Pub Date : 2026-03-12DOI: 10.1186/s12887-026-06717-6
Yingguang Liu, Yuqin Chu, Na Zhang, Chao Wang, Jingjing Liu, Nan Wu, Pingping Zhang
{"title":"Occult invasive group A streptococcal infection with rapid progression to pediatric intraorbital abscess: a case report.","authors":"Yingguang Liu, Yuqin Chu, Na Zhang, Chao Wang, Jingjing Liu, Nan Wu, Pingping Zhang","doi":"10.1186/s12887-026-06717-6","DOIUrl":"https://doi.org/10.1186/s12887-026-06717-6","url":null,"abstract":"","PeriodicalId":9144,"journal":{"name":"BMC Pediatrics","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147442532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-03-12DOI: 10.1186/s12887-026-06645-5
Gabriela Salazar, Fabian Vasquez, Rocio Berlanga, Barbara Leyton, Maria Pilar Rodriguez
{"title":"Maternal body mass index and association with breast milk intake in three-month-old infants.","authors":"Gabriela Salazar, Fabian Vasquez, Rocio Berlanga, Barbara Leyton, Maria Pilar Rodriguez","doi":"10.1186/s12887-026-06645-5","DOIUrl":"https://doi.org/10.1186/s12887-026-06645-5","url":null,"abstract":"","PeriodicalId":9144,"journal":{"name":"BMC Pediatrics","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147442525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-03-12DOI: 10.1186/s12887-026-06735-4
Ming-Tang Ye, Al-Wajih Hamzah, Ji-Rong Qi, Zhi-Qi Wang
{"title":"Endoscopic puncture and recanalization in a child with corrosive esophageal stenosis and atresia: case report and literature review.","authors":"Ming-Tang Ye, Al-Wajih Hamzah, Ji-Rong Qi, Zhi-Qi Wang","doi":"10.1186/s12887-026-06735-4","DOIUrl":"https://doi.org/10.1186/s12887-026-06735-4","url":null,"abstract":"","PeriodicalId":9144,"journal":{"name":"BMC Pediatrics","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147442489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-03-12DOI: 10.1186/s12887-026-06726-5
Takanori Yanai, Satomi Yoshida, Koji Kawakami
{"title":"Association between craniosynostosis and neurodevelopmental disorders: a nationwide claims database.","authors":"Takanori Yanai, Satomi Yoshida, Koji Kawakami","doi":"10.1186/s12887-026-06726-5","DOIUrl":"https://doi.org/10.1186/s12887-026-06726-5","url":null,"abstract":"","PeriodicalId":9144,"journal":{"name":"BMC Pediatrics","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147442492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-03-12DOI: 10.1186/s12887-026-06710-z
Xiao-Lin Zhang, Yi Zhou, Yi-Ting Ji, Lu Zhao, Jin-Xin Gong, Yan Chen, Ling Shen, Shi-Zhong Cai, Xin Li
{"title":"Comparison of body composition between thin and normal-weight sarcopenic children: a single-center, propensity score matching analysis of a large-scale study.","authors":"Xiao-Lin Zhang, Yi Zhou, Yi-Ting Ji, Lu Zhao, Jin-Xin Gong, Yan Chen, Ling Shen, Shi-Zhong Cai, Xin Li","doi":"10.1186/s12887-026-06710-z","DOIUrl":"https://doi.org/10.1186/s12887-026-06710-z","url":null,"abstract":"","PeriodicalId":9144,"journal":{"name":"BMC Pediatrics","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147442472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-03-12DOI: 10.1186/s12887-026-06638-4
Bastian Siller, Mats Ingmar Fortmann, Henry Kipke, Martina Kohl-Sobiana, Kianusch Tafazzoli-Lari, Wolfgang Göpel, Guido Stichtenoth
{"title":"Volvulus in very-low-birth-weight preterm infants enrolled in the German Neonatal Network: prevalence, mortality, and outcome.","authors":"Bastian Siller, Mats Ingmar Fortmann, Henry Kipke, Martina Kohl-Sobiana, Kianusch Tafazzoli-Lari, Wolfgang Göpel, Guido Stichtenoth","doi":"10.1186/s12887-026-06638-4","DOIUrl":"https://doi.org/10.1186/s12887-026-06638-4","url":null,"abstract":"","PeriodicalId":9144,"journal":{"name":"BMC Pediatrics","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147442527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-03-11DOI: 10.1186/s12887-026-06729-2
Man Jiang, Nan Zhang, Ping Song, Yingyi Chen, Jikui Deng, Jiaosheng Zhang
Objective: Antibiotic resistance and inappropriate antibiotic use are critical global public health issues, but research on the determinants of expert-advised antibiotic prescribing in pediatric emergency departments (EDs) remains limited. This study aimed to quantify variability in expert antibiotic recommendatios for pediatric ED patients.
Methods: A cross-sectional survey was conducted in a Chinese pediatric hospital ED in 2020. Two days/quarter (one weekday/weekend day, avoiding infectious disease outbreaks) were selected and 1000 cases were randomly extracted for secondary analysis. Clinical data (without treatment details) were reviewed by two pediatric experts who provided retrospective antibiotic recommendations. Cases were enrolled upon their consensus. Factors influencing expert-advised antibiotic prescriptions in ED were analyzed.
Results: Expert consensus was achieved in 819/1000 cases. Among these, 174 (21.3%) cases were advised antibiotics by experts (57 cases not prescribed clinically), and 645 (78.7%) cases were not advised for antibiotics (53 cases prescribed clinically). Common diagnoses were upper respiratory tract infections (52.3%), gastroenteritis (18.1%), and lower respiratory tract infections (9.5%) with antibiotic advice rates 24.5%, 14.9%, and 38.5%, respectively. The median age of the antibiotic-advised group was 36 months [interquartile range (IQR): 12, 60], older than the not-advised group[12 months (IQR: 11, 36)]. Median white blood cell count (WBC) and C-reactive protein (CRP) in advised group were 12.9 × 106/µL(IQR: 12.0, 13.8) and 28.5 mg/L (IQR: 23.4, 33.5), which were higher than non-advised group (7.2 × 106/µL, IQR: 6.9, 7.5; 3.5 mg/L, IQR: 3.0, 4.0) Age, WBC and CRP were different between groups (P < 0.001).,Multivariate analysis showed older age (Odds ratio (OR) = 1.012, Confidence Interval (95%CI): 1.002-1.022), fever (OR = 8.644, 95%CI: 2.321-32.188), elevated WBC (OR = 1.455, 95%CI: 1.300-1.629), neutrophil ratio (OR = 1.034, 95%CI: 1.010-1.058) and CRP (OR = 1.210, 95%CI: 1.144-1.281) were independant determinants.
Conclusion: Older age, fever, and elevated inflammatory markers (WBC, CRP, neutrophil ratio) are key determinants of expert antibiotic recommendations. Inappropriate antibiotic prescriptions highlighted the need for strengthened antibiotic stewardship in pediatric EDs.
{"title":"Determinants of expert-advised antibiotic indication in pediatric emergency department, data from a cross-sectional prevalence survey.","authors":"Man Jiang, Nan Zhang, Ping Song, Yingyi Chen, Jikui Deng, Jiaosheng Zhang","doi":"10.1186/s12887-026-06729-2","DOIUrl":"https://doi.org/10.1186/s12887-026-06729-2","url":null,"abstract":"<p><strong>Objective: </strong>Antibiotic resistance and inappropriate antibiotic use are critical global public health issues, but research on the determinants of expert-advised antibiotic prescribing in pediatric emergency departments (EDs) remains limited. This study aimed to quantify variability in expert antibiotic recommendatios for pediatric ED patients.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted in a Chinese pediatric hospital ED in 2020. Two days/quarter (one weekday/weekend day, avoiding infectious disease outbreaks) were selected and 1000 cases were randomly extracted for secondary analysis. Clinical data (without treatment details) were reviewed by two pediatric experts who provided retrospective antibiotic recommendations. Cases were enrolled upon their consensus. Factors influencing expert-advised antibiotic prescriptions in ED were analyzed.</p><p><strong>Results: </strong>Expert consensus was achieved in 819/1000 cases. Among these, 174 (21.3%) cases were advised antibiotics by experts (57 cases not prescribed clinically), and 645 (78.7%) cases were not advised for antibiotics (53 cases prescribed clinically). Common diagnoses were upper respiratory tract infections (52.3%), gastroenteritis (18.1%), and lower respiratory tract infections (9.5%) with antibiotic advice rates 24.5%, 14.9%, and 38.5%, respectively. The median age of the antibiotic-advised group was 36 months [interquartile range (IQR): 12, 60], older than the not-advised group[12 months (IQR: 11, 36)]. Median white blood cell count (WBC) and C-reactive protein (CRP) in advised group were 12.9 × 10<sup>6</sup>/µL(IQR: 12.0, 13.8) and 28.5 mg/L (IQR: 23.4, 33.5), which were higher than non-advised group (7.2 × 10<sup>6</sup>/µL, IQR: 6.9, 7.5; 3.5 mg/L, IQR: 3.0, 4.0) Age, WBC and CRP were different between groups (P < 0.001).,Multivariate analysis showed older age (Odds ratio (OR) = 1.012, Confidence Interval (95%CI): 1.002-1.022), fever (OR = 8.644, 95%CI: 2.321-32.188), elevated WBC (OR = 1.455, 95%CI: 1.300-1.629), neutrophil ratio (OR = 1.034, 95%CI: 1.010-1.058) and CRP (OR = 1.210, 95%CI: 1.144-1.281) were independant determinants.</p><p><strong>Conclusion: </strong>Older age, fever, and elevated inflammatory markers (WBC, CRP, neutrophil ratio) are key determinants of expert antibiotic recommendations. Inappropriate antibiotic prescriptions highlighted the need for strengthened antibiotic stewardship in pediatric EDs.</p>","PeriodicalId":9144,"journal":{"name":"BMC Pediatrics","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147430901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-03-11DOI: 10.1186/s12887-026-06732-7
Saliha Akçay Köprücü, Saadettin Kayıpmaz, İlknur Tosun, Ömer Said Sezgin
{"title":"Impact of vertical facial patterns and oral habits on microbial colonization in children and adolescents: a cross-sectional study.","authors":"Saliha Akçay Köprücü, Saadettin Kayıpmaz, İlknur Tosun, Ömer Said Sezgin","doi":"10.1186/s12887-026-06732-7","DOIUrl":"https://doi.org/10.1186/s12887-026-06732-7","url":null,"abstract":"","PeriodicalId":9144,"journal":{"name":"BMC Pediatrics","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147430956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}