A5074314981- COVID-19 and healthcare impacts
- Respiratory viral infections research
- Emergency and Acute Care Studies
- Fungal Infections and Studies
- Injury Epidemiology and Prevention
- Electrolyte and hormonal disorders
- Muscle and Compartmental Disorders
- Antibiotic Use and Resistance
- Respiratory Support and Mechanisms
- Tracheal and airway disorders
- Cardiovascular Issues in Pregnancy
- Mitochondrial Function and Pathology
- Airway Management and Intubation Techniques
- Vitamin K Research Studies
- Research on Leishmaniasis Studies
- Kawasaki Disease and Coronary Complications
- Child Nutrition and Feeding Issues
- Infectious Encephalopathies and Encephalitis
- Neonatal Respiratory Health Research
- Parasites and Host Interactions
- Antibiotics Pharmacokinetics and Efficacy
- Cystic Fibrosis Research Advances
- Management, Economics, and Public Policy
- Lymphadenopathy Diagnosis and Analysis
- Eosinophilic Disorders and Syndromes
Ospedale G.B. Morgagni - L.Pierantoni
2022-2025
University of Verona
2017-2020
Azienda Ospedaliera Universitaria Integrata Verona
2017
Background: Bronchiolitis accounts for a substantial number of pediatric hospitalizations and its epidemiology closely parallels that respiratory syncytial virus (RSV), principal etiological agent. International guidelines recommend supportive therapy based primarily on oxygen supplementation hydration. Methods: This study aimed to assess, across three wards, the impact internal monitoring targeted educational interventions adherence bronchiolitis management guidelines. Focus was placed...
Antibiotics account for over 10% of the overall drug expense National Health System in Italy 2021. Their use children is particular interest on one side, because acute infections are very common children, while they build their immunologic library competence; other although many expected and turn out to be viral origin, caregivers will often ask family doctor or primary care attending reassure them by prescribing antibiotic treatment, it may unnecessary. The inappropriate prescription...
The use of Non-Pharmaceutical Interventions (NPIs), such as lockdowns, social distancing and school closures, against the COVID-19 epidemic is debated, particularly for possible negative effects on vulnerable populations, including children adolescents. This study therefore aimed to quantify impact NPIs trend pediatric hospitalizations during 2 years pandemic compared previous 3 years, also considering two phases according type adopted NPIs.
Abstract Accidents are the main cause of injury in children, more than half events happen at home. Aims this study were to assess if SARS-CoV-2 lockdown influence emergency department (ED) visits due children domestic accident (DAs) and identify factors associated with hospitalization. This was a multicentre, observational, retrospective cohort involving 16 EDs Italy enrolling (3–13 years) receiving visit ED during March–June 2019 2020. Risk for hospitalization identified by logistic...
Background The use of Non-Pharmaceutical Interventions (NPIs) during the COVID-19 pandemic is debated. Understanding consequences these measures may have on vulnerable populations including children and adolescents important. Methods This a multicenter, quasi-experimental before-after study involving 12 hospitals North Italian Emilia-Romagna Region, with NPI implementation as intervention event. 3 years preceding (in March 2020) constituted pre-pandemic phase. subsequent 2 were further...
In treating acute bronchiolitis in infants, the decision to use continuous positive airway pressure (CPAP) often involves infant referral from pediatric ward intensive care unit (PICU). We present our experience of CPAP a general ward, aiming reduce on PICU recent outbreaks bronchiolitis. Clinical data patients less than 12 months age and admitted for 1 October 2021 31 March 2023 were retrospectively collected. Of 82 infants bronchiolitis, 16 (19%) treated with nasal (nCPAP group); remaining...
Myositis during acute viral infections, also known as benign myositis of childhood (MBAI), is a clinical picture well described in the literature. Influenza virus (A and B) one most common etiologies. The diagnosis clinical, based on symptoms such lower extremity pain with limitation walking, combined laboratory data elevation blood creatine kinase (CK). Identifying patients who develop course influenza infection important not only for proper management those, albeit rare, cases that may go...
Kawasaki disease (KD) still represents a challenge for differential diagnosis because it shares clinical features with other infectious diseases. Adenovirus infection has many symptoms that can be found among the diagnostic criteria of KD. However, two entities have some minor differences are useful to distinguish them. It is quite important, even positive PCR test adenovirus, not exclude possible KD avoid delay and severe complications.
Pediatric acute ataxia generally represents an infrequent occurrence of pediatric emergency department access, but the broad differential diagnosis concerning it requires, starting with anamnesis and objective examination, to mainly exclude life-threatening causes in child. For these reasons, post infectious cerebellar ataxia, a benign self-limiting form, which is underlying cause most cases must always be exclusion. The also requires correct approach that consider setting about use imaging...
Mastitis in neonatal age is an inflammatory process generally caused by infection of the mammary gland, often sustained a “Staphylococcus aureus”. It important to recognize and treat with parenteral antibiotic therapy avoid possible complications. In case late diagnosis, inadequate therapy, or abscess, surgical treatment may be necessary. The clinical course three cases mastitis described here.
Schistosomiasis and strongyloidosis are intestinal parasitosis for which research in populations at risk (migrants, travelers to endemic areas) is suggested because they can give a/ paucisymptomatic infections, tend become chronic evolve serious clinical pictures with long-term damage or high mortality. The classic direct search the parasite on faeces and/or urine has a low sensitivity of false negatives high. availability reliable serological tests allows, especially areas endemia, increase...
The association between persistent neonatal pulmonary hypertension (PPHN) due to premature closure of the ductus arteriosus Botallo (DA) and NSAIDs intake in third trimester pregnancy is known literature. We describe case a full-term newborn with PPHN right ventricular hypertrophy early DA following maternal treatment at 32 37 weeks repeated doses ketorolac.
Blood gas analysis (BGA) is a quick and easily performed test even in pediatric patients. It provides information on acid-base balance, ventilatory oxygenation function as well electrolyte balance. The choice of the best sample to use (arterial, capillary, venous), based clinical conditions anamnestic data, important optimize BGA. Once available, step-wise assessment may guide interpretation examination by allowing identification pathologies different origins distinguishing between acute...
Palpable lymph nodes are a common finding in childhood. They often represent an appropriate response to local infection, particularly ear and respiratory tract infections early However, whilst enlarged predominantly benign, lymphadenopathy can serious underlying disease. Key features from the history examination should allow differentiation of benign versus potentially malignant pathology.
Paediatric departments are increasingly faced with adolescents anorexia nervosa in severe nutritional and metabolic decompensation. Artificial support, often indispensable the most critical phases of course, requires careful evaluation clinical conditions at time hospitalization equally punctual monitoring blood chemistry variables during re-feeding. Prolonged reduced caloric intake malnutrition, especially its extreme forms, can cause damage to various organs systems refeeding syndrome must...
Ticks are arthropods widespread throughout the world and borreliosis is most frequent disease spread by after malaria. In Italy too, ticks vectors of various infectious agents, including spirochetes belonging to genus Borrelia. Liver involvement in course a very rare occurrence pediatrics we describe here case which tick bite resulted Lyme with significant cytolytic liver damage.
A 14 year old male was diagnosed with asthma but didn't improve appropriate inhalation therapy. Rigid bronchoscopy revealed a food fragment, almost completely occluding the lower-left bronchus lumen. Based on reported history, it had been likely there for several years.
Convulsive status epilepticus is a relatively frequent event that requires quick picture of the situation and an early appropriate treatment with subsequent levels intervention. It important pediatrician, as well emergency room physician or resuscitator are aware stages crisis management, both at local hospital level. The final outcome will depend above all on timeliness appropriateness decisions taken, without forgetting that, sometimes, can originate from acute events if present, must also...
Hyponatremia is a frequent finding in pediatric emergency department. Association of hyponatremia with hyperkalemia and metabolic acidosis, context urinary tract infection and/or uropathy, may lead to suspicion secondary pseudohypoaldosteronism (S-PHA). We describe 8 month old child evaluated for weight loss, severe hyponatremia, mild acidosis. Further evaluation showed elevation renin aldosterone concentrations, hydroureteronephrosis, suggesting S-PHA diagnosis.