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Journal of Tropical Pediatrics

Mesut Dursun, Sinan Uslu, Ali Bulbul, Muhittin Celik, Umut Zubarioglu, Evrim Kiray Bas
Aims: To compare the effect of early nasal intermittent positive pressure ventilation (nIPPV) and nasal continuous positive airway pressure (nCPAP) in terms of the need for endotracheal ventilation in the treatment of respiratory distress syndrome (RDS) in preterm infants born between 24 and 32 gestational weeks. Methods: This is a randomized, controlled, prospective, single-centered study. Forty-two infants were randomized to nIPPV and 42 comparable infants to nCPAP (birth weight 1356 ± 295 and 1359 ± 246 g and gestational age 29...
September 17, 2018: Journal of Tropical Pediatrics
Natee Sakornyutthadej, Preamrudee Poomthavorn, Pat Mahachoklertwattana
Background: Intravenous hypotonic fluid administered in children is associated with an increased risk of developing hyponatremia. This finding has been reported from temperate countries where climate is relatively cold. But whether this risk also occurs in tropical countries has not been elucidated. Objective: The objective of this study was to determine the relationship between environmental temperature and serum sodium in non-critically ill children. Methods: A retrospective study...
September 6, 2018: Journal of Tropical Pediatrics
Huiming Sun, Jiyang Sun, Wei Ji, Chuangli Hao, Yongdong Yan, Zhengrong Chen, Yuqing Wang
Objective: The objective of this study was to assess epidemiological and clinical features of human bocavirus (HBoV) coinfection with other viruses. Method: Children coinfected with HBoV between January 2012 and December 2014 were enrolled and retrospectively reviewed. Result: A total of 984 patients were stratified into five groups: HBoV infection alone (n = 249), respiratory syncytial virus (RSV) infection alone (n = 649), HBoV coinfection with RSV (n = 28), with human rhinovirus (HRV) (n = 39) and with other virus (n = 19)...
September 6, 2018: Journal of Tropical Pediatrics
Syed N Sarmast, Vykuntaraju K Gowda, Maaz Ahmed, G V Basvaraja, Jitender Saini, Asha Benakappa
Introduction: Acute flaccid myelitis (AFM) is characterized by limb weakness with spinal cord grey matter lesion on imaging or electrodiagnostic evidence of spinal cord motor neuron injury. This Poliomyelitis-like illness is rare in children, and its natural course is not yet well defined. Purpose of the study: The purpose of the study was to report the clinical presentation, laboratory findings, management and outcome of children with AFM. Materials and methods: This is a prospective case series study...
August 30, 2018: Journal of Tropical Pediatrics
N B Mathur, Bijaylaxmi Behera
Objective: To determine the time to normalization of procalcitonin (PCT) levels and duration of antibiotics in neonatal sepsis. Methods: A prospective observational study design was used. The participants included were neonates with sepsis. The primary outcome measure was time to normalization of PCT levels and duration of antibiotics following clinical resolution. Results: Time to normalization of PCT levels was 9.6 ± 4.2 days in neonates with septic shock, 6...
August 22, 2018: Journal of Tropical Pediatrics
Songül Aktas, Dilek Küçük Alemdar
Aim: The study was conducted to determine the correlation between infantile colic and maternal breastfeeding self-efficacy, breastfeeding success and breast milk amount. Materials and methods: This descriptive study included 154 mothers, with infants of age between 3 weeks and 6 months who were diagnosed with infantile colic and who were admitted to the paediatric outpatient clinics of a hospital located in northern Turkey. Result: A negative correlation was found between 'parent-infant interaction + problem infant' and 'immature gastrointestinal system' subscales of the Infantile Colic Scale (ICS) and the total mean scores of mothers on the Breastfeeding Self-Efficacy Scale...
August 21, 2018: Journal of Tropical Pediatrics
Céline N Nkenfou, Edith S Temgoua, Elvis N Ndzi, Linda Chapdeleine Mouafo Mekue, Marie Nicole Ngoufack, Beatrice Dambaya, Jean De Dieu Anoubissi, Irenée Domkam, Elise Elong, Nadine Fainguem, Jacques Thèze, Vittorio Colizzi, Anne Cecile Z K Bissek, Alexis Ndjolo
Background: Some risk factors for mother-to-child transmission (MTCT) of HIV have been identified. To further reduce MTCT, other risk factors were evaluated. Materials and Methods: A retrospective study on early infant diagnosis was conducted. Two-sided chi-square test was used to assess associations with infant HIV status. Results: A total of 15 233 HIV-infected mothers and 15 404 infants were recruited. MTCT rate was 9.34%. Only 3.8% of infants born to mothers on antiretroviral treatment were infected...
August 13, 2018: Journal of Tropical Pediatrics
Sheila Fernández-Luis, Laura Fuente-Soro, Orvalho Augusto, Edson Bernardo, Tacilta Nhampossa, Sonia Maculuve, Terence Manning Hernández, Denise Naniche, Elisa López-Varela
Introduction: Retention in care and reengagement of lost to follow-up (LTFU) patients are priority challenges in pediatric HIV care. We aimed to assess whether a telephone-call active tracing program facilitated reengagement in care (RIC) in the Manhiça District Hospital, Mozambique. Methods: Telephone tracing of LTFU children was performed from July 2016 to March 2017. Both ART (antiretroviral treatment) and preART patients were included in this study. LTFU was defined as not attending the clinic for ≥120 days after last attended visit...
August 7, 2018: Journal of Tropical Pediatrics
Christopher B Eke, Robin A Brown, Ronalda J De Lacy, Komala Pillay, Elizabeth A Goddard
Collagenous gastritis is an uncommon gastrointestinal disease in children. Its cause remains uncertain. It may present as severe hypoproteinaemia manifesting as generalized oedema.We report a 15 months old female who presented with pica, generalized body oedema and diarrhoea. Diagnostic workup revealed gastric replacement of the lamina propria by hyalinized collagen on histology.This case seeks to highlight the need for early paediatric gastroenterology referral including oesophagogastroduodenoscopy with multiple tissue biopsies as part of a broad diagnostic workup in children with non-specific gastrointestinal symptoms to improve diagnostic yield and enable accurate histologic diagnosis, so that appropriate therapy can be timeously applied...
August 3, 2018: Journal of Tropical Pediatrics
Peter Austin Morton Ntenda, Edward Tisungane Mwenyenkulu, Nuntiput Putthanachote, Owen Nkoka, Thomas Gabriel Mhone, Mfundi President Sebenele Motsa, Tinashe Tizifa
Objectives: The purpose of this study was to examine the uptake and predictors of monovalent human rotavirus and pneumococcal conjugate vaccines among children of age 12-35 months in Malawi. Methods: This study used cross-sectional data obtained from the 2015-16 Malawi Demographic and Health Survey. Multivariate logistic regression was used to identify the factors related to uptake of pneumococcal and rotavirus vaccination. Results: The uptake of rotavirus and pneumococcal vaccines was 90...
August 3, 2018: Journal of Tropical Pediatrics
S Musa, L W Umar, F L Abdullahi, M Taegtemeyer, S M Abdullahi, A A Olorukooba, A M Alfa, N H Usman
Background: Nigeria has the highest burden of paediatric HIV infection, and the success of control efforts in the country is crucial to the global control of the HIV epidemic. However, defaults from schedules of care pose a threat to paediatric HIV control in Nigeria. This study was conducted in a pioneer facility for the implementation of the National HIV Prevention and Treatment Programmes. Objective: The objective of this study was to explore factors that facilitate adherence to clinic appointments from perspectives of child caregivers and service providers...
July 31, 2018: Journal of Tropical Pediatrics
Shivakumar M, Krishnananda Nayak, Leslie Edward Simon Lewis, Asha Kamath, Jayashree Purkayastha
Background: Methylxanthines have cardiac stimulant effects. The current study aimed to compare acute hemodynamic changes between caffeine and aminophylline in ≤34 weeks' preterm neonates. Methods: The study was performed using information on echocardiography measurements from preterm neonates recruited for apnea of prematurity (75 of 240) and preventing extubation failure (113 of 156) studies. The neonates were randomized either to the caffeine or aminophylline groups...
July 30, 2018: Journal of Tropical Pediatrics
Kevin van 't Kruys, Rens Zonneveld, Safir Liesdek, Wilco Zijlmans
We describe three clinical cases of Surinamese children with rhabdomyolysis with diverse clinical presentation and course. The first patient had rhabdomyolysis because of toxins caused by multiple beestings and developed acute kidney injury. The other two patients had rhabdomyolysis following acute infection with chikungunya and influenza A/H1N1 virus. These cases emphasize that the diverse etiology of rhabdomyolysis should be considered in children in tropical settings.
July 30, 2018: Journal of Tropical Pediatrics
Quique Bassat, Anuradha Bose, Peter Cartledge, Elizabeth Montgomery Collins, Sophie Jullien, Paul Kidd, Miguel Lanaspa, Doug Simkiss, Indi Trehan
No abstract text is available yet for this article.
July 27, 2018: Journal of Tropical Pediatrics
Shreya Sharma, Rajesh Joshi, Radhika Kalelkar, Poorvi Agrawal
We describe the case of a 4.8-year-old boy who presented with adrenal crisis. The advent of symptoms of adrenal insufficiency in the patient was at around 2 years of age. Congenital causes of adrenal insufficiency were considered over acquired etiologies owing to early onset of symptoms. However, on evaluation, he was found to have left adrenal abscess of tuberculous etiology. The aspirate culture grew multidrug-resistant Mycobacterium tuberculosis complex. He was initiated on glucocorticoid and mineralocorticoid replacement, along with second-line antitubercular therapy...
July 27, 2018: Journal of Tropical Pediatrics
Nazgol Motamed-Gorji, Ramin Heshmat, Mostafa Qorbani, Mohammad Esmaeil Motlagh, Akbar Soltani, Gita Shafiee, Hamid Asayesh, Gelayol Ardalan, Nassim Matin, Armita Mahdavi Gorabi, Mahla Alizadeh, Roya Kelishadi
Background: Physical activity (PA) and weight status have been suggested as predictors of life satisfaction (LS) and perceived health status (PHS). Therefore the present study aims to investigate and compare the impacts of body mass index (BMI) and PA on LS and PHS in a population of Iranian children and adolescents. Material and Methods: This study was conducted in 2011-12 as a nationwide population-based study among 14 880 students of age 6-18 years. Students were selected via a multistage cluster sampling method from 30 provinces of Iran...
July 24, 2018: Journal of Tropical Pediatrics
Suresh Kumar Angurana, Rakesh Kumar, Meenu Singh, Sanjay Verma, Ram Samujh, Sunit Singhi
Objectives: The purposes of this paper are to study clinicobacteriological profile, treatment modalities and outcome of pediatric empyema thoracis and to identify changes over a decade. Design: This is a retrospective study. Setting: Department of Pediatrics of a tertiary care hospital in North India. Patients: We enrolled 205 patients (1 month-12 years) of empyema thoracis admitted over 5 years (2007-11) and compared the profile with that of a previous study from our institute (1989-98)...
July 24, 2018: Journal of Tropical Pediatrics
Elizabeth Montgomery Collins, Quique Bassat
No abstract text is available yet for this article.
July 23, 2018: Journal of Tropical Pediatrics
Tugçe Tural-Kara, Halil Özdemir, Nihan Yildiz, Bilge Aldemir Kocabas, Tugba Erat, Aysun Yahsi, Figen Dogu, Ercan Tutar, Erdal Ince, Ergin Çiftçi
Pneumonia is a significant cause of death for children, particularly those in developing countries. The records of children who were hospitalized because of pneumonia between January 2003 and December 2015 were retrospectively reviewed, and patients who met the recurrent pneumonia criteria were included in this study. During this 13-year period, 1395 patients were hospitalized with pneumonia; of these, 129 (9.2%) met the criteria for recurrent pneumonia. Underlying diseases were detected in 95 (73.6%) patients, with aspiration syndrome (21...
July 12, 2018: Journal of Tropical Pediatrics
Mostefa Moubri, Christophe Burucoa, Nicolas Kalach, R Rezki Larras, Nouria Nouar, Fawsia Mouffok, Zakia Arrada
We aimed to evaluate in an Algerian pediatric population the diagnostic performances of the IDEIA HpStAR noninvasive stool antigen test (Oxoid, Cambridge, UK) to detect Helicobacter pylori infection before and after eradication therapy. A prospective study including 158 symptomatic Algerian children was conducted. Patients were initially diagnosed with invasive (culture, histology, and rapid urease test) and noninvasive tests (urea breath test and IDEIA HpStAR test). Infected patients were treated, and 101 were controlled after treatment with two invasive (culture and histology) and two noninvasive tests (urea breath test and IDEIA HpStAR test)...
July 10, 2018: Journal of Tropical Pediatrics
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