Abstract:
OBJECTIVE:To analyze the implementation of a protocol proposed by the Brazilian National Health Surveillance Agency (Agência Nacional de Vigilância Sanitária - ANVISA) to improve sepsis diagnosis in very low birth weight newborns. METHODS:This was a prospective study that evaluated the implementation of a protocol involving clinical and laboratory criteria (hematologic scoring system of Rodwell and C-reactive protein serial measurements), recommended by ANVISA, to improve the diagnosis of neonatal sepsis in very low birth weight newborns. The study included all patients who were born and remained in the neonatal intensive care unit until discharge or death, and excluded those with congenital diseases. The main outcomes measured in newborns before (2006-2007) and after implementation of the protocol (2008) were the rates of early and late-onset sepsis, use of antibiotics, and mortality. Means were compared by Student's t-test and categorical variables were compared by the chi-squared test; the significance level for all tests was set at 95%. RESULTS:The study included 136 newborns with very low birth weight. There was no difference between groups regarding general clinical characteristics in the studied periods. There was, however, a decrease in the number of diagnoses of probable early-onset sepsis (p<0.001), use of antimicrobial regimens (p<0.001), and overall mortality and infection-related mortality (p=0.009 and p=0.049, respectively). CONCLUSION:The implementation of the protocol allowed improvement of sepsis diagnosis by reducing the diagnosis of probable early-onset sepsis, thus promoting efficient antimicrobial use in this population.
journal_name
J Pediatr (Rio J)journal_title
Jornal de pediatriaauthors
Pinto MC,Bueno AC,Vieira AAdoi
10.1016/j.jped.2013.01.009subject
Has Abstractpub_date
2013-09-01 00:00:00pages
450-5issue
5eissn
0021-7557issn
1678-4782pii
S0021-7557(13)00125-3journal_volume
89pub_type
杂志文章abstract::OBJECTIVE: This study aimed to determine the prevalence of recurrent episodes of pneumonia in patients referred to the pulmonology outpatient unit at "Serviço de Pneumologia Pediatrica" of the Instituto de Puericultura e Pediatria Martagão Gesteira/UFRJ and to review the recurrent concept in accordance to medical refe...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.32
更新日期:2000-01-01 00:00:00
abstract:OBJECTIVE:To describe the linear growth and growth velocity of preterm infants born small for gestational age according to variables such as weight, length and head circumference, from birth to three months of corrected age. METHODS:Prospective study of one hundred preterm infants born small for gestational age from 2...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:
更新日期:2002-05-01 00:00:00
abstract:OBJECTIVES:To identify and characterize respiratory viruses that infect children from daycare centers with symptoms of respiratory infection and to evaluate the association of clinical and epidemiological disease data with the identified virus. METHODS:We conducted a study between 2003 and 2005 in 176 children with re...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/JPED.2126
更新日期:2011-09-01 00:00:00
abstract:OBJECTIVE:To describe the association between electronic devices in the bedroom with sedentary time and physical activity, both assessed by accelerometry, in addition to body mass index in children from São Caetano do Sul. METHODS:The sample consisted of 441 children. The presence of electronic equipment (television, ...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.1016/j.jped.2015.01.009
更新日期:2015-11-01 00:00:00
abstract:OBJECTIVE:Total bilirubin is beneficial for protecting cardiovascular diseases in adults. The authors aimed to investigate the association of total bilirubin, red blood cell, and hemoglobin levels with the prevalence of high blood pressure in children and adolescents. METHODS:A total of 3776 students (aged from 6 to 1...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.1016/j.jped.2017.07.018
更新日期:2018-01-01 00:00:00
abstract::OBJECTIVE: To assess the prevalence of prenatal exposure to cocaine in a sample of newborns using two methods: fluorescence polarization immunoassay and interview with the mother. METHODS: This cross-sectional study was carried out in a university teaching hospital. The population included all live births between Marc...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.277
更新日期:2001-09-01 00:00:00
abstract:OBJECTIVE:this study aimed to investigate the incidence of premature rupture of fetal membranes in preterm singleton pregnancies and its association with sociodemographic factors and maternal self-reported genitourinary infections. METHODS:this was a population-based cross-sectional study, which included all mothers o...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.1016/j.jped.2013.08.003
更新日期:2014-03-01 00:00:00
abstract:OBJECTIVES:To rescue medical genetics concepts that are necessary to understand the advances in the genetic-molecular characterization of primary immunodeficiencies, to help in the understanding and adequate interpretation of their results. SOURCE OF DATA:Non-systematic literature review, searching for articles since ...
journal_title:Jornal de pediatria
pub_type: 杂志文章,评审
doi:10.1016/j.jped.2020.09.007
更新日期:2020-10-26 00:00:00
abstract:OBJECTIVE:To evaluate the age at menarche of girls, with or without weight excess, attending private and public schools in a city in Southeastern Brazil. METHODS:This was a cross-sectional study comparing the age at menarche of 750 girls from private schools with 921 students from public schools, aged between 7 and 18...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.1016/j.jped.2014.05.008
更新日期:2015-01-01 00:00:00
abstract::In order to better understand the natural history of chronic functional constipation, a questionnaire was applied to 163 children and infants, before beginning standardized treatment. Median age (range) at start was 3 mo(0-108 mo) but age at arrival at the Pediatric Gastroenterology Unit was 53 mo(2-146 mo). In 62.4% ...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.688
更新日期:1994-09-01 00:00:00
abstract:OBJECTIVE:To investigate the association between postpartum depression and the occurrence of exclusive breastfeeding. METHOD:This is a cross-sectional study conducted in the states of the Northeast region, during the vaccination campaign in 2010. The sample consisted of 2583 mother-child pairs, with children aged from...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.1016/j.jped.2016.08.005
更新日期:2017-01-01 00:00:00
abstract::OBJECTIVE: To make a brief review about mechanical ventilation in Pediatrics.METHODS: Review of the classification of types of mechanical ventilation, characteristics of pression and flow waves and indications for its installation. In a sequential way we discuss the various modes of ventilation (control ventilation, a...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.476
更新日期:1998-07-01 00:00:00
abstract:OBJECTIVE:To analyze calcium intake in adolescents according to sociodemographic variables, health-related behaviors, morbidities, and body mass index. METHODS:This was a cross-sectional population-based study, with a two-stage cluster sampling that used data from a survey conducted in Campinas, São Paulo, Brazil, bet...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.1016/j.jped.2015.09.004
更新日期:2016-05-01 00:00:00
abstract:OBJECTIVES:The aim of the study was to describe the experience with high-frequency oscillatory ventilation (HFOV) in a Portuguese Pediatric Critical Care Unit, and to evaluate whether HFOV allowed improvement in oxygenation and ventilation. METHODS:This was a retrospective observational cohort study of children ventil...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.1016/j.jped.2013.02.008
更新日期:2013-01-01 00:00:00
abstract:OBJECTIVE:to evaluate neonatal sepsis as a risk factor for abnormal neuromotor and cognitive development in very low birth weight preterm infants at 12 months of corrected age. METHODS:this was a prospective cohort study that followed the neuromotor and cognitive development of 194 very low birth weight preterm infant...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.1016/j.jped.2013.09.006
更新日期:2014-05-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to investigate what effect the ingestion of sardines, rich in omega-3 series polyunsaturated fatty acids, has on the composition of breastmilk. METHODS:This was a prospective study of 31 nursing mothers under observation at the Hospital Guilherme Alvaro. Each was given 2 kg of ...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/JPED.1439
更新日期:2006-01-01 00:00:00
abstract:OBJECTIVE:To describe the antimicrobial activity of β-defensin-2 produced in the mammary gland and secreted in human breast milk. METHODS:The peptide production was performed by DNA cloning. β-defensin-2 levels were quantified in 61 colostrum samples and 39 mature milk samples from healthy donors, by an indirect enzym...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.1016/j.jped.2014.05.006
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVE:To estimate the frequency and describe the clinical characteristics and respective treatments of previous history of wheezing. METHODS:Infants aged 6-23 months with upper respiratory tract complaints and reporting previous wheezing were followed-up retrospectively. Data were registered on a validated standar...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/JPED.2187
更新日期:2012-07-01 00:00:00
abstract:OBJECTIVE:Using a wide and representative sample of adolescents from 37 countries, this study aimed to analyze how age changes adolescents' healthy lifestyle. METHODS:The study included 148,839 adolescents who participated in the Health Behavior in School-aged Children 2010 survey. A composite score of a healthy lifes...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.1016/j.jped.2018.09.002
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVE:To describe the characteristics of macrophage activation syndrome associated with juvenile idiopathic arthritis. DESCRIPTION:This is a retrospective study involving 462 patients with juvenile idiopathic arthritis. Seven (1.5%) of those patients suffered from systemic onset juvenile idiopathic arthritis and d...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:
更新日期:2004-11-01 00:00:00
abstract:OBJECTIVE:To evaluate the effect of zinc on the appetite for salt foods in children aged 8 months to 5 years. METHOD:Double-blind, placebo-controlled study. Two groups of 20 children refusing to eat salt foods were followed during 6 months. The children in the first group received zinc chelate 1 mg/kg daily for 3 mont...
journal_title:Jornal de pediatria
pub_type: 临床试验,杂志文章
doi:10.2223/1134
更新日期:2004-01-01 00:00:00
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journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/JPED.1845
更新日期:2008-11-01 00:00:00
abstract:OBJECTIVE:Sedation is an important step in the management of patients with hypercyanotic spells associated with tetralogy of Fallot (TOF) to ameliorate and prevent recurrence of cyanosis. This case report illustrates the effectiveness of dexmedetomidine-induced sedation in the management of hypercyanotic spells in a ne...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/JPED.1794
更新日期:2008-07-01 00:00:00
abstract::The diagnosis of acute otitis media (AOM) is made on clinical basis. The gold-standard tests are invasive. There are few studies quantifying the diagnostic power of the signs and symptoms. A sample of 300 children were analyzed to establish the diagnostic power of isolated and combinated signs and symptoms in AOM. The...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.588
更新日期:1996-03-01 00:00:00
abstract:OBJECTIVE:To measure the main risk factors associated with the occurrence of accidental injuries in children aged 4-5 years. METHODS:The study included a prospective cohort of children whose parents filled in a diary recording accidents and injuries during a period of one-month. The children represented a systematic s...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:
更新日期:2002-03-01 00:00:00
abstract::OBJECTIVE: This paper is a review on the topic of adolescent-onset anorexia nervosa. According to the literature, this disorder presents high morbidity and mortality, with increasing incidence over the last decades, thus enhancing the importance of scientific investigation on the subject. METHODS: The authors performe...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.170
更新日期:2000-11-01 00:00:00
abstract:OBJECTIVE:To evaluate the prevalence of intestinal parasitoses in Native Brazilian children from 2 to 9 years old. METHODS:A search for ova and parasites was conducted in the stools of children between 2 to 9 years old living in six indigenous villages located in the Middle and Lower Xingu River, to wit: Pavuru, Moygu...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/JPED.2036
更新日期:2010-11-01 00:00:00
abstract::OBJECTIVE: To review the use of corticosteroids in the treatment of newborns with chronic lung disease, adrenal insufficiency and upper airway edema. SOURCES: Review of the available medical literature on the use of corticosteroids in newborns. SUMMARY OF THE FINDINGS: Although there is evidence of short-term clinical...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.216
更新日期:2001-07-01 00:00:00
abstract::OBJECTIVES: Air pollution has been a significant worldwide problem with repercussions in the respiratory tract, along the years. The main objectives of this review are to present results from studies on the harmful effects of allergens as well as of pollutants over the respiratory tract.METHOD: Published studies were ...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.481
更新日期:1998-07-01 00:00:00
abstract:OBJECTIVE:To observe the intensity of the inflammatory reaction caused by urine on the intestinal wall of rats. METHODS:Experimental model, using 20 Wistar rats divided into two groups. All the animals were submitted to abdominal puncture at the right inferior quadrant, twice daily for five days. In Group I (control g...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.1113
更新日期:2003-11-01 00:00:00