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https://www.readbyqxmd.com/read/28631310/zinc-supplementation-for-the-treatment-of-measles-in-children
#1
REVIEW
Ajibola A Awotiwon, Olabisi Oduwole, Anju Sinha, Charles I Okwundu
BACKGROUND: Measles is an important cause of childhood morbidity and mortality globally, despite increasing vaccine coverage. Zinc plays a significant role in the maintenance of normal immunological functions, therefore supplements given to zinc-deficient children will increase the availability of zinc and could reduce measles-related morbidity and mortality. This is an update of a review first published in 2015. OBJECTIVES: To assess the effects of zinc supplementation in reducing morbidity and mortality in children with measles...
June 20, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28623556/characteristics-and-clinical-role-of-bronchoscopy-in-diagnosis-of-childhood-endobronchial-tuberculosis
#2
An-Xia Jiao, Lin Sun, Fang Liu, Xiao-Chun Rao, Yu-Yan Ma, Xi-Cheng Liu, Chen Shen, Bao-Ping Xu, A-Dong Shen, Kun-Ling Shen
BACKGROUND: Endobronchial tuberculosis (EBTB) is the most frequent complication of primary pulmonary tuberculosis (PTB) in children. The aim of the study was to analyze characteristics and clinical role of bronchoscopy in diagnosis of childhood EBTB. METHODS: A retrospective, descriptive study was undertaken in 157 children with EBTB undergone fl exible bronchoscopy (FB) between January 2006 and June 2014. RESULTS: The median age of the enrolled patients was 3...
June 15, 2017: World Journal of Pediatrics: WJP
https://www.readbyqxmd.com/read/28614476/integrated-community-case-management-iccm-of-childhood-infection-saves-lives-in-hard-to-reach-communities-in-nicaragua
#3
Dixmer Rivera, Rashed Shah, Tanya Guenther, Meredith Adamo, Jeanne Koepsell, Carmen Maria Reyes, Mary McInerney, David R Marsh
Objective: To describe Nicaragua's integrated community case management (iCCM) program for hard-to-reach, rural communities and to evaluate its impact using monitoring data, including annual, census-based infant mortality data. Method: This observational study measured the strength of iCCM implementation and estimated trends in infant mortality during 2007-2013 in 120 remote Nicaraguan communities where brigadistas ("health brigadiers") offered iCCM services to children 2-59 months old...
June 8, 2017: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/28607674/gender-bias-in-careseeking-practices-in-57-low-and-middle-income-countries
#4
Janaína Calu Costa, Fernando C Wehrmeister, Aluísio Jd Barros, Cesar G Victora
BACKGROUND: Preventive and curative medical interventions can reduce child mortality. It is important to assess whether there is gender bias in access to these interventions, which can lead to preferential treatment of children of a given sex. METHODS: Data from Demographic and Health Surveys carried out in 57 low- and middle-income countries were used. The outcome variable was a composite careseeking indicator, which represents the proportion of children with common childhood symptoms or illnesses (diarrhea, fever, or suspected pneumonia) who were taken to an appropriate provider...
June 2017: Journal of Global Health
https://www.readbyqxmd.com/read/28607210/tachypnea-and-other-danger-signs-vs-pulse-oximetry-for-prediction-of-hypoxia-in-severe-pneumonia-very-severe-disease
#5
Varun Alwadhi, Pooja Dewan, Rajeev Kumar Malhotra, Dheeraj Shah, Piyush Gupta
OBJECTIVE: To compare the performance of respiratory rate and other clinical signs against pulse oximetry for predicting hypoxia in children with Severe pneumonia/Very severe disease as per integrated management of neonatal and childhood illness (IMNCI) classification. DESIGN: Cross-sectional study. SETTING: Pediatric emergency department of a tertiary-care hospital in Delhi, India. SUBJECTS: 112 hospitalized children (2 mo - 5 y) with Severe pneumonia/Very severe disease as per IMNCI classification...
June 4, 2017: Indian Pediatrics
https://www.readbyqxmd.com/read/28601421/impact-of-the-introduction-of-pneumococcal-conjugate-vaccination-on-pneumonia-in-the-gambia-population-based-surveillance-and-case-control-studies
#6
Grant A Mackenzie, Philip C Hill, Shah M Sahito, David J Jeffries, Ilias Hossain, Christian Bottomley, Uchendu Uchendu, David Ameh, Malick Ndiaye, Chidebereh D Osuorah, Oyedeji Adeyemi, Jayani Pathirana, Yekini Olatunji, Bade Abatan, Ebirim Ahameefula, Bilquees S Muhammad, Augustin E Fombah, Debasish Saha, Roslyn Mackenzie, Ian Plumb, Aliu Akano, Bernard Ebruke, Readon C Ideh, Bankole Kuti, Peter Githua, Emmanuel Olutunde, Ogochukwu Ofordile, Edward Green, Effua Usuf, Henry Badji, Usman N A Ikumapayi, Ahmad Manjang, Rasheed Salaudeen, E David Nsekpong, Sheikh Jarju, Martin Antonio, Sana Sambou, Lamin Ceesay, Yamundow Lowe-Jallow, Dawda Sowe, Momodou Jasseh, Kim Mulholland, Maria Knoll, Orin S Levine, Stephen R Howie, Richard A Adegbola, Brian M Greenwood, Tumani Corrah
BACKGROUND: Pneumococcal conjugate vaccines (PCVs) are used in many low-income countries but their impact on the incidence of pneumonia is unclear. The Gambia introduced PCV7 in August, 2009, and PCV13 in May, 2011. We aimed to measure the impact of the introduction of these vaccines on pneumonia incidence. METHODS: We did population-based surveillance and case-control studies. The primary endpoint was WHO-defined radiological pneumonia with pulmonary consolidation...
June 7, 2017: Lancet Infectious Diseases
https://www.readbyqxmd.com/read/28589003/household-expenditures-on-pneumonia-and-diarrhoea-treatment-in-ethiopia-a-facility-based-study
#7
Solomon Tessema Memirie, Zewdu Sisay Metaferia, Ole F Norheim, Carol E Levin, Stéphane Verguet, Kjell Arne Johansson
BACKGROUND: Out-of-pocket (OOP) medical payments can lead to catastrophic health expenditure and impoverishment. We quantified household OOP expenditure for treatment of childhood pneumonia and diarrhoea and its impact on poverty for different socioeconomic groups in Ethiopia. METHODS: This study employs a mix of retrospective and prospective primary household data collection for direct medical and non-medical costs (2013 US$). Data from 345 pneumonia and 341 diarrhoea cases (0-59 months of age) were collected retrospectively through exit interviews from 35 purposively sampled health facilities in Ethiopia...
January 2017: BMJ Global Health
https://www.readbyqxmd.com/read/28580433/limited-impact-of-neonatal-or-early-infant-schedules-of-7-valent-pneumococcal-conjugate-vaccination-on-nasopharyngeal-carriage-of-streptococcus-pneumoniae-in-papua-new-guinean-children-a-randomized-controlled-trial
#8
Celestine Aho, Audrey Michael, Mition Yoannes, Andrew Greenhill, Peter Jacoby, John Reeder, William Pomat, Gerard Saleu, Pioto Namuigi, Suparat Phuanukoonnon, Heidi Smith-Vaughan, Amanda J Leach, Peter Richmond, Deborah Lehmann
Streptococcus pneumoniae is a leading cause of pneumonia, the most common cause of childhood death. Papua New Guinean children experience high rates of nasopharyngeal pneumococcal colonization within weeks of birth, predisposing them to pneumococcal disease. In a trial to determine the safety and immunogenicity of early infant vaccination with 7-valent pneumococcal conjugate vaccine (7vPCV), we investigated the impact of early schedules on pneumococcal carriage. Infants were randomized at birth to receive 7vPCV in a 0-1-2-month (n = 101) or a 1-2-3-month (n = 105) schedule or no 7vPCV (n = 106)...
December 2016: Vaccine Rep
https://www.readbyqxmd.com/read/28577201/lung-ultrasound-in-childhood-pneumonia-the-emerging-new-era
#9
REVIEW
Arun Kumar Gupta, Manisha Jana
No abstract text is available yet for this article.
June 2, 2017: Indian Journal of Pediatrics
https://www.readbyqxmd.com/read/28575371/detection-of-pneumococcal-dna-in-blood-by-polymerase-chain-reaction-for-diagnosing-pneumococcal-pneumonia-in-young-children-from-low-and-middle-income-countries
#10
Susan C Morpeth, Maria Deloria Knoll, J Anthony G Scott, Daniel E Park, Nora L Watson, Henry C Baggett, W Abdullah Brooks, Daniel R Feikin, Laura L Hammitt, Stephen R C Howie, Karen L Kotloff, Orin S Levine, Shabir A Madhi, Katherine L O'Brien, Donald M Thea, Peter V Adrian, Dilruba Ahmed, Martin Antonio, Charatdao Bunthi, Andrea N DeLuca, Amanda J Driscoll, Louis Peter Githua, Melissa M Higdon, Geoff Kahn, Angela Karani, Ruth A Karron, Geoffrey Kwenda, Sirirat Makprasert, Razib Mazumder, David P Moore, James Mwansa, Sammy Nyongesa, Christine Prosperi, Samba O Sow, Boubou Tamboura, Toni Whistler, Scott L Zeger, David R Murdoch
Background.: We investigated the performance of polymerase chain reaction (PCR) on blood in the diagnosis of pneumococcal pneumonia among children from 7 low- and middle-income countries. Methods.: We tested blood by PCR for the pneumococcal autolysin gene in children aged 1-59 months in the Pneumonia Etiology Research for Child Health (PERCH) study. Children had World Health Organization-defined severe or very severe pneumonia or were age-frequency-matched community controls...
June 15, 2017: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/28575369/the-enduring-challenge-of-determining-pneumonia-etiology-in-children-considerations-for-future-research-priorities
#11
Daniel R Feikin, Laura L Hammitt, David R Murdoch, Katherine L O'Brien, J Anthony G Scott
Pneumonia kills more children each year worldwide than any other disease. Nonetheless, accurately determining the causes of childhood pneumonia has remained elusive. Over the past century, the focus of pneumonia etiology research has shifted from studies of lung aspirates and postmortem specimens intent on identifying pneumococcal disease to studies of multiple specimen types distant from the lung that are tested for multiple pathogens. Some major challenges facing modern pneumonia etiology studies include the use of nonspecific and variable case definitions, poor access to pathologic lung tissue and to specimens from fatal cases, poor diagnostic accuracy of assays (especially when testing nonpulmonary specimens), and the interpretation of results when multiple pathogens are detected in a given individual...
June 15, 2017: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/28575365/density-of-upper-respiratory-colonization-with-streptococcus-pneumoniae-and-its-role-in-the-diagnosis-of-pneumococcal-pneumonia-among-children-aged-5-years-in-the-perch-study
#12
Henry C Baggett, Nora L Watson, Maria Deloria Knoll, W Abdullah Brooks, Daniel R Feikin, Laura L Hammitt, Stephen R C Howie, Karen L Kotloff, Orin S Levine, Shabir A Madhi, David R Murdoch, J Anthony G Scott, Donald M Thea, Martin Antonio, Juliet O Awori, Vicky L Baillie, Andrea N DeLuca, Amanda J Driscoll, Julie Duncan, Bernard E Ebruke, Doli Goswami, Melissa M Higdon, Ruth A Karron, David P Moore, Susan C Morpeth, Justin M Mulindwa, Daniel E Park, Wantana Paveenkittiporn, Barameht Piralam, Christine Prosperi, Samba O Sow, Milagritos D Tapia, Khalequ Zaman, Scott L Zeger, Katherine L O'Brien
Background.: Previous studies suggested an association between upper airway pneumococcal colonization density and pneumococcal pneumonia, but data in children are limited. Using data from the Pneumonia Etiology Research for Child Health (PERCH) study, we assessed this potential association. Methods.: PERCH is a case-control study in 7 countries: Bangladesh, The Gambia, Kenya, Mali, South Africa, Thailand, and Zambia. Cases were children aged 1-59 months hospitalized with World Health Organization-defined severe or very severe pneumonia...
June 15, 2017: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/28575364/the-incremental-value-of-repeated-induced-sputum-and-gastric-aspirate-samples-for-the-diagnosis-of-pulmonary-tuberculosis-in-young-children-with-acute-community-acquired-pneumonia
#13
David P Moore, Melissa M Higdon, Laura L Hammitt, Christine Prosperi, Andrea N DeLuca, Pedro Da Silva, Vicky L Baillie, Peter V Adrian, Azwifarwi Mudau, Maria Deloria Knoll, Daniel R Feikin, David R Murdoch, Katherine L O'Brien, Shabir A Madhi
Background.: Mycobacterium tuberculosis (Mtb) contributes to the pathogenesis of childhood acute community-acquired pneumonia in settings with a high tuberculosis burden. The incremental value of a repeated induced sputum (IS) sample, compared with a single IS or gastric aspirate (GA) sample, is not well known. Methods.: Two IS samples were obtained for Mtb culture from children enrolled as cases in the Pneumonia Etiology Research for Child Health (PERCH) study in South Africa...
June 15, 2017: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/28575363/limited-utility-of-polymerase-chain-reaction-in-induced-sputum-specimens-for-determining-the-causes-of-childhood-pneumonia-in-resource-poor-settings-findings-from-the-pneumonia-etiology-research-for-child-health-perch-study
#14
Donald M Thea, Phil Seidenberg, Daniel E Park, Lawrence Mwananyanda, Wei Fu, Qiyuan Shi, Henry C Baggett, W Abdullah Brooks, Daniel R Feikin, Stephen R C Howie, Maria Deloria Knoll, Karen L Kotloff, Orin S Levine, Shabir A Madhi, Katherine L O'Brien, J Anthony G Scott, Martin Antonio, Juliet O Awori, Vicky L Baillie, Andrea N DeLuca, Amanda J Driscoll, Melissa M Higdon, Lokman Hossain, Yasmin Jahan, Ruth A Karron, Sidi Kazungu, Mengying Li, David P Moore, Susan C Morpeth, Ogochukwu Ofordile, Christine Prosperi, Ornuma Sangwichian, Pongpun Sawatwong, Mamadou Sylla, Milagritos D Tapia, Scott L Zeger, David R Murdoch, Laura L Hammitt
Background.: Sputum examination can be useful in diagnosing the cause of pneumonia in adults but is less well established in children. We sought to assess the diagnostic utility of polymerase chain reaction (PCR) for detection of respiratory viruses and bacteria in induced sputum (IS) specimens from children hospitalized with severe or very severe pneumonia. Methods.: Among children aged 1-59 months, we compared organism detection by multiplex PCR in IS and nasopharyngeal/oropharyngeal (NP/OP) specimens...
June 15, 2017: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/28575362/the-diagnostic-utility-of-induced-sputum-microscopy-and-culture-in-childhood-pneumonia
#15
David R Murdoch, Susan C Morpeth, Laura L Hammitt, Amanda J Driscoll, Nora L Watson, Henry C Baggett, W Abdullah Brooks, Maria Deloria Knoll, Daniel R Feikin, Karen L Kotloff, Orin S Levine, Shabir A Madhi, Katherine L O'Brien, J Anthony G Scott, Donald M Thea, Peter V Adrian, Dilruba Ahmed, Muntasir Alam, Juliet O Awori, Andrea N DeLuca, Melissa M Higdon, Ruth A Karron, Geoffrey Kwenda, Eunice M Machuka, Sirirat Makprasert, Jessica McLellan, David P Moore, John Mwaba, Salim Mwarumba, Daniel E Park, Christine Prosperi, Ornuma Sangwichian, Seydou Sissoko, Milagritos D Tapia, Scott L Zeger, Stephen R C Howie
Background.: Sputum microscopy and culture are commonly used for diagnosing the cause of pneumonia in adults but are rarely performed in children due to difficulties in obtaining specimens. Induced sputum is occasionally used to investigate lower respiratory infections in children but has not been widely used in pneumonia etiology studies. Methods.: We evaluated the diagnostic utility of induced sputum microscopy and culture in patients enrolled in the Pneumonia Etiology Research for Child Health (PERCH) study, a large study of community-acquired pneumonia in children aged 1-59 months...
June 15, 2017: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/28575361/chest-radiograph-findings-in-childhood-pneumonia-cases-from-the-multisite-perch-study
#16
Nicholas Fancourt, Maria Deloria Knoll, Henry C Baggett, W Abdullah Brooks, Daniel R Feikin, Laura L Hammitt, Stephen R C Howie, Karen L Kotloff, Orin S Levine, Shabir A Madhi, David R Murdoch, J Anthony G Scott, Donald M Thea, Juliet O Awori, Breanna Barger-Kamate, James Chipeta, Andrea N DeLuca, Mahamadou Diallo, Amanda J Driscoll, Bernard E Ebruke, Melissa M Higdon, Yasmin Jahan, Ruth A Karron, Nasreen Mahomed, David P Moore, Kamrun Nahar, Sathapana Naorat, Micah Silaba Ominde, Daniel E Park, Christine Prosperi, Somwe Wa Somwe, Somsak Thamthitiwat, Syed M A Zaman, Scott L Zeger, Katherine L O'Brien
Background.: Chest radiographs (CXRs) are frequently used to assess pneumonia cases. Variations in CXR appearances between epidemiological settings and their correlation with clinical signs are not well documented. Methods.: The Pneumonia Etiology Research for Child Health project enrolled 4232 cases of hospitalized World Health Organization (WHO)-defined severe and very severe pneumonia from 9 sites in 7 countries (Bangladesh, the Gambia, Kenya, Mali, South Africa, Thailand, and Zambia)...
June 15, 2017: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/28575357/data-management-and-data-quality-in-perch-a-large-international-case-control-study-of-severe-childhood-pneumonia
#17
Nora L Watson, Christine Prosperi, Amanda J Driscoll, Melissa M Higdon, Daniel E Park, Megan Sanza, Andrea N DeLuca, Juliet O Awori, Doli Goswami, Emily Hammond, Lokman Hossain, Catherine Johnson, Alice Kamau, Locadiah Kuwanda, David P Moore, Omid Neyzari, Uma Onwuchekwa, David Parker, Patranuch Sapchookul, Phil Seidenberg, Arifin Shamsul, Kazungu Siazeele, Prasong Srisaengchai, Mamadou Sylla, Orin S Levine, David R Murdoch, Katherine L O'Brien, Mark Wolff, Maria Deloria Knoll
The Pneumonia Etiology Research for Child Health (PERCH) study is the largest multicountry etiology study of pediatric pneumonia undertaken in the past 3 decades. The study enrolled 4232 hospitalized cases and 5325 controls over 2 years across 9 research sites in 7 countries in Africa and Asia. The volume and complexity of data collection in PERCH presented considerable logistical and technical challenges. The project chose an internet-based data entry system to allow real-time access to the data, enabling the project to monitor and clean incoming data and perform preliminary analyses throughout the study...
June 15, 2017: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/28575191/recurrent-and-congenital-tracheoesophageal-fistula-in-adults%C3%A2
#18
Peter Downey, William Middlesworth, Matthew Bacchetta, Joshua Sonett
OBJECTIVES: Recurrent congenital tracheoesophageal fistula (TEF) is well documented in infancy but may also present later in life. This study reviews our experience with the clinical presentation, diagnosis and management of 5 recurrent and 2 primary congenital tracheoesophageal fistulas (TEF) in adult patients. There are no literature series of late recurrence of TEF (repaired in childhood and recurring in adulthood) and relatively few reported cases of initial adult presentation of TEF...
May 31, 2017: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/28567280/solar-powered-oxygen-systems-in-remote-health-centers-in-papua-new-guinea-a-large-scale-implementation-effectiveness-trial
#19
Trevor Duke, Ilomo Hwaihwanje, Magdalynn Kaupa, Jonah Karubi, Doreen Panauwe, Martin Sa'avu, Francis Pulsan, Peter Prasad, Freddy Maru, Henry Tenambo, Ambrose Kwaramb, Eleanor Neal, Hamish Graham, Rasa Izadnegahdar
BACKGROUND: Pneumonia is the largest cause of child deaths in Papua New Guinea (PNG), and hypoxaemia is the major complication causing death in childhood pneumonia, and hypoxaemia is a major factor in deaths from many other common conditions, including bronchiolitis, asthma, sepsis, malaria, trauma, perinatal problems, and obstetric emergencies. A reliable source of oxygen therapy can reduce mortality from pneumonia by up to 35%. However, in low and middle income countries throughout the world, improved oxygen systems have not been implemented at large scale in remote, difficult to access health care settings, and oxygen is often unavailable at smaller rural hospitals or district health centers which serve as the first point of referral for childhood illnesses...
June 2017: Journal of Global Health
https://www.readbyqxmd.com/read/28562245/neurodevelopment-nutrition-and-inflammation-the-evolving-global-child-health-landscape
#20
Zulfiqar A Bhutta, Richard L Guerrant, Charles A Nelson
The last decade has witnessed major reductions in child mortality and a focus on saving lives with key interventions targeting major causes of child deaths, such as neonatal deaths and those due to childhood diarrhea and pneumonia. With the transition to Sustainable Development Goals, the global health community is expanding child health initiatives to address not only the ongoing need for reduced mortality, but also to decrease morbidity and adverse exposures toward improving health and developmental outcomes...
April 2017: Pediatrics
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