Egyptian Pediatric Association

03/05/2024

Children are increasingly exposed to health risks as a result of adverse effects of climate change, including more frequent and intense extreme weather events, disruption of food systems, an increase in food-, water- and vector-borne diseases, mental health issues, clean water scarcity and zoonoses, and habitat destruction causing “zoonotic spillovers”.

Children are increasingly exposed to health risks as a result of adverse effects of climate change, including more frequent and intense extreme weather events, disruption of food systems, an increase in food-, water- and vector-borne diseases, mental health issues, clean water scarcity and zoonoses,...

22/08/2023

A wealth of data exists concerning pediatric burn epidemiology in general, but more is explicitly needed in infants under 1 year of age, a particular group in which mobility begins to develop.

Background A wealth of data exists concerning pediatric burn epidemiology in general, but more is explicitly needed in infants under 1 year of age, a particular group in which mobility begins to develop. Methods In this study,206 patients followed up for burns in Diyarbakır Gazi Yaşargil Training ...

06/08/2023

COVID 19 was deemed trivial in children, until the reporting, of an emerging pediatric multi-inflammatory syndrome mimicking Kawasaki disease (KD).
This report reveals that coronaviridae were implicated in induction of several post-infectious vasculitides, namely, KD, AHEI, and HSP. This occurs in genetically susceptible individuals to vascular inflammation.

Background Coronavirus disease 2019 (COVID-19) emerged as a small outbreak in Wuhan rapidly progressing into the deadliest pandemic since the Spanish flu of 1918. The disease was deemed trivial in children, until the reporting, few days ago, of an emerging pediatric multi-inflammatory syndrome mimic...

27/07/2023

Europe has the highest rate of treating wastewater (86%) compared to Saharan Africa and South Asia (16%). High-income countries treat 74% of their wastewater compared to 4% treatment in the low-income countries; wastewater treatment increases proportionately with a country’s income.
Reported cases of adenovirus-induced hepatitis are circulating in high-income countries.
Given the increasing reliance of high-income countries on recycled sewage water for drinking water and for irrigation of crops, it is advisable to test the possible incrimination of recycled sewage water in adenovirus hepatitis outbreaks.

Background On the 5th of April 2022, cases of adenovirus-induced hepatitis were reported in Scotland and then reached multiple parts of the world. While adenovirus normally presents with diarrhea, vomiting, and fever, these novel cases also resulted in the development of fulminant hepatitis in non-i...

18/07/2023

Sound levels and its effect on physiology of low-birth-weight newborns in a special care newborn unit.
From quiet environment in uterus, neonates in special care newborn units get exposed to a stressful technology-driven environment.

Background From quiet environment in uterus, neonates in special care newborn units (SCNU) get exposed to a stressful technology-driven environment. Noise level in neonatal intensive care units (NICU) depends on social and psychological realm of people working there. In NICU, an hourly Leq (median e...

12/07/2023

Proper nutrition is crucial for enhancing brain function and improving learning. Over time, large evidence exists to show that childhood malnutrition, marked by stunting, is connected with age-long reduction in cognitive and academic achievement.
It is of interest to achieve healthy growth and optimal cognitive development in early childhood. The objective of this study was to examine stunting considered to adversely influence cognitive development among children and therefore of public health importance.

Background Proper nutrition is crucial for enhancing brain function and improving learning. Over time, large evidence has existed to show that childhood undernutrition, marked by stunting, is connected with age-long reduction in cognitive and academic achievement. It is of interest to achieve health...

04/07/2023

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03/07/2023

Hepatitis C virus infection is an emerging problem for children and adolescents. Chronic HCV infection affects approximately 3.5–5 million children worldwide. Unaddressed HCV infection in children progresses to decompensated liver disease and hepatocellular carcinoma during adulthood. Early detection of HCV and the administration of appropriate antiviral therapy are required for the prevention of long-term morbidity associated with chronic HCV infection. The perinatal route is the most common source of childhood HCV infection. Anti-HCV positivity at or after 18 months of age necessitates an HCV-RNA assay after age 3 to recognize chronic HCV infection. Both anti-HCV and HCV-RNA positivity are the indications for antiviral therapy. At present, various combinations of oral, direct-acting antivirals (DAAs) have been approved for children above 3 years of age. Their efficacy is high. Apart from the effectiveness of DAA therapy, steps should be taken to screen pregnant women to prevent the transmission of viral infection from mother to child. To increase awareness about the mode of HCV spread, NAT-based tests in blood banks for better screening and making the DAAs available at a subsidized rate in the public sector are necessary to eradicate HCV infection.

Hepatitis C virus infection is an emerging problem for children and adolescents. Chronic HCV infection affects approximately 3.5–5 million children worldwide. Unaddressed HCV infection in children progresses to decompensated liver disease and hepatocellular carcinoma during adulthood. Early detect...

27/06/2023

Egyptian national adapted guidelines aim to frame evidence-based recommendations adopted or adapted from the IPNA 2020, KDIGO 2021, and Japanese 2014 de novo guidelines for diagnosis and management of nephrotic children with steroid-resistant nephrotic syndrome (SRNS).

Background Nephrotic syndrome is one of the most common chronic kidney diseases in children. Steroid sensitive type (SSNS) constitutes about 85–90%, whereas steroid-resistant type (SRNS) only 15–20% (Mickinney et al. Pediatr Nephrol 16:1040-1044, 2001). While MCD is the most common histopatholog...

24/06/2023

Community-acquired pneumonia (CAP) is the leading cause of death in children globally. Indonesia is ranked 1st in South East Asia with the highest burden of pneumonia. Identification of risk factors is necessary for early intervention and better management. This study intended to describe CAP’s clinical signs and laboratory findings and explore the risk factors of severe CAP.

Background Community-acquired pneumonia (CAP) is the leading cause of death in children globally. Indonesia is ranked 1st in South East Asia with the highest burden of pneumonia. Identification of risk factors is necessary for early intervention and better management. This study intended to describe...

21/06/2023

The Egyptian national adapted guidelines aim to frame evidence-based recommendations adopted or adapted from IPNA 2020, KDIGO 2021, and Japanese 2014 for diagnosis, evaluation, management and follow-up of nephrotic children for Steroid sensitive nephrotic syndrome (SSNS).

Background Nephrotic syndrome is one of the most common chronic kidney diseases in children. Steroid sensitive type constitutes about 90% and steroid resistant 10% of total cases. Objectives These national adapted guidelines aim to frame evidence-based recommendations adopted or adapted from IPNA 20...

20/06/2023

Short stature is one of the main causes of children referral to pediatric endocrinologists. Common etiologies include idiopathic growth hormone deficiency (IGHD), small for gestational age (SGA), and idiopathic short stature (ISS).

Objectives
The aim of this study was to assess and compare the response of children with IGHD, ISS, and SGA to growth hormone (GH) therapy.

Background Short stature is one of the main causes of children referral to pediatric endocrinologists. Common etiologies include idiopathic growth hormone deficiency (IGHD), small for gestational age (SGA), and idiopathic short stature (ISS). Objectives The aim of this study was to assess and compar...