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1. |
The Pediatric Infectious Diseases Society 1992 Awards |
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The Pediatric Infectious Disease Journal,
Volume 11,
Issue 9,
1992,
Page 691-693
PAUL QUIE,
PATRICIA FERRIERI,
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ISSN:0891-3668
出版商:OVID
年代:1992
数据来源: OVID
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2. |
Duration of symptoms and outcome in bacterial meningitisan analysis of causation and the implications of a delay in diagnosis |
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The Pediatric Infectious Disease Journal,
Volume 11,
Issue 9,
1992,
Page 694-697
MICHAEL RADETSKY,
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ISSN:0891-3668
出版商:OVID
年代:1992
数据来源: OVID
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3. |
Commentary |
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The Pediatric Infectious Disease Journal,
Volume 11,
Issue 9,
1992,
Page 698-699
RALPH FEIGIN,
SHELDON KAPLAN,
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ISSN:0891-3668
出版商:OVID
年代:1992
数据来源: OVID
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4. |
CommentaryLegal aspects of bacterial meningitis |
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The Pediatric Infectious Disease Journal,
Volume 11,
Issue 9,
1992,
Page 700-701
JAMES GOODMAN,
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ISSN:0891-3668
出版商:OVID
年代:1992
数据来源: OVID
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5. |
Therapy of bacterial sepsis, meningitis and otitis media in infants and children1992 poll of directors of programs in pediatric infectious diseases |
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The Pediatric Infectious Disease Journal,
Volume 11,
Issue 9,
1992,
Page 702-704
PERRI KLASS,
JEROME KLEIN,
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摘要:
To determine current opinions among experts in pediatric infectious diseases for treatment of bacterial sepsis, meningitis and acute otitis media, we polled directors of training programs in January, 1992. Responses were received from 69 centers in the United States and Canada. For initial treatment of presumed bacterial meningitis, the third generation cephalosporins alone or combined with ampicillin have become drugs of choice in all age groups. Most infectious disease programs include dexamethasone in the management of presumed bacterial meningitis for children 2 months of age and older. Third generation cephalosporins are also drugs of choice for presumed sepsis: combined with ampicillin for infants 5 weeks of age; used alone for children 5 months and 12 years of age. Amoxicillin remains the preferred drug for initial treatment of acute otitis media. The combination of amoxicillin and clavulanic acid is favored in the setting of an increased proportion of beta-lactamase-producing bacterial pathogens. Comparison of these results with polls in 1987 and 1989 indicates a shift in recommendations of therapy of presumed bacterial sepsis and meningitis from ampicillin alone or combined with an aminoglycoside or chloramphenicol to use of a third generation cephalosporin alone or combined with ampicillin.
ISSN:0891-3668
出版商:OVID
年代:1992
数据来源: OVID
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6. |
Missed opportunities for influenza vaccination among children with asthma |
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The Pediatric Infectious Disease Journal,
Volume 11,
Issue 9,
1992,
Page 705-707
PETER SZILAGYI,
LANCE RODEWALD,
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摘要:
Influenza vaccination is recommended for children with moderate to severe asthma. However, most children with asthma are not vaccinated, in part because many do not make an office visit during the vaccination time period. We studied 247 urban children with asthma to determine the maximum number that could have been vaccinated during a medical visit to a clinic or emergency department. One hundred thirty-nine patients (56%) had at least one visit during the study period. Sixty-five patients (26%) received the influenza vaccination; 74 patients (30%) did not receive the vaccination despite being seen in the clinic or emergency department. One-half of the missed vaccination opportunities at the clinic occurred during nonacute visits. Influenza vaccination rates could be substantially improved by efforts to increase primary care visits during the vaccination time period and to minimize missed vaccination opportunities.
ISSN:0891-3668
出版商:OVID
年代:1992
数据来源: OVID
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7. |
Value of C‐reactive protein determination in the initial diagnostic evaluation of the febrile, neutropenic child with cancer |
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The Pediatric Infectious Disease Journal,
Volume 11,
Issue 9,
1992,
Page 708-712
JULIE KATZ,
MAHMOUD MUSTAFA,
ROBERT BASH,
JAYNE CASH,
GEORGE BUCHANAN,
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摘要:
We studied prospectively the value of admission C-reactive protein (CRP) in the diagnostic evaluation of the child with cancer hospitalized for fever and neutropenia. During a 7-month period 74 patients with malignant disease had 122 hospital admissions because of fever and neutropenia. All patients had a serum CRP obtained 8 to 24 hours after the onset of fever as part of their initial evaluation. There was a borderline correlation between serum CRP concentration and temperature at admission (P= 0.06). Patients with fever without an identifia.
ISSN:0891-3668
出版商:OVID
年代:1992
数据来源: OVID
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8. |
Prophylactic miconazole oral gel for the prevention of neonatal fungal rectal colonization and systemic infection |
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The Pediatric Infectious Disease Journal,
Volume 11,
Issue 9,
1992,
Page 713-716
STEPHEN WAINER,
PETER COOPER,
EVELYN FUNK,
ROMI BENTAL,
DANIEL SANDLER,
JAYMATI PATEL,
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摘要:
Prior rectal colonization with fungi may be an important risk factor for development of systemic fungal infection in the neonate. This placebo-controlled study evaluated the benefits of miconazole oral gel in the prevention of fungal rectal colonization and systemic infection in high risk neonates admitted to the Neonatal Intensive Care Unit. Repeated oral application of miconazole gel reduced the overall prevalence of postnatally acquired rectal colonization; a yeast was grown in 19.5% of the weekly rectal swabs in the miconazole-treated group compared with 36.2% in the control group (69 of 354 vs. 146 of 403, P < 0.0001). There was no reduction in the incidence of systemic fungal infection in the two groups although the overall incidence of the infection was low in both groups, at 2.0% vs. 2.6% (6 of 298 vs. 8 of 302, P not significant). No relationship was shown between prior rectal colonization and subsequent systemic fungal infections in either of the two groups. This study does not support the use of prophylactic miconazole oral gel for the prevention of neonatal systemic fungal infections.
ISSN:0891-3668
出版商:OVID
年代:1992
数据来源: OVID
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9. |
Comparative efficacy of oral rifampin and topical chloramphenicol in eradicating conjunctival carriage of Haemophilus influenzae biogroup aegyptius |
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The Pediatric Infectious Disease Journal,
Volume 11,
Issue 9,
1992,
Page 717-721
BRADLEY PERKINS,
MARIA TONDELLA,
IONE BORTOLOTTO,
OLGA TAKANO,
GRAZIELA DA SILVA,
KINUE IRINO,
MARIA DE CUNTO BRANDILEONE,
LEE HARRISON,
JAY WENGER,
CLAIRE BROOME,
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摘要:
Persistent conjunctival carriage of theHaemophilus influenzaebiogroup aegyptius (Hae) strain (BPF clone) responsible for Brazilian purpuric fever (BPF) has been documented. Topical chloramphenicol is routinely used to treat conjunctivitis in areas affected by BPF in Brazil. Although the BPF clone is susceptible to chloramphenicol, we observed a number of children treated with topical chloramphenicol for conjunctivitis who still developed BPF. During an investigation of an outbreak of BPF in Mato Grosso State, Brazil, we compared oral rifampin (20 mg/kg/day for 4 days) with topical chloramphenicol for eradication of conjunctival carriage ofH. influenzaebiogroup aegyptius among children with presumed BPF clone conjunctivitis. Conjunctival samples were taken for culture on the day treatment was initiated and a mean of 8 and 21 days later. At 8 days the eradication rates for oral rifampin and topical chloramphenicol were 100 and 44%, respectively (P= 0.003); at 21 days they were 100 and 50% (P= 0.01). Oral rifampin was more effective than topical chloramphenicol for eradication of the BPF clone and may be useful in prevention of BPF.
ISSN:0891-3668
出版商:OVID
年代:1992
数据来源: OVID
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10. |
Association of Epstein‐Barr virus infection and pulmonary exacerbations in patients with cystic fibrosis |
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The Pediatric Infectious Disease Journal,
Volume 11,
Issue 9,
1992,
Page 722-725
GLENNA WINNIE,
ROBERT COWAN,
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摘要:
We observed severe pulmonary exacerbations during primary Epstein-Barr virus (EBV) infection in adolescent patients with cystic fibrosis. Since EBV is not a known respiratory tract pathogen in cystic fibrosis, we studied retrospectively all EBV-susceptible patients ages 6 to 18 years with chronicPseudomonasrespiratory tract colonization hospitalized for a pulmonary exacerbation during an 18-month period. Patients with serologic evidence of primary EBV infection (n= 5) were compared to control patients without EBV (n= 7). Before admission the groups had similar pulmonary function tests, clinical scores and frequency of hospitalization. On admission patients with EBV had significant weight loss, lower pulmonary function tests and lower clinical scores compared with controls. All remained significantly different 6 months after admission. Frequency of exacerbations requiring hospitalization increased after EBV infection but remained unchanged in controls. Primary EBV infection can be associated with severe pulmonary exacerbations and subsequent deterioration in clinical course in cystic fibrosis patients.
ISSN:0891-3668
出版商:OVID
年代:1992
数据来源: OVID
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