keyword
https://read.qxmd.com/read/38714502/temporal-trends-in-antibiotic-prescribing-and-serious-and-nonserious-infections-in-children-presenting-to-general-practice-a-registry-based-longitudinal-cohort-study-of-162%C3%A2-507-individuals
#1
JOURNAL ARTICLE
Ruben Burvenich, Sien De Boodt, Lien Lowie, Arne Janssens, Simon Gabriël Beerten, Bert Vaes, Jaan Toelen, Jan Yvan Verbakel
BACKGROUND: It is crucial to understand the trends in paediatric antibiotic prescribing and serious and nonserious infections to improve antibiotic prescribing practices for children in ambulatory care. OBJECTIVES: Assessing trends in paediatric antibiotic prescribing and infection incidence in general practice from 2002 to 2022. METHODS: In this retrospective cohort study using INTEGO network data from 162 507 patients in Flanders (Belgium), we calculated antibiotic prescribing rates and proportions alongside incidence rates of serious and nonserious infections, stratified by age (0-1, 2-6, 7-12 years) and municipality...
May 8, 2024: Journal of Antimicrobial Chemotherapy
https://read.qxmd.com/read/38691798/dynamic-indicators-of-acute-respiratory-diseases-treatment-in-children-after-correction
#2
JOURNAL ARTICLE
Olesya M Horlenko, Iryna Yu Pikina, Lyubomyra B Prylypko, Gabriella B Kossey, Ihor H Roshko, Valeriya V Brych, Antonina V Kedyk
OBJECTIVE: Aim: To study the Respiratory pathology of the upper respiratory tract, markers of the inflammatory response of the organism, Oxidative stress, Metabolic adaptation and possibilities of correction. PATIENTS AND METHODS: Materials and Methods: The study group (n=111) included school-aged children (10-14 years old). The general group of inflammatory diseases of the respiratory tract (J000-J06) was considered, with a diagnosis of acute respiratory infection (ARI) of viral and bacterial origin and included local inflammationof the upper respiratory tract with presentation of acute pharyngitis (68...
2024: Wiadomości Lekarskie: Organ Polskiego Towarzystwa Lekarskiego
https://read.qxmd.com/read/38671203/prevalence-of-inappropriate-antibiotic-prescribing-with-or-without-a-plausible-antibiotic-indication-among-safety-net-and-non-safety-net-populations
#3
JOURNAL ARTICLE
Joseph B Ladines-Lim, Michael A Fischer, Jeffrey A Linder, Kao-Ping Chua
BACKGROUND: Clinicians can prescribe antibiotics inappropriately without coding the indication for antibiotics. Whether the prevalence of inappropriate antibiotic prescribing with or without a plausible indication differs between safety-net and non-safety-net populations is unknown. OBJECTIVE: To assess differences in inappropriate antibiotic prescribing with or without a plausible indication between safety-net and non-safety net populations. DESIGN: Cross-sectional...
April 26, 2024: Journal of General Internal Medicine
https://read.qxmd.com/read/38623871/identification-of-irpex-and-rhodotorula-on-surveillance-bronchoscopy-in-a-pediatric-lung-transplant-recipient-a-case-report-and-review-of-literature-of-these-atypical-fungal-organisms
#4
REVIEW
Daniel T Atwood, Julia R Köhler, Sara O Vargas, Wai Wong, Timothy Klouda
BACKGROUND: Invasive fungal disease (IFD) is a frequent complication in pediatric lung transplant recipients, occurring in up to 12% of patients in the first year. Risk factors for infection include impaired lung defenses and intense immunosuppressive regimens. While most IFD occurs from Aspergillus, other fungal conidia are continuously inhaled, and infections with fungi on a spectrum of human pathogenicity can occur. CASE REPORT: We report a case of a 17-year-old lung transplant recipient in whom Irpex lacteus and Rhodotorula species were identified during surveillance bronchoscopy...
May 2024: Pediatric Transplantation
https://read.qxmd.com/read/38553191/carrimycin-ameliorates-lipopolysaccharide-and-cecal-ligation-and-puncture-induced-sepsis-in-mice
#5
JOURNAL ARTICLE
Junzhong Lai, Jiadi Liang, Kunsen Chen, Biyun Guan, Zhirong Chen, Linqin Chen, Jiqiang Fan, Yong Zhang, Qiumei Li, Jingqian Su, Qi Chen, Jizhen Lin
Carrimycin (CA), sanctioned by China's National Medical Products Administration (NMPA) in 2019 for treating acute bronchitis and sinusitis, has recently been observed to exhibit multifaceted biological activities, encompassing anti-inflammatory, antiviral, and anti-tumor properties. Despite these applications, its efficacy in sepsis treatment remains unexplored. This study introduces a novel function of CA, demonstrating its capacity to mitigate sepsis induced by lipopolysaccharide (LPS) and cecal ligation and puncture (CLP) in mice models...
March 2024: Chinese Journal of Natural Medicines
https://read.qxmd.com/read/38547915/systemic-lupus-erythematosus-related-lung-disease
#6
JOURNAL ARTICLE
Elisabeth Bendstrup, Evelyn Lynn, Anne Troldborg
Systemic Lupus Erythematosus (SLE) is a multifaceted, multisystem autoimmune disorder with diverse clinical expressions. While prevalence reports vary widely, pulmonary involvement accounts for significant morbidity and mortality in SLE. This comprehensive review explores the spectrum of pulmonary disease in SLE, including upper airway manifestations (e.g., laryngeal affection), lower airway conditions (e.g., bronchitis, bronchiolitis, bronchiectasis), parenchymal diseases (e.g., interstitial lung disease, acute lupus pneumonitis, diffuse alveolar hemorrhage), pleural diseases (e...
March 28, 2024: Seminars in Respiratory and Critical Care Medicine
https://read.qxmd.com/read/38535022/fatal-deterioration-of-a-respiratory-syncytial-virus-infection-in-an-infant-with-abnormal-muscularization-of-intra-acinar-pulmonary-arteries-autopsy-and-histological-findings
#7
Nunzio Cosimo Mario Salfi, Gianluca Vergine, Maurizio Poloni, Sara Metalli, Barbara Bigucci, Francesca Facondini, Gianmatteo Pedrazzi, Francesca Masciopinto, Laura Bernabè, Vittorio Sambri, Maria Paola Bonasoni
Respiratory syncytial virus (RSV) infection represents a global and noteworthy cause of hospitalization and death in infants of less than 1 year of age. The typical clinical manifestation is bronchiolitis, an inflammatory process of the small airways. The symptoms are usually a brief period of low-grade fever, cough, coryza, breathing difficulties, and reduced feeding. The progression of the disease is difficult to predict, even in previous healthy subjects. Symptoms may also be subtle and underestimated, thus leading to sudden unexpected infant death (SUID)...
March 12, 2024: Diagnostics
https://read.qxmd.com/read/38535020/merging-two-models-of-one-dimensional-convolutional-neural-networks-to-improve-the-differential-diagnosis-between-acute-asthma-and-bronchitis-in-preschool-children
#8
JOURNAL ARTICLE
Waleed Salih, Hakan Koyuncu
(1) Background: Acute asthma and bronchitis are common infectious diseases in children that affect lower respiratory tract infections (LRTIs), especially in preschool children (below six years). These diseases can be caused by viral or bacterial infections and are considered one of the main reasons for the increase in the number of deaths among children due to the rapid spread of infection, especially in low- and middle-income countries (LMICs). People sometimes confuse acute bronchitis and asthma because there are many overlapping symptoms, such as coughing, runny nose, chills, wheezing, and shortness of breath; therefore, many junior doctors face difficulty differentiating between cases of children in the emergency departments...
March 12, 2024: Diagnostics
https://read.qxmd.com/read/38525743/impact-of-antibiotics-used-for-acute-aspiration-bronchitis-on-the-prevention-of-pneumonia
#9
JOURNAL ARTICLE
Akihiko Goto, Kosaku Komiya, Kenji Umeki, Kazufumi Hiramatsu, Jun-Ichi Kadota
BACKGROUNDS: It remains unclear if antibiotics should be used for the treatment of acute aspiration bronchitis to prevent the development of pneumonia. This study aimed to assess the associations between the use of antibiotics and the development of pneumonia among patients with acute aspiration bronchitis. METHODS: We retrospectively reviewed consecutive patients with acute aspiration bronchitis aged ≥75 years. Acute aspiration bronchitis was defined as a condition with aspiration risk, high fever (body temperature, ≥37...
February 25, 2024: Geriatrics
https://read.qxmd.com/read/38522625/effects-of-tibetan-medicine-longdan-zhike-tablet-on-chronic-obstructive-pulmonary-disease-through-mapk-pathway
#10
JOURNAL ARTICLE
Yulin Feng, Pengfei Qin, Rong Wang, Yahui Mi, You Li, Jiahao Feng, Wenbin Shen, Haijuan Dong, Jietai Duo, Liming Ma, Xiaowu Yao, Xiaolong Hu, Fei Xiong, Xinhong Shi, Hao Wang
ETHNOPHARMACOLOGICAL RELEVANCE: Longdan zhike tablet (LDZK) is a Tibetan medicine formula commonly used in the highland region of Tibet, China, to ameliorate respiratory diseases, such as acute bronchitis and asthma. In Chinese traditional medicine, some herbal formulas with anti-inflammatory properties targeting the respiratory system are clinically adopted as supplementary therapies for chronic obstructive pulmonary disease (COPD). However, the specific anti-COPD effects of LDZK remain to be evaluated...
March 22, 2024: Journal of Ethnopharmacology
https://read.qxmd.com/read/38510651/chinese-medicine-phragmites-communis-lu-gen-for-acute-respiratory-tract-infections-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#11
Min Fang, Ling-Yao Kong, Guang-He Ji, Feng-Lan Pu, You-Zhu Su, Yu-Fei Li, Michael Moore, Merlin Willcox, Jeanne Trill, Xiao-Yang Hu, Jian-Ping Liu
Background: Acute respiratory tract infections (ARTIs) are the most common cause of morbidity and mortality worldwide, with most people experiencing at least one episode per year. Current treatment options are mainly symptomatic therapy. Antivirals, antibiotics, and glucocorticoids are of limited benefit for most infections. Traditional Chinese medicine has shown potential benefits in the treatment of ARTIs. Objective: The objective of this study was to determine the efficacy, effectiveness, and safety of Phragmites communis Trin...
2024: Frontiers in Pharmacology
https://read.qxmd.com/read/38505074/differential-response-to-roflumilast-in-patients-with-chronic-obstructive-pulmonary-disease-real-world-evidence
#12
JOURNAL ARTICLE
Hyun Woo Lee, Jiyu Sun, Hyo-Jin Lee, Jung-Kyu Lee, Tae Yeon Park, Eun Young Heo, Chin Kook Rhee, Deog Kyeom Kim
BACKGROUND: Roflumilast is effective in reducing acute exacerbation in patients with chronic obstructive pulmonary disease (COPD) at high risk of severe exacerbation. Clinical traits related to the benefits of roflumilast need to be evaluated in patients with COPD. METHODS: A longitudinal observational study in patients newly diagnosed with COPD was conducted using claims data from the Health Insurance Review and Assessment Service in South Korea from 2012-2020 after a 2-year washout period...
February 29, 2024: Journal of Thoracic Disease
https://read.qxmd.com/read/38499512/hyperoside-inhibits-ehv-8-infection-via-alleviating-oxidative-stress-and-ifn-production-through-activating-jnk-keap1-nrf2-ho-1-signaling-pathways
#13
JOURNAL ARTICLE
Tongtong Wang, Leyu Hu, Ruibo Li, Huiying Ren, Shuwen Li, Qi Sun, Xiangdan Ding, Yubao Li, Changfa Wang, Liangliang Li
Equine herpesvirus type 8 (EHV-8) causes abortion and respiratory disease in horses and donkeys, leading to serious economic losses in the global equine industry. Currently, there is no effective vaccine or drug against EHV-8 infection, underscoring the need for a novel antiviral drug to prevent EHV-8-induced latent infection and decrease the pathogenicity of this virus. The present study demonstrated that hyperoside can exert antiviral effects against EHV-8 infection in RK-13 (rabbit kidney cells), MDBK (Madin-Darby bovine kidney), and NBL-6 cells (E...
March 20, 2024: Journal of Virology
https://read.qxmd.com/read/38498052/investigating-nonspecific-effects-of-the-live-attenuated-japanese-encephalitis-vaccine-on-lower-respiratory-tract-infections-in-children-aged-25-35-months-retrospective-cohort-study
#14
JOURNAL ARTICLE
Siyi Zhan, Hongbo Lin, Yingying Yang, Tao Chen, Sheng Mao, Chuanxi Fu
BACKGROUND: Live attenuated vaccines may be used to prevent nontargeted diseases such as lower respiratory tract infections (LRTIs) due to their nonspecific effects (NSEs). OBJECTIVE: We aimed to analyze the NSEs of the Japanese encephalitis vaccine on pediatric LRTIs in children aged 25 months to 35 months. METHODS: A retrospective cohort study was conducted by using a population-based electronic health record database in Zhejiang, China...
March 18, 2024: JMIR Public Health and Surveillance
https://read.qxmd.com/read/38456194/diagnosis-and-treatment-of-pneumonia-in-urgent-care-clinics-opportunities-for-improving-care
#15
JOURNAL ARTICLE
James H Hart, Theadora Sakata, Jacqueline R Eve, Allison M Butler, Anthony Wallin, Chad Carman, Brenda Atwood, Rajendu Srivastava, Barbara E Jones, Edward A Stenehjem, Nathan C Dean
BACKGROUND: Community-acquired pneumonia is a well-studied condition; yet, in the urgent care setting, patient characteristics and adherence to guideline-recommended care are poorly described. Within Intermountain Health, a nonprofit integrated US health care system based in Utah, more patients present to urgent care clinics (UCCs) than emergency departments (EDs) for pneumonia care. METHODS: We performed a retrospective cohort study 1 January 2019 through 31 December 2020 in 28 UCCs within Utah...
March 2024: Open Forum Infectious Diseases
https://read.qxmd.com/read/38452996/achieving-consensus-severity-graded-definitions-of-fontan-associated-complications-to-characterize-fontan-circulatory-failure
#16
JOURNAL ARTICLE
Kurt R Schumacher, Ari Cedars, Kiona Allen, David Goldberg, Adrianna Batazzi, Garrett Reichle, Frank DiPaola, David Selewski, Melissa Cousino, David N Rosenthal
BACKGROUND: Fontan physiology leads to chronic changes in other organ systems that may affect long-term survival and the success of heart transplantation. Inadequate assessment and treatment of the extra-cardiac effects of Fontan may contribute to poor outcomes. Severity graded/ordinal consensus definitions of Fontan complications are lacking which limits understanding of how Fontan-specific morbidity affects patient outcomes. METHODS AND RESULTS: A panel of Fontan patient and physiology experts, including pediatric, adult congenital, heart failure, and critical care cardiology, and pediatric nephrology, hepatology and psychology, convened to develop definitions of Fontan complications...
March 5, 2024: Journal of Cardiac Failure
https://read.qxmd.com/read/38400196/bacterial-vaccinations-in-patients-with-chronic-obstructive-pulmonary-disease
#17
REVIEW
Dóra Paróczai, Katalin Burian, Andras Bikov
Chronic obstructive pulmonary disease (COPD) is a frequent, often progressive, chronic disease of the lungs. Patients with COPD often have impaired immunity; therefore, they are prone to chest infections, such as pneumonia or bronchitis. Acute exacerbations of COPD are major events that accelerate disease progression, contributing to its symptoms' burden, morbidity, and mortality. Both pneumonia and acute exacerbations in COPD are caused by bacteria against which there are effective vaccinations. Although the number of randomised controlled studies on bacterial vaccinations in COPD is limited, national and international guidelines endorse specific vaccinations in patients with COPD...
February 18, 2024: Vaccines
https://read.qxmd.com/read/38371528/-syringa-reticulata-potently-inhibits-the-activity-of-sars-cov-2-3cl-protease
#18
JOURNAL ARTICLE
Zhichao Hao, Yuan Liu, Wei Guan, Juan Pan, MengMeng Li, Jiatong Wu, Yan Liu, Haixue Kuang, Bingyou Yang
The ongoing coronavirus infectious disease (COVID-19) pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) still urgently requires effective treatments. The 3C-like (3CL) protease of SARS-CoV-2 is a highly conserved cysteine protease that plays an important role in the viral life cycle and host inflammation, providing an ideal target for developing broad-spectrum antiviral drugs. Herein, we describe the discovery of a large number of herbs mainly produced in Heilongjiang Province, China, that exhibited different inhibitory activities against SARS-CoV-2 3CL protease...
March 2024: Biochemistry and Biophysics Reports
https://read.qxmd.com/read/38370888/investigation-of-aspergillosis-outbreak-in-young-ducklings-unraveling-the-role-of-hatcheries-in-aspergillus-fumigatus-transmission
#19
JOURNAL ARTICLE
Ahmed El-Shemy, Hoda Mekky, Mohamed Bosila, Khaled Elbayoumi, Mohamed Amer, Mohamed Elaish
OBJECTIVE: Aspergillosis is a disease that affects several species of birds and causes substantial losses in the poultry business. The purpose of the investigation was to identify the pathogen responsible for a respiratory outbreak among juvenile ducklings. MATERIALS AND METHODS: An epidemic of Aspergillosis infected a total of 800 Muscovy ducks that were being reared in El-Beheira Governorate. Tissue samples were obtained to isolate suspected fungi from diseased birds and the hatchery environment...
December 2023: Journal of Advanced Veterinary and Animal Research
https://read.qxmd.com/read/38364198/ambient-temperature-and-risk-of-cardiovascular-and-respiratory-adverse-health-outcomes-a-nationwide-cross-sectional-study-from-spain
#20
JOURNAL ARTICLE
Hicham Achebak, Grégoire Rey, Simon J Lloyd, Marcos Quijal-Zamorano, Raúl Fernando Méndez-Turrubiates, Joan Ballester
AIMS: We assessed the association of temperature and temperature variability with cause-specific emergency hospitalizations and mortality from cardiovascular and respiratory diseases in Spain, as well as the effect modification of this association by individual and contextual factors. METHODS AND RESULTS: We collected data on health (hospital admissions and mortality), weather (temperature and relative humidity), and relevant contextual indicators for 48 Spanish provinces during 2004-2019...
February 13, 2024: European Journal of Preventive Cardiology
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