Respiratory hospitalizations and respiratory syncytial virus prophylaxis in special populations.

Abstract:

:Palivizumab utilization, compliance, and outcomes were examined in infants with preexisting medical diseases within the Canadian Registry Database (CARESS) to aid in developing guidelines for potential "at-risk" infants in the future. Infants who received ≥1 dose of palivizumab during the 2006-2010 respiratory syncytial virus (RSV) seasons at 29 sites were recruited and utilization, compliance, and outcomes related to respiratory infection/illness (RI) events were collected monthly. Hazard ratios (HRs) and 95% confidence intervals (CIs) were calculated for premature infants ≤35 completed weeks gestational age (GA) who met standard approval criteria (group 1) compared to those with medical disorders (group 2) using Cox proportional hazards regression models with adjustment for potential confounding factors. Of 7,339 registry infants, 4,880 were in group 1 and 952 in group 2, which included those with Down syndrome (20.3%), upper airway anomalies (18.7%), pulmonary diseases (13.3%), and cystic fibrosis (12.3%). Group 2 were older at enrollment (10.2 ± 9.2 vs. 3.5 ± 3.1 months, p < 0.0005), had higher GA (35.9 ± 6.0 vs. 31.0 ± 5.4 weeks, p < 0.0005), and were less compliant with treatment intervals (69.4% vs. 72.6%, p = 0.048). A greater proportion of group 2 infants were hospitalized for RI (9.0% vs. 4.2%, p < 0.0005) and RSV (2.4% vs. 1.3%, p = 0.003) (unadjusted). Being in group 2 was associated with an increased risk of RI (HR = 2.0, 95%CI 1.5-2.5, p < 0.0005), but not RSV hospitalization (HR = 1.6, 95% CI 0.9-2.8, p = 0.106). In infants receiving palivizumab, those with underlying medical disorders, though not currently approved for prophylaxis, are at higher risk for RI events compared with preterm infants. However, risk of RSV hospitalizations is similar.

journal_name

Eur J Pediatr

authors

Paes B,Mitchell I,Li A,Lanctôt KL

doi

10.1007/s00431-011-1654-8

subject

Has Abstract

pub_date

2012-05-01 00:00:00

pages

833-41

issue

5

eissn

0340-6199

issn

1432-1076

journal_volume

171

pub_type

杂志文章
  • Use of self-heating gel mattresses eliminates admission hypothermia in infants born below 28 weeks gestation.

    abstract:INTRODUCTION:Hypothermia at birth is strongly associated with mortality and morbidity in pre-term infants. BACKGROUND:A local audit showed limited effectiveness of occlusive wrapping in preventing admission hypothermia in very pre-term infants. Self-heating acetate gel mattresses were introduced as a result to prevent...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/s00431-009-1113-y

    authors: Ibrahim CP,Yoxall CW

    更新日期:2010-07-01 00:00:00

  • EPONYM. Sweet syndrome.

    abstract::Sweet syndrome, also referred to as acute febrile neutrophilic dermatosis, is characterized by tender, red inflammatory nodules or papules that occur in association with infection, malignancy, connective tissue disease, or following exposure to certain drugs. Although drug-induced Sweet syndrome is rare, granulocyte c...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章,评审

    doi:10.1007/s00431-010-1201-z

    authors: Kim MJ,Choe YH

    更新日期:2010-12-01 00:00:00

  • Propionic acidaemia: clinical, biochemical and therapeutic aspects. Experience in 30 patients.

    abstract::Comprehensive data on 30 patients with propionic acidaemia, diagnosed by selective screening for inborn errors of metabolism, are presented. The most valuable diagnostic metabolites found were methylcitric-, 3-hydroxypropionic-, and 2-methyl-3-oxovaleric acids. Hyperlysinaemia and hyperlysinuria are also characteristi...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/BF02138781

    authors: Lehnert W,Sperl W,Suormala T,Baumgartner ER

    更新日期:1994-01-01 00:00:00

  • Hyaline membrane disease: prognostic factors and medium-term follow-up.

    abstract::One hundred and twenty two cases of severe hyaline membrane disease are reported. 68 of them survived (57%). Adverse clinical, radiological and laboratory factors, and their effects on the early mortality rate, are analysed with particular reference to the referring centers, delay in admission, transport and the criti...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/BF00442059

    authors: Goenen M,Ninane J,Ducoffre B,Declerck Y,Claus D,Ferriere G,Thomas-van Moerbeke RM,Moulin D,De Meyer R,Tremouroux J

    更新日期:1978-03-13 00:00:00

  • Outcomes following venoarterial extracorporeal membrane oxygenation in children with refractory cardiogenic disease.

    abstract::Retrospective analysis was performed at an affiliated university children's hospital with consecutive patients receiving a venoarterial extracorporeal membrane oxygenation (VA-ECMO) for refractory cardiogenic shock from July 2007 to May 2018. Fifty-six patients underwent VA-ECMO for refractory cardiogenic shock with t...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/s00431-019-03352-5

    authors: Yang L,Ye L,Fan Y,He W,Zong Q,Zhao W,Lin R

    更新日期:2019-06-01 00:00:00

  • Longitudinal study on early diagnosis and treatment of phenylketonuria in Poland.

    abstract::Early diagnosis and treatment of phenylketonuria (PKU) in Poland was started in 1965, initially on a voluntary and then on a obligatory basis. Guthrie tests have been used for newborn screening. For confirmation of diagnosis changing with time methods of blood phenylalanine (Phe) and tyrosine estimation were used. In ...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/pl00014250

    authors: Cabalska MB,Nowaczewska I,Sendecka E,Zorska K

    更新日期:1996-07-01 00:00:00

  • The effect of age and body size on the urinary excretion of C-peptide from birth to 14 years of age.

    abstract::The daily excretion of C-peptide in the urine was measured in 105 healthy infants and children from birth to 14 years of age. For technical reasons no studies were performed from 1-3 years of age. The excretion of C-peptide showed a close positive correlation with age and weight. The relationship with weight was alrea...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/BF00442133

    authors: Gács G,Jakabfi P,Zubovich L

    更新日期:1985-01-01 00:00:00

  • Transient and permanent neonatal diabetes.

    abstract::Neonatal diabetes, which may be transient or permanent, is rare. Most patients are full-term but small- for-date infants. Typical symptoms of diabetes mellitus occur within the first 4 weeks of life, requiring insulin therapy and very strict blood glucose monitoring. Subsequent growth and psychomotor development are u...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章,评审

    doi:10.1007/BF01958635

    authors: Fösel S

    更新日期:1995-12-01 00:00:00

  • Investigation of accelerated metabolic function in small for gestational age infants.

    abstract::Small for gestational age (SGA) infants are known to develop relatively mild transient hyperbilirubinaemia, especially in comparison with premature infants. This may be interpreted as an index of accelerated maturation of particular vital functions. In the present study 12 SGA infants, 12 appropriate for gestational a...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/BF00442433

    authors: von Stockhausen HB,Struve M

    更新日期:1979-11-01 00:00:00

  • Demographic characteristics and metabolic risk factors in Croatian children with urolithiasis.

    abstract::The aim of this study was to assess demographic data, clinical presentation, metabolic features, and treatment in 76 children with urolithiasis presented from 2002 to 2011. Urolithiasis is responsible for 2.5/1,000 pediatric hospitalizations, with new cases diagnosed in 1.1/1,000 admissions. From the observed period, ...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/s00431-013-2165-6

    authors: Milošević D,Batinić D,Turudić D,Batinić D,Topalović-Grković M,Gradiški IP

    更新日期:2014-03-01 00:00:00

  • Pediatric palliative care-when quality of life becomes the main focus of treatment.

    abstract::Pediatric palliative care (PPC) focuses on children and adolescents with life-limiting diseases. It may be initiated at various points of the disease trajectory, if possible early enough to support living with the best possible quality of life despite a limited lifespan. From birth to adolescence, children with a broa...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章,评审

    doi:10.1007/s00431-012-1710-z

    authors: Bergstraesser E

    更新日期:2013-02-01 00:00:00

  • Ethical issues in the daily medical care of children.

    abstract::The main ethical imperative of all paediatric actions is the demand to do everything "in the best interests of children". Relevant guidelines can be derived from the UN Declaration on the Rights of Children, whereupon every child has the fundamental right to life and dignity, and is entitled to optimal medical care. P...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/s00431-005-0002-2

    authors: Kurz R,Gill D,Mjones S,Ethics Working Group of Confederation of European Specialists in Paediatrics.

    更新日期:2006-02-01 00:00:00

  • Severe X-linked chronic granulomatous disease in two unrelated females.

    abstract::Chronic granulomatous disease (CGD) is a rare primary immunodeficiency caused by mutations of one of the subunits of phagocyte reduced nicotinamide adenine dinucleotide phosphate (NADPH) oxidase leading to decreased or complete absence of neutrophil oxidative burst. We report the clinical and laboratory findings in tw...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/s00431-006-0211-3

    authors: Chollet-Martin S,Lopez A,Gaud C,Henry D,Stos B,El Benna J,Chedevile G,Gendrel D,Gougerot-Pocidalo MA,Grandchamp B,Gérard B

    更新日期:2007-02-01 00:00:00

  • Adrenal crises in children with adrenal insufficiency: epidemiology and risk factors.

    abstract::The aim of the study was to assess the epidemiology and risk factors of adrenal crises (AC) in children with adrenal insufficiency (AI). Children diagnosed with AI between 1990 and 2017 at four Israeli pediatric endocrinology units were studied. Demographic and clinical data were retrieved retrospectively from their f...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/s00431-019-03348-1

    authors: Eyal O,Levin Y,Oren A,Zung A,Rachmiel M,Landau Z,Schachter-Davidov A,Segev-Becker A,Weintrob N

    更新日期:2019-05-01 00:00:00

  • Ascorbate acid concentration in airways lining fluid from infants who develop chronic lung disease of prematurity.

    abstract::Chronic lung disease of prematurity (CLD) remains a common cause of morbidity and mortality in preterm infants. Oxygen toxicity remains a major risk factor for the development of CLD and as a consequence the antioxidant status of CLD babies is a major focus of interest. In the present study, we determined whether asco...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/s004310000709

    authors: Vyas JR,Currie A,Dunster C,Kelly FJ,Kotecha S

    更新日期:2001-03-01 00:00:00

  • The prevalence of GB virus C/hepatitis G virus RNA among healthy and HCV-infected Catalan children.

    abstract::GB virus C (GBV-C) is a blood-borne flavivirus. The prevalence of GBV-C viremia among healthy adults is 0.5% to 4% and, to date, no disease has been definitely associated with GBV-C infection. We conducted a cross-sectional study to evaluate GBV-C viremia prevalence in a group of 327 healthy children with normal alani...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/s00431-007-0624-7

    authors: Claret G,Noguera A,González-Cuevas A,García-García JJ,Fortuny C,Muñoz-Almagro C

    更新日期:2008-09-01 00:00:00

  • Bone mineral density in adolescent females treated with L-thyroxine: a longitudinal study.

    abstract:UNLABELLED:It has been suggested that chronic treatment with L-thyroxine (L-T4) could be implicated in reducing bone mineral density (BMD). The purpose of this longitudinal study was to determine whether appendicular and axial BMD is decreased by L-T4 treatment in adolescent girls. Thirteen adolescent girls with subcli...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/BF01955180

    authors: Saggese G,Bertelloni S,Baroncelli GI,Costa S,Ceccarelli C

    更新日期:1996-06-01 00:00:00

  • Moderate hyperhomocysteinaemia and vascular disease: evidence, relevance and the effect of treatment.

    abstract:UNLABELLED:Convincing evidence of moderate hyperhomocysteinaemia as a risk factor for vascular disease has accumulated within the last decade being independent of conventional risk factors and equally strong as hypercholesterolaemia and smoking. A synergistic interaction with hypertension and smoking in their joint art...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章,评审

    doi:10.1007/pl00014292

    authors: Boers G

    更新日期:1998-04-01 00:00:00

  • Prevalence of complementary/alternative medicine for children: a systematic review.

    abstract:UNLABELLED:Complementary/alternative medicine (CAM) has become an important topic, not least because of its popularity with patients. This systematic review is aimed at summarising the data known about CAM use in paediatric populations. A thorough search strategy was designed to identify all surveys on the prevalence o...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章,评审

    doi:10.1007/s004310051000

    authors: Ernst E

    更新日期:1999-01-01 00:00:00

  • The prevention of preterm birth with the use of antibiotics.

    abstract:UNLABELLED:Infection is a well recognised cause of spontaneous early preterm labour. Preterm labour of infective aetiology is refractory to the use of tocolytic agents and affected women have a higher risk of subsequent chorio-amnionitis and neonatal infection. Antibiotics used prophylactically for the prevention of pr...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章,评审

    doi:10.1007/pl00014313

    authors: Lamont RF

    更新日期:1999-12-01 00:00:00

  • Description of children with 45,X/46,XY karyotype.

    abstract::We hypothesized that because 45,X/46,XY (X/XY) children share a cell line with Turner syndrome (TS), they also share co-morbidities described in TS. In addition, the presence of the Y chromosome in brain and in other body tissues would influence their function. On the basis of our findings, we aimed to establish optim...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/s00431-011-1600-9

    authors: Tosson H,Rose SR,Gartner LA

    更新日期:2012-03-01 00:00:00

  • Sagittal craniostenosis, congenital heart disease, mental deficiency and various dysmorphies in two sibs--a "new" syndrome?

    abstract::This is a report on two mentally retarded sibs with similar anomalies (sagittal craniosynostosis, complex cardiovascular malformations, mandibular ankylosis) and various dysmorphic features. They could represent a "new" probably monogenic syndrome. ...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/BF00647293

    authors: Pfeiffer RA,Singer H,Zschiesche S

    更新日期:1987-01-01 00:00:00

  • Odd-numbered long-chain fatty acids in propionic acidaemia.

    abstract:UNLABELLED:In patients with propionic acidaemia (PA), the increased intracellular concentration of propionyl-CoA leads to a relative abundance of odd-numbered long-chain fatty acids (OLCFAs) in body lipids. We investigated the relative amount of OLCFA in erythrocyte membrane lipids over a period of 1-8 years in five pa...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/s004310050010

    authors: Sperl W,Murr C,Skladal D,Sass JO,Suormala T,Baumgartner R,Wendel U

    更新日期:2000-01-01 00:00:00

  • Growth response to growth hormone therapy following craniospinal irradiation.

    abstract::Nineteen (12 male, 7 female) children, who have received craniospinal irradiation for the treatment of a brain tumour distant from the hypothalamic-pituitary axis, resulting in growth hormone (GH) deficiency (CS-PRGHD), have been treated with GH. Eight have completed growth. Comparison has been made with the growth of...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/BF00442471

    authors: Clayton PE,Shalet SM,Price DA

    更新日期:1988-08-01 00:00:00

  • In vivo propionate oxidation as a prognostic indicator in disorders of propionate metabolism.

    abstract::Biochemical markers such as plasma and urinary metabolite concentrations and in vitro enzyme activity are of limited prognostic value in the most common disorders of propionate metabolism, methylmalonic acidaemia (MMA) and propionic acidaemia (PA). In vivo propionate oxidation was compared with conventional prognostic...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/BF02009661

    authors: Thompson GN,Walter JH,Bresson JL,Bonnefont JP,Saudubray JM,Leonard JV,Halliday D

    更新日期:1990-03-01 00:00:00

  • Surgical approach to male pseudohermaphroditism.

    abstract::Male pseudohermaphroditism (MPH) is defined as incomplete masculinization in patients with normal male karyotype (XY) and testicular histology. MPH encompasses a spectrum of female to male phenotypes and presents both diagnostic and technical challenges to the surgeon. Once gender is assigned, based on phenotype, adeq...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章,评审

    doi:10.1007/BF02125449

    authors: Packer MG

    更新日期:1993-01-01 00:00:00

  • Evaluation of the indications for early exchange transfusion in rhesus haemolytic disease during phototherapy.

    abstract::The study material consisted of 251 newborn light-treated infants with rhesus haemolytic disease (RHD) caused by anti-D. 139 infants were treated with ordinary phototherapy (white single light) and 112 infants with intensive phototherapy (blue double light). An evaluation was made as to wheter the indications for earl...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/BF00444752

    authors: Ebbesen F

    更新日期:1980-01-01 00:00:00

  • Maternal education and risk factors for sudden death in infants. Working Group of the Groupe Belge de Pédiatres Francophones.

    abstract:UNLABELLED:To monitor infant care practices associated with risks for sudden infant death, 400 Belgian families with infants less than 6 months old were questioned by 21 paediatricians during routine visits to local paediatric practices and well baby services (11 in urban centres, 10 in rural areas). Because of incompl...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/s004310100783

    authors: Kahn A,Bauche P,Groswasser J,Dramaix M,Scaillet S,Working Group, Groupe Belge de Pediatres Francophones.

    更新日期:2001-08-01 00:00:00

  • Severe and prolonged sedation in five neonates due to persistence of active diazepam metabolites.

    abstract:UNLABELLED:Five neonates who suffered from an unexpected long period of respiratory failure, muscular hypotonia, and drowsiness were observed in a retrospective study. Prior to this general depression, unusually high doses of diazepam were administered to all patients via intravenous bolus injection. Serum levels of di...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/s004310100745

    authors: Peinemann F,Daldrup T

    更新日期:2001-06-01 00:00:00

  • Copper and liver disease.

    abstract::There has been some limited progress in the understanding of the basic defect in Wilson disease and the gene concerned has been located to the chromosome region 13q14. Treatment with zinc has emerged as a definite alternative to penicillamine administration and some shortcomings and/or hazards of both forms of therapy...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章,评审

    doi:10.1007/BF01963553

    authors: Danks DM

    更新日期:1991-01-01 00:00:00