Rivista di formazione e aggiornamento di pediatri e medici operanti sul territorio e in ospedale. Fondata nel 1982, in collaborazione con l'Associazione Culturale Pediatri
Gli articoli più visti nel mese di Agosto 2026
1) Aggiornamento - Maggio 2024
L’otite esterna acuta: dalla diagnosi al trattamento
- Lavezzo G, Pietrolati G, Iacono A, Marchetti F.
- Acute otitis externa (AOE) is an infection of the external auditory canal with peak incidence between 5 and 9 years of age. Predisposing factors are the summer period, water sports and duct injuries (e.g. cotton buds). The diagnosis is clinical and the responsible agents are mainly bacteria (Pseudomonas Aeruginosa followed by Staphylococcus Aureus). The therapy involves the local use of acidifiers and/or antiseptics for mild forms while for moderate forms topical antibiotics (in monotherapy or in combination with cortisone and/or anaesthetics). The use of systemic antibiotics should be reserved only for severe forms or those not responsive to topical therapy.
466 kB3) Aggiornamento - Ottobre 2007
La splenomegalia
- M. Rabusin, F. Patarino
- The spleen in infants and children is involved in a wide variety of pathological conditions. Splenic disorders may be isolated like splenic cysts or, more frequently, due to multiorgan or systemic disease including hepatic diseases, malignancy, hemoglobinopathy, infectious diseases and storage diseases. The Authors review the role of the laboratory test, the ultrasonography and the peripheral blood smear in orienting the differential diagnosis. Invasive procedure as bone marrow aspiration, lymph node biopsy, hepatic biopsy or fine needle splenic biopsy are often warranted to estabilish the cause of splenomegaly.
4) Linee guida - Giugno 2026
Management della febbre nei primi 60 giorni di vita: fare meno, ma in sicurezza
- Cardace MG, Fiandri G, Baroni L, et al.
- Fever in neonates and infants younger than 60 days is one of the most frequent cause of admission to the Paediatric Emergency Room and a significant clinical challenge. Although the majority of infections in this age group are viral, a non-negligible risk of invasive bacterial infections (IBIs), including bacteremia and bacterial meningitis, persists. The clinical presentation is often nonspecific and physical examination alone has low sensitivity for identifying serious bacterial disease. This paper provides a summary of the most recent evidence on the management of febrile newborns and infants (<60 days), with particular reference to the guidelines of the American Academy of Pediatrics, and compares them with European and British approaches. AAP recommendations propose an age-stratified decision-making model (8-21, 22-28, and 29-60 days) integrating clinical assessment with inflammatory biomarkers, particularly procalcitonin, C-reactive protein and absolute neutrophil count. This strategy allows clinicians to tailor the indication for invasive testing, hospitalisation and empiric antibiotic therapy according to the neonate/infant’s risk profile, thereby reducing unnecessary interventions in low-risk infants without compromising patient safety. Available evidence shows that the combined use of inflammatory biomarkers, especially procalcitonin, has a high negative predictive value for IBIs and supports a more selective approach to lumbar puncture and hospitalisation. In conclusion, the management of febrile neonates and infants younger than 60 days should be based on a structured and cautious approach able to balance the need for early identification of serious bacterial infections with the goal of limiting unnecessary diagnostic and therapeutic interventions.
5) Problemi correnti - Dicembre 2004
L’impetigine
- A. Lenhardt, J. Bua, F. Marchetti
- As a rule bollous impetigo is caused by Staphylococcus aureus. Non bullous, or contagious, impetigo is also caused by Staphylococcus aureus, less frequently by its association with Streptococcus pyogenes. Controlled studies showed that topical antibiotics such as mupirocine and fusidic acid are at least as effective as oral antibiotics. Oral antibiotics remain the treatment of choice in case of familial cases, of perioral localisation and of systemic involvement. In these cases, although controlled studies are not available, 1st and 2nd generation cephalosporins, amoxicillin-clavulanic and macrolides are recommended.
7) Aggiornamento - Aprile 2008
L'ipertensione arteriosa in età pediatrica: dall'inquadramento diagnostico alla terapia
- A. de Cunto, M. Maschio, M. Pennesi, A. Benettoni
- The epidemic of childhood obesity, the risk of developing left ventricular hypertrophy, and evidence of the early development of atherosclerosis in children would make identification and treatment of hypertension an important focus of physicians caring for children. Secondary hypertension is more common in preadolescent children, with most cases caused by renal disease. Primary or essential hypertension is an emerging condition in adolescents and has multiple risk factors, including obesity and a family history of hypertension. Evaluation involves a thorough history and physical examination, laboratory tests, and specialized studies. Lifestyle modifications are advised for all patients and can be tried solely for those with blood pressures between the 95th and 99th percentiles. Drug therapy is indicated in children with blood pressures greater than the 99th percentile, secondary hypertension, coexisting diabetes, left ventricular hypertrophy, or those who fail a trial of non pharmacologic treatment.
9) Casi indimenticabili - Giugno 2026
Un’artralgia che co... vava qualcosa
- Stella A, Iacono A, Magno C, Fichera F, Schilleci A, Cassata N.
- The paper describes the case of a 4-year-old girl with Jacobsen syndrome and a history of highly selective eating, who presented with anaemia, arthralgia and a sudden refusal to bear weight following a minor knee injury. The condition, which proved to be a case of scurvy, highlights the clinical significance of severe nutritional deficiencies in paediatric patients with selective diets or developmental disorders.
9) Casi indimenticabili - Giugno 2026
Una tosse “ticcosa”
- Colonna F, Marsoni B.
- The paper describes the case of a 6-year-old girl with diurnal, drug-resistant tic (psychogenic) cough triggered by a traumatic hospitalisation. Once organic causes were ruled out, the issue was permanently resolved through psychotherapy combined with EMDR.
9) Casi indimenticabili - Giugno 2026
Dolore toracico e pericardite
- Fasiolo E.
- The paper describes the case of a 14-year-old boy who presented to the Emergency Room with positional chest pain and ECG changes. Based on his symptoms and rising CRP levels, he was discharged with a diagnosis of acute pericarditis and prescribed ibuprofen, colchicina and rest. At the follow-up visit two days later, the pain had reduced, but typical pericardial friction rubs were detected.