿童AIN诊断后头2年内导致急诊或住院的感染事件。方法:我们对21所法国大学医院的18岁以下诊断为AIN且抗中性粒细胞自身抗体阳性患者的病历进行了回顾性、多中心分析。我们收集了诊断后2年内急诊室就诊和住院的数据、这些事件的原因、微生物学结果、管理和结果。结果:共纳入168例患者。AIN诊断时的中位年龄为13个月。AIN主要在感染发作期间诊断(n=120, 71%)。在诊断后的2年随访中,报告了248例急诊室就诊和/或住院事件(每患者年0.77例)。最常见的诊断是常见的儿童病毒或细菌感染。严重感染发生率为0.003例/患者年。尽管病毒感染占主导地位,但177例(71%)导致住院,166例(68%)开始抗生素治疗,中位持续时间为7天(IQR 3-10)。结论:AIN患儿发生严重感染的风险较低。在随访期间,我们建议注意发热期间的严重症状,特别是3岁以上儿童和/或有其他免疫合并症的儿童,但不建议系统住院治疗或额外的抗生素治疗。
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引用次数: 0
Child mental health: some reflections on the past 100 years. 儿童心理健康:近百年来的一些思考。
IF 3.2 3区 医学 Q1 PEDIATRICS Pub Date : 2026-01-14 DOI: 10.1136/archdischild-2025-329898
Margaret DeJong
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引用次数: 0
Familial generalised multiple glomangiomas in the paediatric population. 儿科人群的家族性广泛性多发性血管瘤。
IF 3.2 3区 医学 Q1 PEDIATRICS Pub Date : 2026-01-09 DOI: 10.1136/archdischild-2025-329890
Samuel Jake Riches, Kellen Beck-Sander, Anna Datsenko, Magdalena Olechowska, Suzannah August
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引用次数: 0
Selecting meaningful functional outcomes and measures: a persistent dilemma in child health trials. 选择有意义的功能结果和措施:儿童健康试验中的一个持续困境。
IF 3.2 3区 医学 Q1 PEDIATRICS Pub Date : 2026-01-09 DOI: 10.1136/archdischild-2025-329600
Phillip Harniess, Jennifer McAnuff, Niina Kolehmainen
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引用次数: 0
Autism, paracetamol and folic acid: the perils of health misinformation. 自闭症、扑热息痛和叶酸:健康错误信息的危害。
IF 3.2 3区 医学 Q1 PEDIATRICS Pub Date : 2026-01-08 DOI: 10.1136/archdischild-2025-329891
Rakhee Shah, Dougal Hargreaves
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引用次数: 0
Ethical considerations for semaglutide use in children. 儿童使用西马鲁肽的伦理考虑。
IF 3.2 3区 医学 Q1 PEDIATRICS Pub Date : 2026-01-06 DOI: 10.1136/archdischild-2025-329747
Nanette Ryan, Dominic Wilkinson, Julian Savulescu

Semaglutide, marketed as Ozempic, Wegovy and Rybelsus, has rapidly become one of the most prominent medications of recent years. Initially approved in 2021 for type 2 diabetes in adults, semaglutide is now authorised for obesity management in adults and children in several countries, including Germany, the UK, Denmark and the United Arab Emirates. Despite this broad regulatory approval, its paediatric use remains a subject of debate. Advocates highlight its potential to reduce cardiovascular risk and prevent obesity-related illness, while critics emphasise uncertainties about long-term safety, efficacy and impacts on child development.This paper examines the ethical challenges raised by prescribing semaglutide to children, focusing on access barriers, stigma and the neglect of structural determinants of obesity, and provides ethical recommendations for clinicians aimed at mitigating harm, supporting autonomy and promoting children's health.

Semaglutide作为Ozempic, Wegovy和Rybelsus销售,近年来迅速成为最突出的药物之一。semaglutide最初于2021年被批准用于成人2型糖尿病,目前已在多个国家被批准用于成人和儿童肥胖管理,包括德国、英国、丹麦和阿拉伯联合酋长国。尽管获得了广泛的监管批准,但其在儿科的应用仍存在争议。支持者强调其降低心血管风险和预防肥胖相关疾病的潜力,而批评者则强调其长期安全性、有效性和对儿童发育的影响的不确定性。本文探讨了给儿童开西马鲁肽带来的伦理挑战,重点是获取障碍、耻辱和忽视肥胖的结构性决定因素,并为临床医生提供了旨在减轻伤害、支持自主和促进儿童健康的伦理建议。
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引用次数: 0
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Archives of Disease in Childhood
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