keyword
https://read.qxmd.com/read/38494399/the-use-of-a-high-flow-picc-catheter-for-stem-cell-and-lymphocyte-apheresis-the-initial-experience-of-a-pediatric-oncology-center-in-brazil
#1
JOURNAL ARTICLE
Vilani Kremer, Andréia Rheinheimer, Ana Luiza Rodrigues, Andressa Taborda, Robson Coelho, Antonella Zanette
BACKGROUND: Autologous hematopoietic stem cell transplant (HSCT), characterized by high intensity chemotherapy followed by the infusion of HSC previously collected from the peripheral blood, is a procedure used in the treatment of several malignancies. In pediatrics, the apheresis procedure represents a challenge, due to the need for insertion of a rigid central venous catheter (CVC) in small children. The CVC is usually used for stem cell collection and then removed. Later, the patient will need a new device for cell infusion...
February 24, 2024: Journal of Pediatric Surgery
https://read.qxmd.com/read/38484629/the-role-of-coagulation-factors-viii-ix-and-xi-in-the-prediction-and-mediation-of-recurrent-thrombotic-events-in-children-with-non-central-venous-catheter-deep-vein-thrombosis
#2
JOURNAL ARTICLE
Alessandra Bosch, Kirsten Brunsvig Jarvis, Leonardo R Brandão, Yushu Zhou, Jennifer Vincelli, Nour Amiri, Laura Avila
BACKGROUND: The role of elevated coagulation factors VIII (FVIII), FIX, FXI for the prediction of recurrent thrombotic events in children after an index non-central venous catheter (non-CVC) related deep vein thrombosis (DVT) remains unclear. OBJECTIVE: This study investigates the predictive role of FVIII, FIX, and FXI for recurrent thrombosis in children with index non-CVC DVTs, and the mediation effect of FVIII on chronic inflammation and recurrent thrombosis...
March 7, 2024: Thrombosis Research
https://read.qxmd.com/read/38471768/central-line-repair-in-pediatric-patients-in-the-pediatric-emergency-department-by-emergency-physicians-a-single-center-experience
#3
JOURNAL ARTICLE
Aluma Baer, Giora Weiser
INTRODUCTION: Central venous catheters are more common with advanced treatments for a variety of conditions. These catheters may need to be repaired after local damage. This has been performed by those more involved with catheter placement such as pediatric surgeons and interventional radiologists. Gastroenterologists who treat many of these patients have also been involved with catheter repair. Repair by pediatric emergency physicians has not been explored. Such repairs by the emergency physician may be time saving and avoid unnecessary admissions...
March 13, 2024: Pediatric Emergency Care
https://read.qxmd.com/read/38457237/bacteremia-associated-with-non-tunneled-central-venous-catheters-in-children-undergoing-chronic-hemodialysis
#4
JOURNAL ARTICLE
Diana Di Pinto, Marta Adragna, Jorge Mamani, Laura Mendoza, Gabriel Maita, Silvia Rodríguez, Marcela Álvarez, Rudy Bustamante, Pablo D'Alessandro, Laura López
Introduction. Central venous catheter (CVC)-related infection is the main complication observed in patients undergoing hemodialysis with this type of venous access. Objective. To estimate the incidence of non-tunneled CVC-related bacteremia, analyze the frequency of causative agents, and explore associated risk factors in children undergoing hemodialysis. Population and methods. Retrospective study in children receiving hemodialysis via a non-tunneled CVC between June 1st, 2015 and June 30th, 2019. A logistic regression was carried out to assess risk factors that were predictors of CVC-related bacteremia...
March 14, 2024: Archivos Argentinos de Pediatría
https://read.qxmd.com/read/38454222/the-frequency-severity-and-risk-factors-of-hickman-catheterrelated-complications-in-pediatric-cancer-patients-a-single-center-experience-from-bosnia-and-herzegovina
#5
JOURNAL ARTICLE
Zlatan Zvizdic, Emin Zaimovic, Emir Milisic, Asmir Jonuzi, Una Glamoclija, Semir Vranic
OBJECTIVE: This study aimed to identify the frequency, severity, and risk factors associated with Hickman catheter-related complications in children with hemato-oncological malignancies at the largest pediatric tertiary care unit in Bosnia and Herzegovina. MATERIALS AND METHODS: A cross-sectional study was conducted on a cohort of pediatric cancer patients who underwent Hickman central venous catheters (CVCs) between January 2019 and December 2022. Mechanical, infectious, and thrombotic Hickman catheter-related complications were evaluated and analyzed...
March 2024: Turkish archives of pediatrics
https://read.qxmd.com/read/38438070/proposal-of-a-screening-instrument-for-autism-spectrum-disorder-in-children-mini-tea-scale
#6
JOURNAL ARTICLE
Cassiano Mateus Forcelini, Regina Ampese, Helena Younes de Melo, Camila Pereira Neubauer Pasin, José Renato Donadussi Pádua, Camila Boschetti Spanholo, Francine Ehrhardt Hoffmann, Júlia Breitenbach Diniz, Laís Cristine Zanella Capponi, Luiza Souza, Maxciel Zortea
BACKGROUND:  Autism spectrum disorder (ASD) requires trained professionals for its adequate diagnosis. There is a shortage of such professionals in Brazil. Screening tools could identify priority cases. The only instrument for that in Brazilian Portuguese is employed for toddlers up to 2.5 years old. OBJECTIVE:  The Mini-TEA scale was conceived and tested as a screening for children from 2.5 to 12 years old. METHODS:  After local ethics committee's approval, this study was conducted from December 2022 to April 2023 in the Associação de Pais e Amigos dos Excepcionais , Passo Fundo/RS, of invitations to children's parents/relatives who were under evaluation for ASD and by local advertisement...
March 2024: Arquivos de Neuro-psiquiatria
https://read.qxmd.com/read/38413831/an-mhealth-application-for-chronic-vascular-access-a-multi-method-evaluation
#7
JOURNAL ARTICLE
Amanda J Ullman, Emily Larsen, Victoria Gibson, Sebastian Binnewies, Ryoma Ohira, Nicole Marsh, Craig Mcbride, Karen Winterbourn, Francesca Boyte, Jacqueline Cunninghame, Mitchell Dufficy, Karin Plummer, Natasha Roberts, Mari Takashima, Marie Cooke, Joshua Byrnes, Claire M Rickard, Tricia M Kleidon
BACKGROUND: Healthcare consumers require diverse resources to assist their navigation of complex healthcare interactions, however, these resources need to be fit for purpose. AIM: In this study, we evaluated the utility, usability and feasibility of children, families and adults requiring long-term intravenous therapy using a recently developed mobile health application (App), intravenous (IV) Passport. DESIGN: Multi-site, parallel, multi-method, prospective cohort study...
February 27, 2024: Journal of Clinical Nursing
https://read.qxmd.com/read/38407082/inherited-thrombophilia-and-risk-of-thrombosis-in-children-with-cancer-a-single-center-experience
#8
JOURNAL ARTICLE
Ana Đordević, Blaženka Grahovac, Silvije Šegulja, Lidija Bilić Zulle, Jelena Roganović
OBJECTIVES: Thrombosis is an increasingly recognized complication of childhood malignancy and its treatment. The incidence and etiology of pediatric cancer-related thrombosis is still not well understood. The aim of this study was to evaluate the prevalence of common prothrombotic genetic conditions in children with cancer, the frequency of thrombosis, and the role of inherited thrombophilia in the development of thrombosis in a pediatric oncology population. PATIENTS AND METHODS: Forty-seven children (36 treated for hematological malignancies and 11 for solid tumors) with a median age of 8...
December 2023: Acta Medica Academica
https://read.qxmd.com/read/38400572/association-between-4-tetrasodium-edta-and-sepsis-in-neonatal-piglets-a-retrospective-cohort-study
#9
JOURNAL ARTICLE
Mirielle L Pauline, Evan Labonne, Pamela R Wizzard, Justine M Turner, Paul W Wales
BACKGROUND: Central line-associated bloodstream infections are a major concern for children with intestinal failure and in animal research using parenteral nutrition (PN). In neonatal piglets receiving PN, we compared sepsis, line occlusions, line replacements, mortality, and costs with and without the use of a 4%-tetrasodium ethylenediaminetetraacetic acid (T-EDTA) locking solution. METHODS: We performed a retrospective review of piglets with a central venous jugular catheter enrolled in 14-day exclusive PN (TPN) trials or in 7-day short bowel syndrome (SBS) trials, before and after initiation of T-EDTA...
February 23, 2024: JPEN. Journal of Parenteral and Enteral Nutrition
https://read.qxmd.com/read/38389210/central-venous-catheter-tip-positioning-using-ultrasound-in-pediatric-patients-a-prospective-observational-study
#10
JOURNAL ARTICLE
Claudia Neumann, Martin Breil, Amelie Schild, Alina Schenk, Patrick Jakobs, Marian Mikus, Ehrenfried Schindler
BACKGROUND: In children, central venous catheter (CVC) placement is usually performed under ultrasound guidance for optimal visualization of vessels and reduction of puncture-related complications. Nevertheless, in many cases, additional radiographic examinations are performed to check the position of the catheter tip. AIM: The primary objective of this observational feasibility study was to determine the number of ultrasound-guided central venous catheter tips that can be identified in a subsequent position check using ultrasonography...
February 22, 2024: Paediatric Anaesthesia
https://read.qxmd.com/read/38364591/an-mhealth-application-for-chronic-vascular-access-consumer-led-co-creation
#11
JOURNAL ARTICLE
Amanda J Ullman, Victoria Gibson, Tricia M Kleidon, Sebastian Binnewies, Ryoma Ohira, Nicole Marsh, Craig McBride, Karen Winterbourn, Francesca Boyte, Jacqueline Cunninghame, Natasha Roberts, Grace Hui Xu, Mari Takashima, Marie Cooke, Claire M Rickard, Joshua Byrnes, Emily Larsen
PURPOSE: Children with chronic and complex health conditions frequently need intravenous devices. The current approach to intravenous device selection, insertion, and monitoring is inconsistent, and healthcare consumers are often negatively affected by siloed health information, and poor future planning. Despite child- and family-centred care being recognised as a pillar of paediatric nursing care, limited implementation for vascular access device planning and management is evident. DESIGN AND METHODS: To address this, we conducted a multi-phased approach to co-create, then evaluate, a mobile health (mHealth) application: IV Passport...
February 15, 2024: Journal of Pediatric Nursing
https://read.qxmd.com/read/38344690/improving-anticoagulation-care-for-pediatric-oncology-patients-a-quality-improvement-initiative
#12
JOURNAL ARTICLE
Vilmarie Rodriguez, Brockton S Mitchell, Joseph Stanek, Katherine Vasko, Jean Giver, Kay Monda, Joan Canini, Amy A Dunn, Riten Kumar
BACKGROUND: Cancer is associated with increased venous thromboembolism in children. Risk factors for venous thromboembolism in this cohort include using central venous catheters, mass effect from underlying malignancy, chemotherapy, and surgery. Anticoagulation management in this cohort is challenging, given recurrent episodes of thrombocytopenia, the need for invasive procedures, and coagulopathy. A quality improvement (QI) initiative was developed to improve hematology consultation services and provide documentation of an individualized anticoagulation care plan for this high-risk cohort...
2024: Pediatric Quality & Safety
https://read.qxmd.com/read/38342222/children-with-leukemia-and-fever-at-diagnosis-bloodstream-infection-and-central-venous-access-device-removal
#13
JOURNAL ARTICLE
Muhammad Danish Barakzai, Dalia Bozic, Sumit Gupta, Afsaneh Amirabadi, Michael Temple, George Koshy Chiramel, Dimitri Parra, Alessandro Gasparetto, Joao Guilherme Amaral
PURPOSE: To assess the incidence of fever at diagnosis in children with leukemia and to determine if fever at diagnosis is a predictor of BSI or CVAD removal due to infection either within the first 30 days or between 30- and 90-days post CVAD insertion. MATERIALS AND METHOD: 151 acute leukemia patients (July 1, 2018 to December 31, 2020), who had a CVAD insertion within 2 weeks of diagnosis were included. Demographics, fever at diagnosis, CVAD type, antibiotics before and/or on the day of CVAD insertion, BSI incidence, BSI rates per 1000 catheter days, and need for line removal post CVAD insertion within 30 days and between 30 and 90 days...
February 9, 2024: Journal of Vascular and Interventional Radiology: JVIR
https://read.qxmd.com/read/38299202/overview-of-childhood-vaccination-coverage-in-brazil-and-the-impact-of-the-covid-19-pandemic-is-our-children-s-health-at-risk-a-review-of-pre-covid-19-periods-and-during-the-covid-19-pandemic
#14
JOURNAL ARTICLE
Jéssica Paula Martins, Giulia Almeida Alatzatianos, Tais Mendes Camargo, Fernando Augusto Lima Marson
INTRODUCTION: The coronavirus disease (COVID)-19 has had a great impact on several aspects related to the population's health, including the vaccination adherence rate. This study describes how childhood vaccination coverage (CVC) in Brazil was affected by the pandemic in the period from 2020 to 2022 and explores the relationship between this data and the Human Development Index (HDI), and the number of votes received in the government with a right-wing political ideology. METHODS: An ecological analysis of CVC was carried out including 12 vaccines...
March 2024: Vaccine: X
https://read.qxmd.com/read/38271036/percutaneous-infraclavicular-subclavian-vein-catheters-in-paediatric-cancer-patients-in-comparison-with-critically-ill-children-a-one-year-experience-from-a-tunisian-hospital
#15
JOURNAL ARTICLE
Anouar Jarraya, Manel Kammoun, Ahmad Sarhan, Ahmad Abdelhedi, Kamel Kolsi
BACKGROUND: Paediatric cancer and critically ill patients frequently require central venous catheters for prolonged intravenous therapy. The aim of this study is to compare the difficulty of catheter insertion and the morbidity related to this procedure in these two populations and to investigate risk factors for complications. METHODS: This prospective observational study was conducted at the Hedi Chaker University Hospital in Sfax, Tunisia, from July 2021 to July 2022...
January 25, 2024: British Journal of Nursing: BJN
https://read.qxmd.com/read/38267590/use-of-clearguard-hd-caps-in-pediatric-hemodialysis-patients
#16
JOURNAL ARTICLE
Amy Nau, Troy Richardson, Diana Cardwell, Jennifer Ehrlich, Jyothsna Gattineni, Melisha Hanna, Mahima Keswani, Emily Neibauer, Kelly Nitz, Raymond Quigley, Michelle Rheault, Rebekah Sims, Mayna Woo, Bradley A Warady
BACKGROUND: Bloodstream infections (BSIs) are a leading cause of hospitalizations and mortality among patients receiving hemodialysis (HD) therapy, especially those with a central venous catheter (CVC) for dialysis access. The use of chlorhexidine impregnated catheter caps (ClearGuard) has been associated with a decrease in the rate of HD catheter-related BSIs (CA-BSIs) in adults; similar data have not been published for children. METHODS: We compared CA-BSI data from participating centers within the Standardizing Care to Improve Outcomes in Pediatric Endstage Kidney Disease (SCOPE) collaborative based on the center's use of ClearGuard caps for patients with HD catheter access...
January 25, 2024: Pediatric Nephrology
https://read.qxmd.com/read/38263365/invasive-device-associated-skin-complications-and-mechanical-dysfunctions-in-paediatric-healthcare-a-systematic-review-and-meta-analysis
#17
REVIEW
Mari Takashima, Areum Hyun, Victoria Gibson, Eloise Borello, Amanda Ullman
AIM: This study aimed to estimate the proportion and rate of skin complications and mechanical dysfunction associated with indwelling invasive devices in paediatric healthcare. DESIGN: This systematic review is reported in accordance with Cochrane standards for randomized controlled trials and the Meta-analysis of Observation Studies in Epidemiology for cohort studies. DATA SOURCES: MEDLINE, CINAHL, Embase, Web of Science, Scopus, Cochrane CENTRAL, clinical trial registries, and unpublished study databases were searched...
January 23, 2024: Journal of Advanced Nursing
https://read.qxmd.com/read/38254126/vascular-access-challenges-in-hemodialysis-children
#18
JOURNAL ARTICLE
Doaa M Salah, Fatina I Fadel, Mohamed A Abdel Mawla, Hesham NAbdel Mooty, Mohamed El Ghobashy, Amr M Salem, Mohamed Gamal Fathallah, Eman Abobakr Abd Alazem
BACKGROUND: Hemodialysis (HD) success is dependent mainly on vascular access (VA). The aim of this study is to share the experience of Pediatric Nephrology Unit (PNU), Cairo University Children's Hospital (CUCH), with VA-related obstacles in end stage kidney disease (ESKD) HD children. METHODS: This is a retrospective analysis of VA related data of 187 ESKD children received regular HD over 3 year duration (2019-2021). Kaplan-Meier curves were used to present arteriovenous fistula (AVF) and cuffed catheters survivals...
January 22, 2024: Italian Journal of Pediatrics
https://read.qxmd.com/read/38227054/the-success-rate-and-complications-of-midline-catheters-in-pediatric-outpatient-parenteral-antibiotic-therapy-opat
#19
JOURNAL ARTICLE
Urban Fläring, Henrik Lundevall, Åke Norberg, Andreas Andersson
The use of outpatient parenteral antimicrobial therapy (OPAT) for children has several advantages, including reduced length of hospital stay and costs. A reliable vascular access is key to delivering safe and effective pediatric OPAT. In recent years, midline catheters (MC) have been increasingly used for short-term intravenous antibiotic therapy in children. However, there are no studies investigating the use of MCs in the OPAT setting. The main aim of this paper was to evaluate the success and complications of using MCs for pediatric OPAT...
January 16, 2024: European Journal of Pediatrics
https://read.qxmd.com/read/38220445/-pathogenic-characteristics-and-influence-factors-of-bloodstream-infection-induced-severe-sepsis-in-pediatric-intensive-care-unit
#20
JOURNAL ARTICLE
J Y Dou, Y P Zhou, Y Cui, T Sun, J Y Shi, X Xiong, Y C Zhang
Objective: To summarize the pathogenic characteristics of bloodstream infection (BSI)-induced severe sepsis and analyze the influence factors in pediatric intensive care unit (PICU). Methods: Pediatric patients who were diagnosed with severe sepsis caused by BSI in the PICU of Children's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine from January 2016 to December 2021 were retrospectively selected and divided into survival group and death group according to their discharge outcomes...
January 16, 2024: Zhonghua Yi Xue za Zhi [Chinese medical journal]
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