Gastrointestinal symptoms in children: Primary care and specialist interface

Dipasquale, Valeria; Corica, Domenico; Gramaglia, Simone Maria Calogero; Valenti, S; Romano, Claudio

doi:10.1111/ijcp.13093

Cited by 11 publications

(12 citation statements)

References 45 publications

(129 reference statements)

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“…Acute watery diarrhoea often presents with sudden development of an unusual frequent stooling of mostly fluid. Other signs are vomiting, fever, nausea and abdominal pain (Dipasquale et al, 2018). In the gastrointestinal tract, absorption of over 90% of the physiologic net fluid takes place in the proximal small intestine.…”

Section: Types Of Diarrhoea I Acute Watery Diarrhoeamentioning

confidence: 99%

Childhood diarrhoeal diseases in developing countries

Ugboko

Nwinyi

Oranusi

et al. 2020

Heliyon

136

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Diarrhoeal diseases collectively constitute a serious public health challenge globally, especially as the leading cause of death in children (after respiratory diseases). Childhood diarrhoea affecting children under the age of five accounts for approximately 63% of the global burden. Accurate and timely detection of the aetiology of these diseases is very crucial; but conventional methods, apart from being laborious and time-consuming, often fail to identify difficult-to-culture pathogens. The aetiological agent of an average of up to 40% of cases of diarrhoea cannot be identified. This review gives an overview of the recent trends in the epidemiology and treatment of diarrhoea and aims at highlighting the potentials of metagenomics technique as a diagnostic method for enteric infections.

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Section: Types Of Diarrhoea I Acute Watery Diarrhoeamentioning

confidence: 99%

Childhood diarrhoeal diseases in developing countries

Ugboko

Nwinyi

Oranusi

et al. 2020

Heliyon

136

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“…This is somewhat surprising given that FGIDs account for ≈50% of all referrals to PGIs and are one of the most common reasons for referral to PGIs. 27,28 This study has some limitations. It is a retrospective study, and therefore, documentation of diet education was not routinely standardized.…”

Section: Discussionmentioning

confidence: 95%

“…However, we did not identify a difference in the proportion of PGIs vs PCPs who provided diet guidance. This is somewhat surprising given that FGIDs account for ≈50% of all referrals to PGIs and are one of the most common reasons for referral to PGIs 27,28 …”

Section: Discussionmentioning

confidence: 99%

Does a Minority of Children With Functional Gastrointestinal Disorders Receive Formal Diet Advice?

Cruz

Minard

Guffey

et al. 2020

J Parenter Enteral Nutr

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Background: Diet therapies may be recommended for pediatric functional gastrointestinal disorders (FGIDs). However, little is known about the frequency with which diet therapy is recommended in FGIDs. Our aims were to determine and contrast the frequency and types of diet recommendations provided to children with FGIDs by pediatric gastroenterologists (PGIs) versus primary care pediatricians (PCPs). Methods: A retrospective chart review was performed using data from a large, metropolitan children's academic healthcare system to identify subjects meeting Rome IV criteria for functional abdominal pain, functional dyspepsia, irritable-bowel syndrome (IBS), and/or abdominal migraine over a period of 23 months. Results: Of 1929 patient charts reviewed, 268 were included for further analyses. Of these, 186 patients (69%) were seen by a PGI and 82 (31%) by a PCP. The most common diagnosis was IBS (49% for PGIs and 71% for PCPs). Diet recommendations were provided to 115 (43%) patients (PGI group: 86 [75%] vs PCP group: 29 [25%]; P < .1). The most frequent recommendations were high fiber (PGI: 15%; PCP: 14%) and low fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FODMAPs) diet (PGI: 12%; PCP: 4%). Of those provided with diet recommendations, only 20% (n = 23) received an educational consult by a dietitian. Provision of diet recommendations was not affected by years in practice. Conclusion: Despite increasing awareness of the role of diet in the treatment of childhood FGIDs, a minority of patients receive diet recommendations in tertiary care or primary care settings. When diet recommendations were given, there was great variability in the guidance provided.

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“…Meconium ileus may be present in neonates, in children younger than one year may be observed wheezing, coughing, and/or recurring respiratory infections and pneumonias; in this study two or more hospitalizations were required as inclusion criteria. In early infancy gastrointestinal symptoms could be appear like steatorrhea, failure to thrive, and malnutrition as consequence [34]. In older children may diagnose pancreatic sufficiency and with chronic cough and sputum production.…”

Section: Discussionmentioning

confidence: 99%

Standardized clinical criteria and sweat test combined as a tool to diagnose Cystic Fibrosis

González-Andrade

2018

Heliyon

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ContextCF is under-diagnosed in Ecuador; one out of every 11,252 live births born in Ecuador could have CF.AimTo analyze the clinical findings, based on previously established criteria, with the results of the sweat test, in circumstances where we do not have the routine molecular study.MethodsEpidemiological, observational, analytic, cross-sectional study. It analyzed 180 patients clinically suspected of CF. Inclusion criteria: children of both sexes older than 30 days and younger than 12 years, who meet at least three clinical criteria suggestive for CF, outpatient and referred by a specialist physician who made a preliminary diagnosis. This is a pilot study.ResultsThe combination of criteria pneumonia, chronic cough and chronic obstructive bronchial syndrome is the most frequent, with not a significant relationship with a positive sweat test. On the contrary, a significant relationship was found between the clinical combinations of pneumonia with cough and rhinosinusitis; pneumonia with cough; presence of Pseudomonas aeruginosa; and pneumonia with digital cough and clubbing, so it is recommended to perform the test in all these associations. The most frequent clinical criterion for the reference and performance of the electrolyte test in sweat is pneumonia to repeat for two or more episodes.ConclusionClinical combinations of pneumonia with cough and rhinosinusitis; pneumonia with cough; presence of Pseudomonas aeruginosa; and pneumonia with digital cough and clubbing are pathognomonic for CF and indication for the sweat test. The predictive performance in CF diagnosis, defined as compatible clinical presence plus high values of chloride in sweat test, was 91.1%.

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Gastrointestinal symptoms in children: Primary care and specialist interface

Cited by 11 publications

References 45 publications

Childhood diarrhoeal diseases in developing countries

Childhood diarrhoeal diseases in developing countries

Does a Minority of Children With Functional Gastrointestinal Disorders Receive Formal Diet Advice?

Standardized clinical criteria and sweat test combined as a tool to diagnose Cystic Fibrosis

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