Sex differences in common childhood infections in Taiwan

Yang, TienYu Owen; Huang, Wan‐Ting; Chen, Mei-Huei; Huang, Kuan-Ying A.; Chen, Pau‐Chung

doi:10.1016/j.ijid.2018.08.014

Cited by 4 publications

(1 citation statement)

References 9 publications

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“…The term “fever” basically represents an elevated body temperature above the normal physiological range of 36.5°C to 37.5°C 4,5. Young children are particularly affected by febrile illnesses, and hospital-based studies as well as a recent population-based study suggest that boys are more affected by infections than girls 6,7…”

Section: Introductionmentioning

confidence: 99%

<p>The Burden Of Visits For Fever At A Paediatric Emergency Room: A Retrospective Study On Patients Presenting At The Cantons Hospital Of Fribourg, A Peripheral Public Hospital Of Switzerland</p>

Piller¹,

Herzog²

2019

PHMT

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IntroductionFever is the chief complaint of up to one-third of all paediatric office visits in many places. The high number of consultations at our emergency department (ED) led us to hypothesise that this increase was due to febrile paediatric patients with lower urgency seeking medical advice.MethodsWe retrospectively analysed the number and characteristics of patients 3 months to 5 years of age consulting for a body temperature of 38.5°C or higher during the 6 winter months of 2011–2012.ResultsTwenty-four percent of all consultations were requested by the patients included in our group. None of the 835 patients had to be hospitalised, 95% of these patients had additional respiratory or gastrointestinal symptoms, 36.7% required antibiotic therapy, and 17.6% (laryngitis and lower respiratory tract infection (RTI)) required temporary respiratory support. A total of 56.2% of patients sought advice outside of the normal working hours.ConclusionThe majority of patients had fever accompanied by additional symptoms justifying a medical consultation. However, most of these did not require the infrastructure of an ED for their health care problem and probably visited the ED because of the open hours.

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Section: Introductionmentioning

confidence: 99%

<p>The Burden Of Visits For Fever At A Paediatric Emergency Room: A Retrospective Study On Patients Presenting At The Cantons Hospital Of Fribourg, A Peripheral Public Hospital Of Switzerland</p>

Piller¹,

Herzog²

2019

PHMT

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Comparison of Nonpolio Enteroviruses in Children With Herpangina and Hand, Foot and Mouth Disease in Taiwan

Yang

Huang

Chen

et al. 2019

Pediatric Infectious Disease Journal

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Herpangina Outbreak Reports On 4 April 2018 we searched in PubMed using ((enterovir* OR coxack*) AND ((hand AND foot AND mouth) OR (herpangina))) for published studies on viral characteristics of herpangina in East or Southeast Asia, but there have only been reports for individual outbreaks over a short duration of time (typically under one year), and only reported in small areas in Thailand 2015 1-3 , China 4-7 ; Korea 2009 8,9 , and Taiwan 10. Additionally there are reports written in Japanese, published in Japanese Journal of Infectious Disease. We did not find any report investigating viral characteristics of herpangina at a larger or longer scale.

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Urine Trouble: Reducing Midstream Clean Catch Urine Contamination Among Children 3–17 Years Old

Hoover¹,

Segal²,

Zimmerman³

et al. 2021

Pediatrics

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BACKGROUND Children, caregivers, and clinicians often prefer midstream clean catch technique to urethral catheterization for obtaining urine cultures. However, contamination is common, potentially resulting in unnecessary medical intervention and cost. With this resident-led initiative, we aimed to reduce pediatric midstream clean catch urine culture contamination over 6 months. METHODS A bundled intervention was implemented in the emergency department, inpatient units, and outpatient clinics at our institution. Baseline contamination rates were collected April 2016 to September 2017; the intervention was introduced October 2017 to March 2018 and evaluated April 2018 to September 2018. Sustainability was measured October 2018 to September 2020. Balancing measures included rates of repeat urine cultures, positive cultures, and contaminated cultures by urethral catheterization. RESULTS Rates of midstream clean catch urine culture contamination were 45.3% preintervention and 30.9% postintervention, a 14.7% (95% confidence interval: 8.0% to 21.5%) absolute decrease. Before and after intervention, girls and patients 16 to 17 years old had the highest rates of midstream clean catch contamination. Six months postintervention, the rate of repeat urine culture decreased from 4.9% to 0.9% with no change in positive culture results or contaminated cultures by urethral catheterization. Over the subsequent 2 years, the impact of the intervention decreased (rate of contamination over 30 months postintervention: 38.4%, a 7.3% [95% confidence interval: 2.9% to 11.6%] absolute decrease; rate of repeat urine culture: 3.2%). CONCLUSIONS An intervention to improve midstream clean catch urine culture collection was associated with a clinically meaningful decrease in contamination. Impact of the resident-led intervention decreased over time.

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Sex differences in common childhood infections in Taiwan

Cited by 4 publications

References 9 publications

<p>The Burden Of Visits For Fever At A Paediatric Emergency Room: A Retrospective Study On Patients Presenting At The Cantons Hospital Of Fribourg, A Peripheral Public Hospital Of Switzerland</p>

<p>The Burden Of Visits For Fever At A Paediatric Emergency Room: A Retrospective Study On Patients Presenting At The Cantons Hospital Of Fribourg, A Peripheral Public Hospital Of Switzerland</p>

Comparison of Nonpolio Enteroviruses in Children With Herpangina and Hand, Foot and Mouth Disease in Taiwan

Urine Trouble: Reducing Midstream Clean Catch Urine Contamination Among Children 3–17 Years Old

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