Management of totally implantable vascular access devices in patients with cystic fibrosis.

Abstract:

:Cystic fibrosis (CF) is a genetic disease associated with recurrent lung infections, that represent a major cause of mortality and morbidity. Cystic fibrosis requires frequent antibiotic treatments, sometimes by mouth or via aerosol but often via the intravenous route. Totally implanted venous access devices (ports) allow an easy and safe vascular access for unlimited periods of time, and they can be used in CF to administer antibiotics and other i.v. infusions; if compared to external central venous catheters, ports are better tolerated, since they permit almost unlimited physical activity and do not interfere with patient's self-image. Though ports require a minimal level of care, they may be sometimes associated with relevant complications, which can be insertion-related (pneumothorax, arterial puncture, local hematoma), or management-related (infection, occlusion of the lumen, venous thrombosis). This article summarizes some recommendations on the management of ports in CF, considering the existing literature. Still, some issues remain unsolved and will need further research and studies.

journal_name

Minerva Pediatr

journal_title

Minerva pediatrica

authors

Dal Molin A,Gatta C,Festini F

subject

Has Abstract

pub_date

2009-10-01 00:00:00

pages

549-55

issue

5

eissn

0026-4946

issn

1827-1715

journal_volume

61

pub_type

杂志文章
  • [Pediatric non-alcoholic fatty liver disease: recent advances and challenges].

    abstract::Non-alcoholic fatty liver disease (NAFLD) encompasses a range of liver histology severity and outcomes in the absence of chronic alcohol use. The mildest form is simple steatosis in which triglycerides accumulate within hepatocytes. A more advanced form of NAFLD, non-alcoholic steatohepatitis (NASH), includes inflamma...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章,评审

    doi:

    authors: Poggiogalle E,Olivero G,Anania C,Ferraro F,Pacifico L

    更新日期:2010-12-01 00:00:00

  • [Psychopathological risk in children with early onset of partial epilepsy].

    abstract::In this study we compare the peculiarities of psychopathological risk in children with partial epilepsy versus children with chronic illness. Sixteen children affected by epilepsy with partial seizures, symptomatic or cryptogenetic (group A), are compared with 16 children affected by diabetes mellitus type 1 (group B)...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章

    doi:

    authors: Bargagna S,Guerrini R,Millepiedi S

    更新日期:1995-05-01 00:00:00

  • [Neonatal sepsis: new preventive strategies].

    abstract::More than one million neonatal deaths every year in the world are attributable to infection. In nurseries, infections occur with a reported incidence of 0.3-3%; in Neonatal Intensive Care Units (NICUs) the reported incidence is 7-24.5%, and up to 40% in newborns with birth weight less than 1000 g or gestational age at...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章,评审

    doi:

    authors: Stronati M,Bollani L,Maragliano R,Ruffinazzi G,Manzoni P,Borghesi A

    更新日期:2013-02-01 00:00:00

  • [Visceral leishmaniasis complicated by herpes zoster. An unusual case in the pediatric age].

    abstract::The Authors describe a case report of a girl of 7 years affected by visceral leishmaniasis (VL) complicated by herpes zoster (Hz). Hz infection is unusual in paediatric age, but it may complicate immunodeficiency states. VL causes, as well known, T cell immunity depression: Hz infection could be facilitated by this si...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章

    doi:

    authors: Di Martino L,Nocerino A,Pettoello M,Toscano P,Franzese A,Di Maio S

    更新日期:1992-01-01 00:00:00

  • [Brucellosis and splenic infarction: a case in pediatric age].

    abstract::Splenic infarction has been associated with haematologic and tromboembolic disorders and, more rarely, with infectious diseases. A case of splenic infartion during an attack of brucellosis is reported. Symptoms included persistent left upper quadrant pain and fever. An abdomen scan confirmed the presence of a triangul...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章

    doi:

    authors: Ruggeri C,Tulino V,Foti T,Carcione L,Vita D,Visalli C,Zimbaro G

    更新日期:2001-12-01 00:00:00

  • [Gynecological exam of the adolescent girl: clinical and methodological approach].

    abstract::The gynaecological approach with the adolescent is always complex, arduous and also stimulating. It is necessary to acquire specific knowledge, to understand that the adolescent is always searching for his identity and that the most important request is that the normality. The first impact is fundamental, understandin...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章

    doi:

    authors: Cardamone A

    更新日期:2002-12-01 00:00:00

  • Bcl-2 and Caspase-9 serum levels in children and adolescents with idiopathic epilepsy and active seizures.

    abstract:BACKROUND:In the present study we investigated the levels of proapoptotic Caspase-9 and antiapoptotic Bcl-2 proteins in the sera of children and adolescents with idiopathic epilepsy and tried to relate the findings to the patients clinical parameters. METHODS:This retrospective study consisted of 118 children and adol...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章

    doi:10.23736/S0026-4946.17.04787-9

    authors: Skardoutsou A,Primikiris P,Tsentidis C,Marmarinos A,Gourgiotis D

    更新日期:2017-06-22 00:00:00

  • [Herpes simplex virus infection in pregnancy: epidemiologic, diagnostic and therapeutic data. An unusual case of HSV-1 in monozygotic twins].

    abstract::The Authors report a case of two pre-term monocorial twins affected by HSV-1 infection (Herpes Simplex Virus type 1), with generalized sepsis and involvement of the central nervous system (CNS), born by mother with primary infection who presented a typical vesicular eruption a week before delivery. As the HSV-1 was a ...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章

    doi:

    authors: Parisi G,Squadrone NP,Rojo S,Muzii U,Molino O,Chiarelli A

    更新日期:1992-10-01 00:00:00

  • [Critical comparison of some questionnaires for the evaluation of the quality of life in children affected by asthma].

    abstract:AIM:The aim of this study was to critically compare 9 different questionnaires for the evaluation of the Quality of Life in children affected by asthma. METHODS:The questionnaires were analyzed by considering their psychometric characteristics (reliability, validity, responsiveness, least clinically relevant differenc...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章

    doi:

    authors: Rocchi MB,Bellagamba S

    更新日期:2003-08-01 00:00:00

  • [Determination of the cut-off for marker TPA in healthy children].

    abstract::In the present study the authors investigated the normal range of the marker TPA in the sera of 100 children (apparently healthy) aged from 0 to 6 years. Well-defined criteria as guide-lines to the interpretation of laboratory results are a very urgent necessity for the expanding utilization of clinical laboratory dat...

    journal_title:Minerva pediatrica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Magrì G,Giargia L

    更新日期:1994-11-01 00:00:00

  • [The psychological aspects of asthma in childhood].

    abstract:BACKGROUND AND AIMS:The hypothesis of an emotional component in asthma has been put forward since antiquity. It is currently explored using a psychodynamic, cognitive-behavioural and systemic-relational approach. This study, carried out using a psychodynamic approach, aimed to identify the psychological aspects of recu...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章

    doi:

    authors: Massaglia P,Zizza M,Castello M,Castello D

    更新日期:1998-03-01 00:00:00

  • [Oromaxillofacial changes in thalassemia major].

    abstract::Sixty patients (31 male and 29 female) with thalassemia major, aged between 6 and 26 years, 18 of which were splenectomized, were observed in this study evaluating the oro-maxillo-facial alterations and correlating them to transfusion indexes, serum ferritin levels, splenectomy and age. For each patient a haematologic...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章

    doi:

    authors: De Mattia D,Pettini PL,Sabato V,Rubini G,Laforgia A,Schettini F

    更新日期:1996-01-01 00:00:00

  • [Pulmonary hypertension caused by a severe scoliosis. Description of a case].

    abstract:BACKGROUND:Pulmonary hypertension in childhood is uncommon. It can be idiopathic or secondary to other pathologies (cardiovascular, skeletric,...). CASE DESCRIPTION:We report on a 9 year old girl suffering from pulmonary hypertension due to severe dorso-lumbar scoliosis. CONCLUSIONS:We discuss the etiopathogenetic re...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章

    doi:

    authors: Carta M,Giuffrè M,Meli F,Liotta A

    更新日期:1996-11-01 00:00:00

  • [Calcium-phosphate metabolism and bone markers in two patients with Noonan's syndrome treated with growth hormone].

    abstract:AIM:To evaluate the possible effects of recombinant growth hormone (rhGH) therapy on mineral homeostasis and bone turnover, the authors studied calcium-phosphate metabolism parameters, including some bone markers, in 2 prepubertal subjects with Noonan's syndrome (NS). METHODS:Two prepubertal males suffering from NS, s...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章

    doi:

    authors: Praticò G,Palano GM,Lo Presti D,Parisi G,Caruso-Nicoletti M

    更新日期:2003-12-01 00:00:00

  • Neonatal outcomes of multiple versus single very preterm infants.

    abstract:BACKGROUND:Neonatal morbidity and mortality differ between very preterm infants that result from single and those that result from a multiple order pregnancy. The aim of our study was to assess and compare the neonatal morbidity and mortality of multiple versus single very preterm infants. METHODS:Obstetrical and neon...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章

    doi:10.23736/S0026-4946.19.05592-0

    authors: Rocha G,Flor-De-Lima F,Machado AP,Guimaraes H,Hypertensive Disorders of Pregnancy Study Group.

    更新日期:2019-11-05 00:00:00

  • Growth and other factors affecting peak expiratory flow in Greek children.

    abstract:AIM:The estimation of peak expiratory flow (PEF) in children is a very easy and practical way to check lung function and helps in the diagnosis, treatment follow-up and evaluation of the development of chronic obstructive pulmonary disease. METHODS:Using a Mini-Wright flowmeter (Clement Clarke International Ltd, Engla...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章

    doi:

    authors: Aivazis V,Hatzimichail A,Stavridis J,Bourli E,Konstantinidis TH,Katsougiannopoulos V

    更新日期:2005-04-01 00:00:00

  • [Respiratory emergencies in adolescents].

    abstract:BACKGROUND:The aim of this paper was to examine the present situation of adolescents admission for respiratory emergency, management of these patients, identify strategies for the best therapeutic options and better collaboration. METHODS:We have gathered data of adolescent patients who were referred to the Emergency ...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章

    doi:

    authors: Pirlo D,Gastaldi R,Di Pietro P

    更新日期:2002-12-01 00:00:00

  • Transanal irrigation and intestinal transit time in children with myelomeningocele.

    abstract:AIM:Myelomeningocele (MMC), among others functions, affects colorectal motility and bowel emptying, and often leads to constipation, faecal incontinence, or a combination of both. We investigated the benefits of transanal irrigation (TI) in children with MMC through the radiological study of intestinal transit time. M...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章

    doi:

    authors: Marte A,Borrelli M

    更新日期:2013-06-01 00:00:00

  • Adolescents and cancer: discrepancy between untroubled appearance and insight disturbance.

    abstract::The care of adolescents suffering from high risk disease is a demanding challenge. At times, adolescents may well be too old for the pediatrician and Pediatric Units, and yet too young for the adult practitioner. A dedicated approach that builds on the insight deriving from special attention to, and reflection on the ...

    journal_title:Minerva pediatrica

    pub_type: 社论

    doi:

    authors: Massimo LM,Caprino D

    更新日期:2011-04-01 00:00:00

  • Non-standard approach to infants and children with megacolon: laparotomy and endorectal pull-through (ERPT) for diagnosis and treatment in difficult countries with low resources in a non-profit setting: return to the past Soave's ERPT.

    abstract:BACKGROUND:Hirschsprung's disease is an important cause of pediatric constipation with high risk of bacterial enterocolitis. Its diagnosis is histological and the suction biopsy is the gold standard. In resource-limited countries, the main diagnostic exam is the contrast enema and mini-invasive surgery lacks. We presen...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章

    doi:10.23736/S0026-4946.19.05487-2

    authors: Mattioli G,Osnel L,Wong MC,Palo F,Faticato MG,Petralia P

    更新日期:2019-03-21 00:00:00

  • Is there any difference between the symptomatology and clinical findings of viral agents causing dehydration?

    abstract:BACKGROUND:Acute gastroenteritis is responsible for dehydration in many children. The viruses like rotavirus, norovirus, and adenovirus are considered the main causative agents of gastroenteritis. The goal of this study is the evaluation of the symptoms, clinical findings and hospitalization requirements in pediatric p...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章

    doi:10.23736/S0026-4946.16.04259-X

    authors: Biçer S,Çöl D,Küçük Ö,Erdağ GÇ,Giray T,Uğraş M,Vitrinel A,Kaspar Ç

    更新日期:2018-04-01 00:00:00

  • [An anomaly in Poland. A description of a clinical case of a three years and four months-old boy].

    abstract::The authors describe Poland's anomaly in a boy aged three years and four months, characterised by a depression in the right hemithorax caused by the absence of the medial extremity of the large pectoral muscle with hypoplasia of the remaining venter musculi. Moreover, the scan showed the absence of the small homolater...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章

    doi:

    authors: Martino F,Agolini D,Principessa L,Giardini O

    更新日期:1997-01-01 00:00:00

  • Pediatric exercise induced bronchoconstriction.

    abstract:: ...

    journal_title:Minerva pediatrica

    pub_type: 信件

    doi:10.23736/S0026-4946.17.04790-9

    authors: Qu C,Guo F,Zhang C

    更新日期:2019-10-01 00:00:00

  • Intermittent treatment with high dose nebulized beclomethasone for recurrent wheezing in infants due to upper respiratory tract infection.

    abstract:BACKGROUND:To investigate if high dose inhaled beclomethasone dipropionate started early after upper respiratory tract infection (URTI) could reduce recurrent wheezing in infants. METHODS:Twenty-six ambulatory infants, 7-12 months of age, with recurrent wheezing during upper respiratory tract infection participated. A...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章

    doi:

    authors: Ghirga G,Ghirga P,Fagioli S,Colaiacomo M

    更新日期:2002-06-01 00:00:00

  • Prevalence of overweight and obesity and associations with socioeconomic indicators: the study of health and activity among adolescents in Kuwait.

    abstract:BACKGROUND:Kuwait is one of the Arab countries with the highest prevalence of overweight or obesity. However, few studies have described the prevalence of obesity in this country. The aim of this study is to describe the prevalence of overweight and obesity among Kuwaiti adolescents; and to examine the association of o...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章

    doi:10.23736/S0026-4946.18.04911-3

    authors: Rey-Lopez JP,Hashem R,Hamer M,Mcmunn A,Whincup PH,Owen CG,Stamatakis E

    更新日期:2019-08-01 00:00:00

  • Distribution of inhalant allergies in pediatric patients presenting with allergic complaints in the Eastern Anatolia Region.

    abstract:BACKGROUND:The objective of this study was to define the distribution of inhalant allergens in pediatric patients in whom sensitization was diagnosed with a skin prick test (SPT) who had presented with allergic complaints. In addition, the correlation between the inhalant allergens detected on the SPT and the patients'...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章

    doi:

    authors: Kilic M,Taskin E

    更新日期:2016-08-01 00:00:00

  • Pyloric duplication: ultrasound appearance.

    abstract::This paper reports a case of pyloric duplication, an extremely rare abnormality usually discovered during infancy. Clinical findings involved mainly symptoms of obstruction and radiological evaluation included abdominal US, plain radiography and CT imaging. Pyloric duplication was diagnosed by US and confirmed by CT s...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章

    doi:

    authors: Deftereos S,Tsalkidis A,Soultanidis H,Limas C,Manavis J

    更新日期:2006-08-01 00:00:00

  • [Wolfram syndrome. Personal experience].

    abstract::We report on a young patient who suffered from diabetes mellitus and neurosensorial deafness from the age of two. One year later she was noted to have deteriorated vision and the diagnosis of optic atrophy was made, her visual acuity decreased progressively. At the age of six she was admitted to our hospital because o...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章

    doi:

    authors: Marietti G,Bizzarri C,Perrone F,Zampino G,Conti G,Falsini B,Ricci B

    更新日期:1995-04-01 00:00:00

  • [Evaluation of the fluidifying effect on nasal mucus of physiologic solution combined with increasing concentrations of polysorbates].

    abstract::Nasal decongestants are widely used in the treatment of rhinitis. Decongestant drugs are one of the main components, but numerous reports gave been made concerning side, local and general effects. The problem is particularly important in the treatment of infantile rhinitis for which the use of saline solution alone is...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章

    doi:

    authors: Luisetti M,Mevio E

    更新日期:1992-09-01 00:00:00

  • The reverse pyramid: a quali-quantitative study about food advertising inside children's television programmes.

    abstract:AIM:Considering how eating habits affect the health of children and taking into account the influence of advertising messages, we wanted to investigate the quantity and the typology of advertising on air during children's television programmes. METHODS:The research was conducted beginning in January 2008 up to March 2...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章

    doi:

    authors: Pellai A,Vetrano S,Nobile M,Luti C

    更新日期:2012-02-01 00:00:00