Skip to main content
Erschienen in: World Journal of Pediatrics 1/2023

21.09.2022 | Review Article

Role of ultrasound in the treatment of pediatric infectious diseases: case series and narrative review

verfasst von: Takahiro Hosokawa, Yutaka Tanami, Yumiko Sato, Kuntaro Deguchi, Haruka Takei, Eiji Oguma

Erschienen in: World Journal of Pediatrics | Ausgabe 1/2023

Einloggen, um Zugang zu erhalten

Abstract

Background

Infectious diseases are common in pediatric patients. In these patients, ultrasound is a useful imaging modality that involves no irradiation or sedation and can be performed repeatedly at the patient’s bedside. The purpose of this review was to show pediatric cases with infectious disease that used ultrasound to decide the methods of treatment.

Data sources

Literature review was performed using Pubmed as the medical database source. No year-of-publication restriction was placed. The mesh terms used were: “ultrasound”, “sonography”, “infectious disease”, “treatment”, “antibiotics”, “surgical intervention”, “pediatric”, “children”, “deep neck abscess”, “pyothorax”, “empyema”, “pneumonia”, “urinary tract infection”, “intra-abdominal abscess”, “soft tissue infection”, “septic arthritis”, “osteomyelitis”, and “surgical site infection”.

Results

We presented pediatric case series with infectious diseases, including deep neck abscess, pyothorax and empyema, pneumonia, urinary tract infection, intra-abdominal abscess, soft tissue infection, septic arthritis and osteomyelitis, and surgical-site infection. Ultrasound was useful for evaluating the extent and location of inflammation and abscess and for decision-making concerning surgical intervention.

Conclusion

Knowledge of these sonographic findings is important for sonographers during examinations and for physicians when determining the treatment plan and period of antibiotic therapy for infected lesions.
Literatur
1.
Zurück zum Zitat Meissner HC. Viral bronchiolitis in children. N Engl J Med. 2016;374:62–72.CrossRef Meissner HC. Viral bronchiolitis in children. N Engl J Med. 2016;374:62–72.CrossRef
2.
Zurück zum Zitat Montgomery NI, Epps HR. Pediatric septic arthritis. Orthop Clin North Am. 2017;48:209–16.CrossRef Montgomery NI, Epps HR. Pediatric septic arthritis. Orthop Clin North Am. 2017;48:209–16.CrossRef
3.
Zurück zum Zitat Bradley JS, Byington CL, Shah SS, Alverson B, Carter ER, Harrison C, et al. The management of community-acquired pneumonia in infants and children older than 3 months of age: clinical practice guidelines by the Pediatric Infectious Diseases Society and the Infectious Diseases Society of America. Clin Infect Dis. 2011;53:e25–76.CrossRef Bradley JS, Byington CL, Shah SS, Alverson B, Carter ER, Harrison C, et al. The management of community-acquired pneumonia in infants and children older than 3 months of age: clinical practice guidelines by the Pediatric Infectious Diseases Society and the Infectious Diseases Society of America. Clin Infect Dis. 2011;53:e25–76.CrossRef
4.
Zurück zum Zitat Brook I. Intra-abdominal, retroperitoneal, and visceral abscesses in children. Eur J Pediatr Surg. 2004;14:265–73.CrossRef Brook I. Intra-abdominal, retroperitoneal, and visceral abscesses in children. Eur J Pediatr Surg. 2004;14:265–73.CrossRef
5.
Zurück zum Zitat Hoen LA, Bogaert G, Radmayr C, Dogan HS, Nijman RJM, Quaedackers J, et al. Update of the EAU/ESPU guidelines on urinary tract infections in children. J Pediatr Urol. 2021;17:200–7.CrossRef Hoen LA, Bogaert G, Radmayr C, Dogan HS, Nijman RJM, Quaedackers J, et al. Update of the EAU/ESPU guidelines on urinary tract infections in children. J Pediatr Urol. 2021;17:200–7.CrossRef
6.
Zurück zum Zitat Schleifer J, Liteplo AS, Kharasch S. Point-of-care ultrasound in a child with chest wall pain and rib osteomyelitis. J Emerg Med. 2019;57:550–3.CrossRef Schleifer J, Liteplo AS, Kharasch S. Point-of-care ultrasound in a child with chest wall pain and rib osteomyelitis. J Emerg Med. 2019;57:550–3.CrossRef
7.
Zurück zum Zitat Schmit P, Glorion C. Osteomyelitis in infants and children. Eur Radiol. 2004;14:L44–54. Schmit P, Glorion C. Osteomyelitis in infants and children. Eur Radiol. 2004;14:L44–54.
8.
Zurück zum Zitat Shahid M, Holton C, O’Riordan S, Kraft JK. Sonography of musculoskeletal infection in children. Ultrasound. 2020;28:103–17.CrossRef Shahid M, Holton C, O’Riordan S, Kraft JK. Sonography of musculoskeletal infection in children. Ultrasound. 2020;28:103–17.CrossRef
9.
Zurück zum Zitat Toro MS, Martínez JLV, Falcão RV, Prata-Barbosa A, Cunha A. Point-of-care ultrasound by the pediatrician in the diagnosis and follow-up of community-acquired pneumonia. J Pediatr (Rio J). 2021;97:13–21.CrossRef Toro MS, Martínez JLV, Falcão RV, Prata-Barbosa A, Cunha A. Point-of-care ultrasound by the pediatrician in the diagnosis and follow-up of community-acquired pneumonia. J Pediatr (Rio J). 2021;97:13–21.CrossRef
10.
Zurück zum Zitat Robben SG. Ultrasonography of musculoskeletal infections in children. Eur Radiol. 2004;14:L65-77.CrossRef Robben SG. Ultrasonography of musculoskeletal infections in children. Eur Radiol. 2004;14:L65-77.CrossRef
11.
Zurück zum Zitat Motahari SJ, Poormoosa R, Nikkhah M, Bahari M, Shirazy SM, Khavarinejad F. Treatment and prognosis of deep neck infections. Indian J Otolaryngol Head Neck Surg. 2015;67:134–7.CrossRef Motahari SJ, Poormoosa R, Nikkhah M, Bahari M, Shirazy SM, Khavarinejad F. Treatment and prognosis of deep neck infections. Indian J Otolaryngol Head Neck Surg. 2015;67:134–7.CrossRef
12.
Zurück zum Zitat Côrte FC, Firmino-Machado J, Moura CP, Spratley J, Santos M. Acute pediatric neck infections: outcomes in a seven-year series. Int J Pediatr Otorhinolaryngol. 2017;99:128–34.CrossRef Côrte FC, Firmino-Machado J, Moura CP, Spratley J, Santos M. Acute pediatric neck infections: outcomes in a seven-year series. Int J Pediatr Otorhinolaryngol. 2017;99:128–34.CrossRef
13.
Zurück zum Zitat Hosokawa T, Tanami Y, Sato Y, Ishimaru T, Kawashima H, Oguma E. Comparison of sonographic findings between neonates with pyriform sinus fistulas and lymphangiomas. Am J Otolaryngol. 2021;42:102783.CrossRef Hosokawa T, Tanami Y, Sato Y, Ishimaru T, Kawashima H, Oguma E. Comparison of sonographic findings between neonates with pyriform sinus fistulas and lymphangiomas. Am J Otolaryngol. 2021;42:102783.CrossRef
14.
Zurück zum Zitat Hoang JK, Branstetter BF, Eastwood JD, Glastonbury CM. Multiplanar CT and MRI of collections in the retropharyngeal space: is it an abscess? AJR Am J Roentgenol. 2011;196:W426–32.CrossRef Hoang JK, Branstetter BF, Eastwood JD, Glastonbury CM. Multiplanar CT and MRI of collections in the retropharyngeal space: is it an abscess? AJR Am J Roentgenol. 2011;196:W426–32.CrossRef
15.
Zurück zum Zitat Zhao X, Delaney M, Breslin K, Chamberlain JM, Rubio EI, Reilly BK, et al. Impact of transcervical ultrasound for the diagnosis of pediatric peritonsillar abscesses on emergency department performance measures. J Ultrasound Med. 2020;39:715–20.CrossRef Zhao X, Delaney M, Breslin K, Chamberlain JM, Rubio EI, Reilly BK, et al. Impact of transcervical ultrasound for the diagnosis of pediatric peritonsillar abscesses on emergency department performance measures. J Ultrasound Med. 2020;39:715–20.CrossRef
16.
Zurück zum Zitat Bandarkar AN, Adeyiga AO, Fordham MT, Preciado D, Reilly BK. Tonsil ultrasound: technical approach and spectrum of pediatric peritonsillar infections. Pediatr Radiol. 2016;46:1059–67.CrossRef Bandarkar AN, Adeyiga AO, Fordham MT, Preciado D, Reilly BK. Tonsil ultrasound: technical approach and spectrum of pediatric peritonsillar infections. Pediatr Radiol. 2016;46:1059–67.CrossRef
17.
Zurück zum Zitat Straughan AJ, Badger CD, Benito DA, Joshi AS. Salivary gland ultrasound training: improving anatomic identification in residents. Am J Otolaryngol. 2020;41:102734.CrossRef Straughan AJ, Badger CD, Benito DA, Joshi AS. Salivary gland ultrasound training: improving anatomic identification in residents. Am J Otolaryngol. 2020;41:102734.CrossRef
18.
Zurück zum Zitat Hosokawa T, Yamada Y, Sato Y, Tanami Y, Amano H, Fujiogi M, et al. Five neonatal cases of pyriform sinus fistula with cervical cystic lesion: a comparison between sonography and other modalities. J Med Ultrason. 2001;2015:579–85. Hosokawa T, Yamada Y, Sato Y, Tanami Y, Amano H, Fujiogi M, et al. Five neonatal cases of pyriform sinus fistula with cervical cystic lesion: a comparison between sonography and other modalities. J Med Ultrason. 2001;2015:579–85.
19.
Zurück zum Zitat Hosokawa T, Yamada Y, Takahashi H, Tanami Y, Sato Y, Hosokawa M, et al. Size of the tonsil on ultrasound in children without tonsil-associated symptoms. Ultrasound Q. 2020;36:24–31.CrossRef Hosokawa T, Yamada Y, Takahashi H, Tanami Y, Sato Y, Hosokawa M, et al. Size of the tonsil on ultrasound in children without tonsil-associated symptoms. Ultrasound Q. 2020;36:24–31.CrossRef
20.
Zurück zum Zitat Cramer JD, Purkey MR, Smith SS, Schroeder JW Jr. The impact of delayed surgical drainage of deep neck abscesses in adult and pediatric populations. Laryngoscope. 2016;126:1753–60.CrossRef Cramer JD, Purkey MR, Smith SS, Schroeder JW Jr. The impact of delayed surgical drainage of deep neck abscesses in adult and pediatric populations. Laryngoscope. 2016;126:1753–60.CrossRef
21.
Zurück zum Zitat Hah YM, Jung AR, Lee YC, Eun YG. Risk factors for transcervical incision and drainage of pediatric deep neck infections. J Pediatr Surg. 2018;53:666–70.CrossRef Hah YM, Jung AR, Lee YC, Eun YG. Risk factors for transcervical incision and drainage of pediatric deep neck infections. J Pediatr Surg. 2018;53:666–70.CrossRef
22.
Zurück zum Zitat Balfour-Lynn IM, Abrahamson E, Cohen G, Hartley J, King S, Parikh D, et al. BTS guidelines for the management of pleural infection in children. Thorax. 2005;60:i1–21.CrossRef Balfour-Lynn IM, Abrahamson E, Cohen G, Hartley J, King S, Parikh D, et al. BTS guidelines for the management of pleural infection in children. Thorax. 2005;60:i1–21.CrossRef
23.
Zurück zum Zitat Sundaralingam A, Banka R, Rahman NM. Management of pleural infection. Pulm Ther. 2021;7:1–16.CrossRef Sundaralingam A, Banka R, Rahman NM. Management of pleural infection. Pulm Ther. 2021;7:1–16.CrossRef
24.
Zurück zum Zitat Chung JH, Lee SH, Kim KT, Jung JS, Son HS, Sun K. Optimal timing of thoracoscopic drainage and decortication for empyema. Ann Thorac Surg. 2014;97:224–9.CrossRef Chung JH, Lee SH, Kim KT, Jung JS, Son HS, Sun K. Optimal timing of thoracoscopic drainage and decortication for empyema. Ann Thorac Surg. 2014;97:224–9.CrossRef
25.
Zurück zum Zitat Li W, Shen M, Zhang Y, Cong Y, Zu H, Chen H, et al. A model for predicting malignant sub-pleural solid masses using grayscale ultrasound and ultrasound elastography. Ultrasound Med Biol. 2021;47:1212–8.CrossRef Li W, Shen M, Zhang Y, Cong Y, Zu H, Chen H, et al. A model for predicting malignant sub-pleural solid masses using grayscale ultrasound and ultrasound elastography. Ultrasound Med Biol. 2021;47:1212–8.CrossRef
26.
Zurück zum Zitat Hardie W, Bokulic R, Garcia VF, Reising SF, Christie CD. Pneumococcal pleural empyemas in children. Clin Infect Dis. 1996;22:1057–63.CrossRef Hardie W, Bokulic R, Garcia VF, Reising SF, Christie CD. Pneumococcal pleural empyemas in children. Clin Infect Dis. 1996;22:1057–63.CrossRef
27.
Zurück zum Zitat Patel KM, Ullah K, Patail H, Ahmad S. Ultrasound for pleural disease: beyond a pocket of pleural fluid. Ann Am Thorac Soc. 2021;18:749–56.CrossRef Patel KM, Ullah K, Patail H, Ahmad S. Ultrasound for pleural disease: beyond a pocket of pleural fluid. Ann Am Thorac Soc. 2021;18:749–56.CrossRef
28.
Zurück zum Zitat Buonsenso D, Brancato F, Valentini P, Curatola A, Supino M, Musolino AM. The use of lung ultrasound to monitor the antibiotic response of community-acquired pneumonia in children: a preliminary hypothesis. J Ultrasound Med. 2020;39:817–26.CrossRef Buonsenso D, Brancato F, Valentini P, Curatola A, Supino M, Musolino AM. The use of lung ultrasound to monitor the antibiotic response of community-acquired pneumonia in children: a preliminary hypothesis. J Ultrasound Med. 2020;39:817–26.CrossRef
29.
Zurück zum Zitat Stadler JAM, Andronikou S, Zar HJ. Lung ultrasound for the diagnosis of community-acquired pneumonia in children. Pediatr Radiol. 2017;47:1412–9.CrossRef Stadler JAM, Andronikou S, Zar HJ. Lung ultrasound for the diagnosis of community-acquired pneumonia in children. Pediatr Radiol. 2017;47:1412–9.CrossRef
30.
Zurück zum Zitat Same RG, Amoah J, Hsu AJ, Hersh AL, Sklansky DJ, Cosgrove SE, et al. The association of antibiotic duration with successful treatment of community-acquired pneumonia in children. J Pediatr Infect Dis Soc. 2021;10:267–73.CrossRef Same RG, Amoah J, Hsu AJ, Hersh AL, Sklansky DJ, Cosgrove SE, et al. The association of antibiotic duration with successful treatment of community-acquired pneumonia in children. J Pediatr Infect Dis Soc. 2021;10:267–73.CrossRef
31.
Zurück zum Zitat Streck HL, Goldman JL, Lee BR, Sheets JM, Wirtz AL. Evaluation of the treatment of aspiration pneumonia in hospitalized children. J Pediatr Infect Dis Soc. 2022;11:102–7.CrossRef Streck HL, Goldman JL, Lee BR, Sheets JM, Wirtz AL. Evaluation of the treatment of aspiration pneumonia in hospitalized children. J Pediatr Infect Dis Soc. 2022;11:102–7.CrossRef
32.
Zurück zum Zitat Masarweh K, Gur M. Factors associated with complicated pneumonia in children. Pediatr Pulmonol. 2021;56:2700–6.CrossRef Masarweh K, Gur M. Factors associated with complicated pneumonia in children. Pediatr Pulmonol. 2021;56:2700–6.CrossRef
33.
Zurück zum Zitat Kanitra JJ, Thampy CA, Cullen ML. A decade’s experience of pediatric lung abscess and empyema at a community hospital. Pediatr Pulmonol. 2021;56:1245–51.CrossRef Kanitra JJ, Thampy CA, Cullen ML. A decade’s experience of pediatric lung abscess and empyema at a community hospital. Pediatr Pulmonol. 2021;56:1245–51.CrossRef
34.
Zurück zum Zitat Buonsenso D, Tomà P, Pirozzi N, Mesturino A, Morello R, Curatola A, et al. Lung ultrasound in infants with respiratory infections: more important the age or the pathogen? Ultrasound Q. 2020;36:118–22.CrossRef Buonsenso D, Tomà P, Pirozzi N, Mesturino A, Morello R, Curatola A, et al. Lung ultrasound in infants with respiratory infections: more important the age or the pathogen? Ultrasound Q. 2020;36:118–22.CrossRef
35.
Zurück zum Zitat Musolino AM, Tomà P, Supino MC, Scialanga B, Mesturino A, Scateni S, et al. Lung ultrasound features of children with complicated and noncomplicated community acquired pneumonia: a prospective study. Pediatr Pulmonol. 2019;54:1479–86.CrossRef Musolino AM, Tomà P, Supino MC, Scialanga B, Mesturino A, Scateni S, et al. Lung ultrasound features of children with complicated and noncomplicated community acquired pneumonia: a prospective study. Pediatr Pulmonol. 2019;54:1479–86.CrossRef
36.
Zurück zum Zitat Cheong I. Ultrasonography in the diagnosis of lung abscess. J Clin Ultrasound. 2022;50:628–9.CrossRef Cheong I. Ultrasonography in the diagnosis of lung abscess. J Clin Ultrasound. 2022;50:628–9.CrossRef
37.
Zurück zum Zitat Huyler A, Mackenzie D, Wilson CN. Lung abscess diagnosed by ultrasound. Clin Exp Emerg Med. 2022;9:70–1.CrossRef Huyler A, Mackenzie D, Wilson CN. Lung abscess diagnosed by ultrasound. Clin Exp Emerg Med. 2022;9:70–1.CrossRef
38.
Zurück zum Zitat Kuhajda I, Zarogoulidis K, Tsirgogianni K, Tsavlis D, Kioumis I, Kosmidis C, et al. Lung abscess-etiology, diagnostic and treatment options. Ann Transl Med. 2015;3:183. Kuhajda I, Zarogoulidis K, Tsirgogianni K, Tsavlis D, Kioumis I, Kosmidis C, et al. Lung abscess-etiology, diagnostic and treatment options. Ann Transl Med. 2015;3:183.
39.
Zurück zum Zitat Supino MC, Buonsenso D, Scateni S, Scialanga B, Mesturino MA, Bock C, et al. Point-of-care lung ultrasound in infants with bronchiolitis in the pediatric emergency department: a prospective study. Eur J Pediatr. 2019;178:623–32.CrossRef Supino MC, Buonsenso D, Scateni S, Scialanga B, Mesturino MA, Bock C, et al. Point-of-care lung ultrasound in infants with bronchiolitis in the pediatric emergency department: a prospective study. Eur J Pediatr. 2019;178:623–32.CrossRef
40.
Zurück zum Zitat Bueno-Campaña M, Sainz T, Alba M, Del Rosal T, Mendez-Echevarría A, Echevarria R, et al. Lung ultrasound for prediction of respiratory support in infants with acute bronchiolitis: a cohort study. Pediatr Pulmonol. 2019;54:873–80.CrossRef Bueno-Campaña M, Sainz T, Alba M, Del Rosal T, Mendez-Echevarría A, Echevarria R, et al. Lung ultrasound for prediction of respiratory support in infants with acute bronchiolitis: a cohort study. Pediatr Pulmonol. 2019;54:873–80.CrossRef
41.
Zurück zum Zitat Bobillo-Perez S, Sorribes C, Gebellí P, Lledó N, Castilla M, Ramon M, et al. Lung ultrasound to predict pediatric intensive care admission in infants with bronchiolitis (LUSBRO study). Eur J Pediatr. 2021;180:2065–72.CrossRef Bobillo-Perez S, Sorribes C, Gebellí P, Lledó N, Castilla M, Ramon M, et al. Lung ultrasound to predict pediatric intensive care admission in infants with bronchiolitis (LUSBRO study). Eur J Pediatr. 2021;180:2065–72.CrossRef
42.
Zurück zum Zitat Copetti R, Cattarossi L. Ultrasound diagnosis of pneumonia in children. Radiol Med. 2008;113:190–8.CrossRef Copetti R, Cattarossi L. Ultrasound diagnosis of pneumonia in children. Radiol Med. 2008;113:190–8.CrossRef
43.
Zurück zum Zitat Rodriguez-Gonzalez M, Rodriguez-Campoy P, Estalella-Mendoza A, Castellano-Martinez A, Flores-Gonzalez JC. Characterization of cardiopulmonary interactions and exploring their prognostic value in acute bronchiolitis: a prospective cardiopulmonary ultrasound study. Tomography. 2022;8:142–57.CrossRef Rodriguez-Gonzalez M, Rodriguez-Campoy P, Estalella-Mendoza A, Castellano-Martinez A, Flores-Gonzalez JC. Characterization of cardiopulmonary interactions and exploring their prognostic value in acute bronchiolitis: a prospective cardiopulmonary ultrasound study. Tomography. 2022;8:142–57.CrossRef
44.
Zurück zum Zitat American Academy of Pediatrics Subcommittee on Diagnosis and Management of Bronchiolitis. Diagnosis and management of bronchiolitis. Pediatrics. 2006;118:1774–93.CrossRef American Academy of Pediatrics Subcommittee on Diagnosis and Management of Bronchiolitis. Diagnosis and management of bronchiolitis. Pediatrics. 2006;118:1774–93.CrossRef
46.
Zurück zum Zitat Basile V, Di Mauro A, Scalini E, Comes P, Lofù I, Mostert M, et al. Lung ultrasound: a useful tool in diagnosis and management of bronchiolitis. BMC Pediatr. 2015;15:63.CrossRef Basile V, Di Mauro A, Scalini E, Comes P, Lofù I, Mostert M, et al. Lung ultrasound: a useful tool in diagnosis and management of bronchiolitis. BMC Pediatr. 2015;15:63.CrossRef
47.
Zurück zum Zitat Mongodi S, De Vita N, Salve G, Bonaiti S, Daverio F, Cavagnino M, et al. The role of lung ultrasound monitoring in early detection of ventilator-associated pneumonia in covid-19 patients: a retrospective observational study. J Clin Med. 2022;11:3001.CrossRef Mongodi S, De Vita N, Salve G, Bonaiti S, Daverio F, Cavagnino M, et al. The role of lung ultrasound monitoring in early detection of ventilator-associated pneumonia in covid-19 patients: a retrospective observational study. J Clin Med. 2022;11:3001.CrossRef
48.
Zurück zum Zitat Bima P, Pivetta E, Baricocchi D, Giamello JD, Risi F, Vesan M, et al. Lung ultrasound improves outcome prediction over clinical judgment in covid-19 patients evaluated in the emergency department. J Clin Med. 2022;11:3032.CrossRef Bima P, Pivetta E, Baricocchi D, Giamello JD, Risi F, Vesan M, et al. Lung ultrasound improves outcome prediction over clinical judgment in covid-19 patients evaluated in the emergency department. J Clin Med. 2022;11:3032.CrossRef
49.
Zurück zum Zitat Bitsori M, Raissaki M, Maraki S, Galanakis E. Acute focal bacterial nephritis, pyonephrosis and renal abscess in children. Pediatr Nephrol. 2015;30:1987–93.CrossRef Bitsori M, Raissaki M, Maraki S, Galanakis E. Acute focal bacterial nephritis, pyonephrosis and renal abscess in children. Pediatr Nephrol. 2015;30:1987–93.CrossRef
50.
Zurück zum Zitat Rosenfield AT, Glickman MG, Taylor KJ, Crade M, Hodson J. Acute focal bacterial nephritis (acute lobar nephronia). Radiology. 1979;132:553–61.CrossRef Rosenfield AT, Glickman MG, Taylor KJ, Crade M, Hodson J. Acute focal bacterial nephritis (acute lobar nephronia). Radiology. 1979;132:553–61.CrossRef
51.
Zurück zum Zitat Cheng CH, Tsau YK, Lin TY. Effective duration of antimicrobial therapy for the treatment of acute lobar nephronia. Pediatrics. 2006;117:e84–9.CrossRef Cheng CH, Tsau YK, Lin TY. Effective duration of antimicrobial therapy for the treatment of acute lobar nephronia. Pediatrics. 2006;117:e84–9.CrossRef
52.
Zurück zum Zitat Comploj E, Cassar W, Farina A, Gasparella P, Trenti E, Palermo S, et al. Conservative management of paediatric renal abscess. J Pediatr Urol. 2013;9:1214–7.CrossRef Comploj E, Cassar W, Farina A, Gasparella P, Trenti E, Palermo S, et al. Conservative management of paediatric renal abscess. J Pediatr Urol. 2013;9:1214–7.CrossRef
53.
Zurück zum Zitat Linder BJ, Granberg CF. Pediatric renal abscesses: a contemporary series. J Pediatr Urol. 2016;12:e1-5.CrossRef Linder BJ, Granberg CF. Pediatric renal abscesses: a contemporary series. J Pediatr Urol. 2016;12:e1-5.CrossRef
54.
Zurück zum Zitat Haber HP, Seitz G, Warmann SW, Fuchs J. Transperineal sonography for determination of the type of imperforate anus. AJR Am J Roentgenol. 2007;189:1525–9.CrossRef Haber HP, Seitz G, Warmann SW, Fuchs J. Transperineal sonography for determination of the type of imperforate anus. AJR Am J Roentgenol. 2007;189:1525–9.CrossRef
55.
Zurück zum Zitat Hosokawa T, Yamada Y, Tanami Y, Sato Y, Ishimaru T, Tanaka Y, et al. Comparison of diagnostic accuracy for fistulae at ultrasound and voiding cystourethrogram in neonates with anorectal malformation. Pediatr Radiol. 2019;49:609–16.CrossRef Hosokawa T, Yamada Y, Tanami Y, Sato Y, Ishimaru T, Tanaka Y, et al. Comparison of diagnostic accuracy for fistulae at ultrasound and voiding cystourethrogram in neonates with anorectal malformation. Pediatr Radiol. 2019;49:609–16.CrossRef
56.
Zurück zum Zitat Hosokawa T, Tanami Y, Sato Y, Oguma E. Comparison of imaging findings between acute focal bacterial nephritis (acute lobar nephronia) and acute pyelonephritis: a preliminary evaluation of the sufficiency of ultrasound for the diagnosis of acute focal bacterial nephritis. Emerg Radiol. 2020;27:405–12.CrossRef Hosokawa T, Tanami Y, Sato Y, Oguma E. Comparison of imaging findings between acute focal bacterial nephritis (acute lobar nephronia) and acute pyelonephritis: a preliminary evaluation of the sufficiency of ultrasound for the diagnosis of acute focal bacterial nephritis. Emerg Radiol. 2020;27:405–12.CrossRef
57.
Zurück zum Zitat Cheng CH, Tsau YK, Lin TY. Is acute lobar nephronia the midpoint in the spectrum of upper urinary tract infections between acute pyelonephritis and renal abscess? J Pediatr. 2010;156:82–6.CrossRef Cheng CH, Tsau YK, Lin TY. Is acute lobar nephronia the midpoint in the spectrum of upper urinary tract infections between acute pyelonephritis and renal abscess? J Pediatr. 2010;156:82–6.CrossRef
58.
Zurück zum Zitat Majd M, Nussbaum Blask AR, Markle BM, Shalaby-Rana E, Pohl HG, Park JS, et al. Acute pyelonephritis: comparison of diagnosis with 99mTc-DMSA, SPECT, spiral CT, MR imaging, and power Doppler US in an experimental pig model. Radiology. 2001;218:101–8.CrossRef Majd M, Nussbaum Blask AR, Markle BM, Shalaby-Rana E, Pohl HG, Park JS, et al. Acute pyelonephritis: comparison of diagnosis with 99mTc-DMSA, SPECT, spiral CT, MR imaging, and power Doppler US in an experimental pig model. Radiology. 2001;218:101–8.CrossRef
59.
Zurück zum Zitat Mitterberger M, Pinggera GM, Colleselli D, Bartsch G, Strasser H, Steppan I, et al. Acute pyelonephritis: comparison of diagnosis with computed tomography and contrast-enhanced ultrasonography. BJU Int. 2008;101:341–4.CrossRef Mitterberger M, Pinggera GM, Colleselli D, Bartsch G, Strasser H, Steppan I, et al. Acute pyelonephritis: comparison of diagnosis with computed tomography and contrast-enhanced ultrasonography. BJU Int. 2008;101:341–4.CrossRef
60.
Zurück zum Zitat Solomkin JS, Mazuski JE, Bradley JS, Rodvold KA, Goldstein EJ, Baron EJ, et al. Diagnosis and management of complicated intra-abdominal infection in adults and children: guidelines by the Surgical Infection Society and the Infectious Diseases Society of America. Clin Infect Dis. 2010;50:133–64.CrossRef Solomkin JS, Mazuski JE, Bradley JS, Rodvold KA, Goldstein EJ, Baron EJ, et al. Diagnosis and management of complicated intra-abdominal infection in adults and children: guidelines by the Surgical Infection Society and the Infectious Diseases Society of America. Clin Infect Dis. 2010;50:133–64.CrossRef
61.
Zurück zum Zitat Waked B, Holvoet T, Geldof J, Baert F, Pattyn P, Lobaton T, et al. Conservative management of spontaneous intra-abdominal abscess in Crohn’s: outcome and prognostic factors. J Dig Dis. 2021;22:263–70.CrossRef Waked B, Holvoet T, Geldof J, Baert F, Pattyn P, Lobaton T, et al. Conservative management of spontaneous intra-abdominal abscess in Crohn’s: outcome and prognostic factors. J Dig Dis. 2021;22:263–70.CrossRef
62.
Zurück zum Zitat Vaos G, Dimopoulou A, Gkioka E, Zavras N. Immediate surgery or conservative treatment for complicated acute appendicitis in children? A meta-analysis. J Pediatr Surg. 2019;54:1365–71.CrossRef Vaos G, Dimopoulou A, Gkioka E, Zavras N. Immediate surgery or conservative treatment for complicated acute appendicitis in children? A meta-analysis. J Pediatr Surg. 2019;54:1365–71.CrossRef
63.
Zurück zum Zitat Andersson RE, Petzold MG. Nonsurgical treatment of appendiceal abscess or phlegmon: a systematic review and meta-analysis. Ann Surg. 2007;246:741–8.CrossRef Andersson RE, Petzold MG. Nonsurgical treatment of appendiceal abscess or phlegmon: a systematic review and meta-analysis. Ann Surg. 2007;246:741–8.CrossRef
64.
Zurück zum Zitat Mazuski JE, Tessier JM, May AK, Sawyer RG, Nadler EP, Rosengart MR, et al. The surgical infection society revised guidelines on the management of intra-abdominal infection. Surg Infect (Larchmt). 2017;18:1–76.CrossRef Mazuski JE, Tessier JM, May AK, Sawyer RG, Nadler EP, Rosengart MR, et al. The surgical infection society revised guidelines on the management of intra-abdominal infection. Surg Infect (Larchmt). 2017;18:1–76.CrossRef
65.
Zurück zum Zitat Jaffe TA, Nelson RC. Image-guided percutaneous drainage: a review. Abdom Radiol (NY). 2016;41:629–36.CrossRef Jaffe TA, Nelson RC. Image-guided percutaneous drainage: a review. Abdom Radiol (NY). 2016;41:629–36.CrossRef
66.
Zurück zum Zitat Hosokawa T, Yamada Y, Tanami Y, Sato Y, Ishimaru T, Kawashima H, et al. Associations between sonographic findings and operative time of transumbilical laparoscopic-assisted appendectomy for acute appendicitis in children. AJR Am J Roentgenol. 2019;213:191–9.CrossRef Hosokawa T, Yamada Y, Tanami Y, Sato Y, Ishimaru T, Kawashima H, et al. Associations between sonographic findings and operative time of transumbilical laparoscopic-assisted appendectomy for acute appendicitis in children. AJR Am J Roentgenol. 2019;213:191–9.CrossRef
67.
Zurück zum Zitat Hadley GP. Intra-abdominal sepsis–epidemiology, aetiology and management. Semin Pediatr Surg. 2014;23:357–62.CrossRef Hadley GP. Intra-abdominal sepsis–epidemiology, aetiology and management. Semin Pediatr Surg. 2014;23:357–62.CrossRef
68.
Zurück zum Zitat Schmid MR, Kossmann T, Duewell S. Differentiation of necrotizing fasciitis and cellulitis using MR imaging. AJR Am J Roentgenol. 1998;170:615–20.CrossRef Schmid MR, Kossmann T, Duewell S. Differentiation of necrotizing fasciitis and cellulitis using MR imaging. AJR Am J Roentgenol. 1998;170:615–20.CrossRef
69.
Zurück zum Zitat Taira BR, Singer AJ, Thode HC Jr, Lee CC. National epidemiology of cutaneous abscesses: 1996 to 2005. Am J Emerg Med. 2009;27:289–92.CrossRef Taira BR, Singer AJ, Thode HC Jr, Lee CC. National epidemiology of cutaneous abscesses: 1996 to 2005. Am J Emerg Med. 2009;27:289–92.CrossRef
70.
Zurück zum Zitat Fried J, Tsao J, Davis L. Point-of-care ultrasound used to distinguish between superficial skin abscess and deep mediastinal abscess: a case report. J Emerg Med. 2021;60:e23–5.CrossRef Fried J, Tsao J, Davis L. Point-of-care ultrasound used to distinguish between superficial skin abscess and deep mediastinal abscess: a case report. J Emerg Med. 2021;60:e23–5.CrossRef
71.
Zurück zum Zitat Gafur OA, Copley LA, Hollmig ST, Browne RH, Thornton LA, Crawford SE. The impact of the current epidemiology of pediatric musculoskeletal infection on evaluation and treatment guidelines. J Pediatr Orthop. 2008;28:777–85.CrossRef Gafur OA, Copley LA, Hollmig ST, Browne RH, Thornton LA, Crawford SE. The impact of the current epidemiology of pediatric musculoskeletal infection on evaluation and treatment guidelines. J Pediatr Orthop. 2008;28:777–85.CrossRef
72.
Zurück zum Zitat Malghem J, Lecouvet FE, Omoumi P, Maldague BE, Vande Berg BC. Necrotizing fasciitis: contribution and limitations of diagnostic imaging. Joint Bone Spine. 2013;80:146–54.CrossRef Malghem J, Lecouvet FE, Omoumi P, Maldague BE, Vande Berg BC. Necrotizing fasciitis: contribution and limitations of diagnostic imaging. Joint Bone Spine. 2013;80:146–54.CrossRef
73.
Zurück zum Zitat Levenson RB, Singh AK, Novelline RA. Fournier gangrene: role of imaging. Radiographics. 2008;28:519–28.CrossRef Levenson RB, Singh AK, Novelline RA. Fournier gangrene: role of imaging. Radiographics. 2008;28:519–28.CrossRef
74.
Zurück zum Zitat Lin CN, Hsiao CT, Chang CP, Huang TY, Hsiao KY, Chen YC, et al. The relationship between fluid accumulation in ultrasonography and the diagnosis and prognosis of patients with necrotizing fasciitis. Ultrasound Med Biol. 2019;45:1545–50.CrossRef Lin CN, Hsiao CT, Chang CP, Huang TY, Hsiao KY, Chen YC, et al. The relationship between fluid accumulation in ultrasonography and the diagnosis and prognosis of patients with necrotizing fasciitis. Ultrasound Med Biol. 2019;45:1545–50.CrossRef
75.
Zurück zum Zitat Chaudhry AA, Baker KS, Gould ES, Gupta R. Necrotizing fasciitis and its mimics: what radiologists need to know. AJR Am J Roentgenol. 2015;204:128–39.CrossRef Chaudhry AA, Baker KS, Gould ES, Gupta R. Necrotizing fasciitis and its mimics: what radiologists need to know. AJR Am J Roentgenol. 2015;204:128–39.CrossRef
76.
Zurück zum Zitat Manz N, Krieg AH, Heininger U, Ritz N. Evaluation of the current use of imaging modalities and pathogen detection in children with acute osteomyelitis and septic arthritis. Eur J Pediatr. 2018;177:1071–80.CrossRef Manz N, Krieg AH, Heininger U, Ritz N. Evaluation of the current use of imaging modalities and pathogen detection in children with acute osteomyelitis and septic arthritis. Eur J Pediatr. 2018;177:1071–80.CrossRef
77.
Zurück zum Zitat Travers V, Koechlin P, Apoil A, Bonnet JC. Treatment of acute pyogenic arthritis of major joints of the limbs. Rev Chir Orthop Repar Appar Mot. 1985;71:235–40 (in French). Travers V, Koechlin P, Apoil A, Bonnet JC. Treatment of acute pyogenic arthritis of major joints of the limbs. Rev Chir Orthop Repar Appar Mot. 1985;71:235–40 (in French).
78.
Zurück zum Zitat Jaramillo D, Dormans JP, Delgado J, Laor T, St Geme JW. Hematogenous osteomyelitis in infants and children: imaging of a changing disease. Radiology. 2017;283:629–43.CrossRef Jaramillo D, Dormans JP, Delgado J, Laor T, St Geme JW. Hematogenous osteomyelitis in infants and children: imaging of a changing disease. Radiology. 2017;283:629–43.CrossRef
79.
Zurück zum Zitat Stephen RF, Benson MK, Nade S. Misconceptions about childhood acute osteomyelitis. J Child Orthop. 2012;6:353–6.CrossRef Stephen RF, Benson MK, Nade S. Misconceptions about childhood acute osteomyelitis. J Child Orthop. 2012;6:353–6.CrossRef
80.
Zurück zum Zitat Unkila-Kallio L, Kallio MJ, Peltola H. Acute haematogenous osteomyelitis in children in Finland. Finnish Study Group. Ann Med. 1993;25:545–9.CrossRef Unkila-Kallio L, Kallio MJ, Peltola H. Acute haematogenous osteomyelitis in children in Finland. Finnish Study Group. Ann Med. 1993;25:545–9.CrossRef
81.
Zurück zum Zitat Hoffer FA, Emans J. Percutaneous drainage of subperiosteal abscess: a potential treatment for osteomyelitis. Pediatr Radiol. 1996;26:879–81.CrossRef Hoffer FA, Emans J. Percutaneous drainage of subperiosteal abscess: a potential treatment for osteomyelitis. Pediatr Radiol. 1996;26:879–81.CrossRef
82.
Zurück zum Zitat Truong J, Mabrouk A, Ashurst JV. Septic bursitis. In: StatPearls. Treasure Island: StatPearls; 2022. Truong J, Mabrouk A, Ashurst JV. Septic bursitis. In: StatPearls. Treasure Island: StatPearls; 2022.
83.
Zurück zum Zitat Peltola H, Pääkkönen M, Kallio P, Kallio MJ. Prospective, randomized trial of 10 days versus 30 days of antimicrobial treatment, including a short-term course of parenteral therapy, for childhood septic arthritis. Clin Infect Dis. 2009;48:1201–10.CrossRef Peltola H, Pääkkönen M, Kallio P, Kallio MJ. Prospective, randomized trial of 10 days versus 30 days of antimicrobial treatment, including a short-term course of parenteral therapy, for childhood septic arthritis. Clin Infect Dis. 2009;48:1201–10.CrossRef
84.
Zurück zum Zitat Peltola H, Pääkkönen M, Kallio P, Kallio MJ. Short- versus long-term antimicrobial treatment for acute hematogenous osteomyelitis of childhood: prospective, randomized trial on 131 culture-positive cases. Pediatr Infect Dis J. 2010;29:1123–8.CrossRef Peltola H, Pääkkönen M, Kallio P, Kallio MJ. Short- versus long-term antimicrobial treatment for acute hematogenous osteomyelitis of childhood: prospective, randomized trial on 131 culture-positive cases. Pediatr Infect Dis J. 2010;29:1123–8.CrossRef
85.
Zurück zum Zitat Kim HHR, Ngo AV, Maloney E, Otjen JP, Iyer RS, Menashe SJ, et al. Contemporary imaging of the pediatric shoulder: pearls and pitfalls. Pediatr Radiol. 2021;51:338–52.CrossRef Kim HHR, Ngo AV, Maloney E, Otjen JP, Iyer RS, Menashe SJ, et al. Contemporary imaging of the pediatric shoulder: pearls and pitfalls. Pediatr Radiol. 2021;51:338–52.CrossRef
86.
Zurück zum Zitat Kim DK, Lee JW, Na YS, Kim MJ, Lee JH, Park CH. Clinical factor for successful nonsurgical treatment of pediatric peritonsillar abscess. Laryngoscope. 2015;125:2608–11.CrossRef Kim DK, Lee JW, Na YS, Kim MJ, Lee JH, Park CH. Clinical factor for successful nonsurgical treatment of pediatric peritonsillar abscess. Laryngoscope. 2015;125:2608–11.CrossRef
87.
Zurück zum Zitat Fernandez M, Carrol CL, Baker CJ. Discitis and vertebral osteomyelitis in children: an 18-year review. Pediatrics. 2000;105:1299–304.CrossRef Fernandez M, Carrol CL, Baker CJ. Discitis and vertebral osteomyelitis in children: an 18-year review. Pediatrics. 2000;105:1299–304.CrossRef
88.
Zurück zum Zitat Ernat J, Riccio AI, Fitzpatrick K, Jo C, Wimberly RL. Osteomyelitis is commonly associated with septic arthritis of the shoulder in children. J Pediatr Orthop. 2017;37:547–52.CrossRef Ernat J, Riccio AI, Fitzpatrick K, Jo C, Wimberly RL. Osteomyelitis is commonly associated with septic arthritis of the shoulder in children. J Pediatr Orthop. 2017;37:547–52.CrossRef
89.
Zurück zum Zitat Riebel TW, Nasir R, Nazarenko O. The value of sonography in the detection of osteomyelitis. Pediatr Radiol. 1996;26:291–7.CrossRef Riebel TW, Nasir R, Nazarenko O. The value of sonography in the detection of osteomyelitis. Pediatr Radiol. 1996;26:291–7.CrossRef
90.
Zurück zum Zitat Horan TC, Gaynes RP, Martone WJ, Jarvis WR, Emori TG. CDC definitions of nosocomial surgical site infections, 1992: a modification of CDC definitions of surgical wound infections. Infect Control Hosp Epidemiol. 1992;13:606–8.CrossRef Horan TC, Gaynes RP, Martone WJ, Jarvis WR, Emori TG. CDC definitions of nosocomial surgical site infections, 1992: a modification of CDC definitions of surgical wound infections. Infect Control Hosp Epidemiol. 1992;13:606–8.CrossRef
91.
Zurück zum Zitat Chopra T, Zhao JJ, Alangaden G, Wood MH, Kaye KS. Preventing surgical site infections after bariatric surgery: value of perioperative antibiotic regimens. Expert Rev Pharmacoecon Outcomes Res. 2010;10:317–28.CrossRef Chopra T, Zhao JJ, Alangaden G, Wood MH, Kaye KS. Preventing surgical site infections after bariatric surgery: value of perioperative antibiotic regimens. Expert Rev Pharmacoecon Outcomes Res. 2010;10:317–28.CrossRef
92.
Zurück zum Zitat Poulsen KB, Bremmelgaard A, Sørensen AI, Raahave D, Petersen JV. Estimated costs of postoperative wound infections: a case-control study of marginal hospital and social security costs. Epidemiol Infect. 1994;113:283–95.CrossRef Poulsen KB, Bremmelgaard A, Sørensen AI, Raahave D, Petersen JV. Estimated costs of postoperative wound infections: a case-control study of marginal hospital and social security costs. Epidemiol Infect. 1994;113:283–95.CrossRef
93.
Zurück zum Zitat Yamashiro T, Kamiya H, Murayama S, Unten S, Nakayama T, Gibo M, et al. Infectious mediastinitis after cardiovascular surgery: role of computed tomography. Radiat Med. 2008;26:343–7.CrossRef Yamashiro T, Kamiya H, Murayama S, Unten S, Nakayama T, Gibo M, et al. Infectious mediastinitis after cardiovascular surgery: role of computed tomography. Radiat Med. 2008;26:343–7.CrossRef
94.
Zurück zum Zitat Yamaguchi H, Yamauchi H, Yamada T, Ariyoshi T, Aikawa H, Kato Y. Diagnostic validity of computed tomography for mediastinitis after cardiac surgery. Ann Thorac Cardiovasc Surg. 2001;7:94–8. Yamaguchi H, Yamauchi H, Yamada T, Ariyoshi T, Aikawa H, Kato Y. Diagnostic validity of computed tomography for mediastinitis after cardiac surgery. Ann Thorac Cardiovasc Surg. 2001;7:94–8.
95.
Zurück zum Zitat Tortoriello TA, Friedman JD, McKenzie ED, Fraser CD, Feltes TF, Randall J, et al. Mediastinitis after pediatric cardiac surgery: a 15-year experience at a single institution. Ann Thorac Surg. 2003;76:1655–60.CrossRef Tortoriello TA, Friedman JD, McKenzie ED, Fraser CD, Feltes TF, Randall J, et al. Mediastinitis after pediatric cardiac surgery: a 15-year experience at a single institution. Ann Thorac Surg. 2003;76:1655–60.CrossRef
96.
Zurück zum Zitat Phoon PHY, Hwang NC. Deep sternal wound infection: diagnosis, treatment and prevention. J Cardiothorac Vasc Anesth. 2020;34:1602–13.CrossRef Phoon PHY, Hwang NC. Deep sternal wound infection: diagnosis, treatment and prevention. J Cardiothorac Vasc Anesth. 2020;34:1602–13.CrossRef
97.
Zurück zum Zitat Hosokawa T, Suzuki S, Tanami Y, Sato Y, Ko Y, Nomura K, et al. Ultrasound evaluation of complications after cardiovascular surgery in pediatric patients: a case series. Med Ultrason. 2020;22:110–5. Hosokawa T, Suzuki S, Tanami Y, Sato Y, Ko Y, Nomura K, et al. Ultrasound evaluation of complications after cardiovascular surgery in pediatric patients: a case series. Med Ultrason. 2020;22:110–5.
98.
Zurück zum Zitat Hosokawa T, Tanami Y, Sato Y, Ko Y, Nomura K, Oguma E. Comparison of sonographic findings between pediatric patients with mediastinitis and without mediastinitis after cardiovascular surgery. J Med Ultrason. 2001;2020:625–33. Hosokawa T, Tanami Y, Sato Y, Ko Y, Nomura K, Oguma E. Comparison of sonographic findings between pediatric patients with mediastinitis and without mediastinitis after cardiovascular surgery. J Med Ultrason. 2001;2020:625–33.
99.
Zurück zum Zitat Hosokawa T, Yamada Y, Tanami Y, Sato Y, Ko Y, Nomura K, et al. Computed tomography findings of mediastinitis after cardiovascular surgery. Pediatr Int. 2020;62:206–13.CrossRef Hosokawa T, Yamada Y, Tanami Y, Sato Y, Ko Y, Nomura K, et al. Computed tomography findings of mediastinitis after cardiovascular surgery. Pediatr Int. 2020;62:206–13.CrossRef
100.
Zurück zum Zitat Foldyna B, Mueller M, Etz CD, Luecke C, Haunschild J, Hoffmann I, et al. Computed tomography improves the differentiation of infectious mediastinitis from normal postoperative changes after sternotomy in cardiac surgery. Eur Radiol. 2019;29:2949–57.CrossRef Foldyna B, Mueller M, Etz CD, Luecke C, Haunschild J, Hoffmann I, et al. Computed tomography improves the differentiation of infectious mediastinitis from normal postoperative changes after sternotomy in cardiac surgery. Eur Radiol. 2019;29:2949–57.CrossRef
101.
Zurück zum Zitat Abu-Omar Y, Kocher GJ, Bosco P, Barbero C, Waller D, Gudbjartsson T, et al. European Association for Cardio-Thoracic Surgery expert consensus statement on the prevention and management of mediastinitis. Eur J Cardiothorac Surg. 2017;51:10–29.CrossRef Abu-Omar Y, Kocher GJ, Bosco P, Barbero C, Waller D, Gudbjartsson T, et al. European Association for Cardio-Thoracic Surgery expert consensus statement on the prevention and management of mediastinitis. Eur J Cardiothorac Surg. 2017;51:10–29.CrossRef
Metadaten
Titel
Role of ultrasound in the treatment of pediatric infectious diseases: case series and narrative review
verfasst von
Takahiro Hosokawa
Yutaka Tanami
Yumiko Sato
Kuntaro Deguchi
Haruka Takei
Eiji Oguma
Publikationsdatum
21.09.2022
Verlag
Springer Nature Singapore
Erschienen in
World Journal of Pediatrics / Ausgabe 1/2023
Print ISSN: 1708-8569
Elektronische ISSN: 1867-0687
DOI
https://doi.org/10.1007/s12519-022-00606-5

Weitere Artikel der Ausgabe 1/2023

World Journal of Pediatrics 1/2023 Zur Ausgabe

Neuer Typ-1-Diabetes bei Kindern am Wochenende eher übersehen

23.04.2024 Typ-1-Diabetes Nachrichten

Wenn Kinder an Werktagen zum Arzt gehen, werden neu auftretender Typ-1-Diabetes und diabetische Ketoazidosen häufiger erkannt als bei Arztbesuchen an Wochenenden oder Feiertagen.

Neue Studienergebnisse zur Myopiekontrolle mit Atropin

22.04.2024 Fehlsichtigkeit Nachrichten

Augentropfen mit niedrig dosiertem Atropin können helfen, das Fortschreiten einer Kurzsichtigkeit bei Kindern zumindest zu verlangsamen, wie die Ergebnisse einer aktuellen Studie mit verschiedenen Dosierungen zeigen.

Spinale Muskelatrophie: Neugeborenen-Screening lohnt sich

18.04.2024 Spinale Muskelatrophien Nachrichten

Seit 2021 ist die Untersuchung auf spinale Muskelatrophie Teil des Neugeborenen-Screenings in Deutschland. Eine Studie liefert weitere Evidenz für den Nutzen der Maßnahme.

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

18.04.2024 Pädiatrische Notfallmedizin Nachrichten

Im Choosing-Wisely-Programm, das für die deutsche Initiative „Klug entscheiden“ Pate gestanden hat, sind erstmals Empfehlungen zum Umgang mit Notfällen von Kindern erschienen. Fünf Dinge gilt es demnach zu vermeiden.

Update Pädiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.