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 2021
1) Consensus - Febbraio 2021
- Gruppo di Lavoro su Covid-19 in Pediatria della Regione
- Coronavirus disease 2019 (COVID-19) caused by SARS-CoV-2 has rapidly spread, becoming the first pandemic of the 21st century by death toll. Children appear to be less affected than adults, with a milder clinical presentation and a significantly lower mortality rate. However, serious complica-tions can occur in childhood, such as COVID-19 temporally related multisystem inflammatory syn-drome (MIS-C). Some aspects of SARS-CoV-2 infection in children and adolescents remain un-clear and the optimal treatment has not been defined. The Working Group on COVID-19 in Paediatrics of the Emilia-Romagna Region (RE-CO-PED) has produced a consensus document with practical recommendations based on a systematic review of the literature and on the clinical experi-ence of the expert group. Evidence is reported regarding prevention measures, diagnostic tools as well as home and hospital therapeutic management of complicated cases (MIS-C). The educational and psychological effects of the pandemic in the paediatric and adolescent age are reported, with the need to define coordinated interventions (between paediatricians, neurospychiatrists, psycholo-gists and educational services) for the prevention and treatment of documented emotional, relational and educational consequences caused by the lockdown, school closures and social distances.
2) Linee guida - Ottobre 2020
- Gruppo di lavoro sulle infezioni delle vie urinarie della Società Italiana di Nefrologia Pediatrica (SINePe)
- The aim was to update the recommendations for the diagnosis, treatment and follow-up of the first febrile urinary tract infection in young children, which were first published in 2012 and endorsed by the Italian Society of Paediatric Nephrology. The Italian recommendations were revised on the basis of a review of the literature published from 2012 to October 2018. An ad hoc evaluation of the risk factors, which were published in the previous recommendations, was carried out to identify children with high-grade vesicoureteral reflux or renal scarring. When evidence was not available, the working group held extensive discussions during various meetings and through email exchanges. Four major modifications have been introduced. The method for collecting urine for culture and its interpretation has been re-evaluated. The algorithm that guides clinical decisions to proceed with voiding cystourethrography has been reformulated. The suggested antibiotics have been revised and further restrictions of the use of antibiotic prophylaxis have been recommended. These updated recommendations have now been endorsed by the Italian Society of Paediatric Nephrology and the Italian Society for Paediatric Infectivology. They can also be used to compare other available recommendations, as a worldwide consensus in this area is still lacking.
3) Editoriali - Giugno 2021
- Marchetti F
3) Editoriali - Giugno 2021
- Pession A
4) Linee guida - Giugno 2015
- G. Cozzi, S. Pusceddu, L. Mambelli, E. Barbi, F. Marchetti
- Bronchiolitis is the leading cause of lower respiratory tract infection and hospitalization
in children less than 1 year old. The American Academy of Pediatrics (AAP) and the Italian
Pediatric Society (SIP) have recently published new guidelines for the diagnosis,
management and prevention of bronchiolitis. Indications in the two documents are similar,
but bronchiolitis management is still debated. In particular pharmacological treatments
are not supported by enough evidence, whereas support therapy with oxygen, hydration
and nutrition seems the only useful option. The aim of the present work is to summarise
these new guidelines, adding a brief comment to each recommendation, in order
to produce a useful and practical everyday guide for the paediatrician.
5) Speciale - Luglio 2021
- Marchetti F, Barbi E
6) ABC - Febbraio 2004
- I. Bruno
7) L'angolo dell'immunologo - Ottobre 2001
- A. Tommasini, A. Insalaco, C. Perez, A.R. Soresina, A. Plebani
8) Vaccinare - Dicembre 2021
- Documento approvato dalle Società e Associazioni pediatriche italiane
9) Lettere - Settembre 2021
10) Aggiornamento - Marzo 2021
- Chiarelli F, Castorani V, Polidori N
- Short stature is the most common cause of referral to paediatricians. Only a minority of children with short stature have an underlying pathology. Although well-established diagnostic and management paradigms do exist, recent advances in molecular technologies have significantly improved our understanding of the genetic causes of short stature. Therefore, after the exclusion of nutritional, hormonal, inflammatory or systemic disorders, or skeletal dysplasias and syndromes, genetic causes should be ever supposed and genetic evaluation considered. An appropriate diagnosis of short stature should be performed as early as possible and personalized treatment should be started in a timely manner. Novel treatment approaches have been also proposed both as diagnostic tools and as therapeutic agents to optimize the approach to short stature. Therefore, detailed characterization of children with poor growth is necessary to perform a tailored diagnostic and therapeutic workup with the aim to decipher the causes of short stature better.
11) Editoriali - Aprile 2021
- Abbracciavento G
11) Editoriali - Aprile 2021
- Peri F, Tommasini A
12) Vaccinare - Marzo 2021
- Davanzo R
- The Covid-19 vaccination campaign represents a challenge for the health system. Eight Covid-19 vaccines belonging to 4 different categories of technology are currently available. More than the specific type of selected vaccine, major influencing factors for the success of the vaccination campaign are a quick coverage of the population, including the paediatric one, and the surveillance regarding the new viral variants.
13) Speciale - Luglio 2021
- Longo G, Badina L
14) Aggiornamento - Aprile 2021
- Tommasini A, Lepore L
- PFAPA (Periodic Fever, Aphthous Stomatitis, Pharyngitis and Adenitis) is the most common self-inflammatory disorder in children. The diagnosis of PFAPA is easy, based on Thomas criteria, and the prognosis is good. Differential diagnosis with hereditary
periodic fever syndromes (Familial Mediterranean Fever, Mevalonate Kinase Deficiency, TRAPS and CAPS) should be considered only in the presence of red flags such as early onset, severe abdominal complaints, arthritis and severe rashes. Some patients may present distinct clinical entities with periodic fevers that neither meet PFAPA criteria nor hereditary periodic fever syndromes genotypes. Subjects with these “Undifferentiated Periodic Fever” may respond to glucocorticoids or colchicines or to anakinra in the most severe cases and still have an undetermined prognosis.
15) Linee guida - Giugno 2021
- Bramuzzo M, Oliva S a nome del Gruppo di Lavoro SIGENP e AIGO
- Foreign bodies or caustic ingestion is a frequent occurrence in children and can result in
significant morbidity. Managing these conditions requires different levels of experience
and expertise. An en-doscopy is often necessary but an incorrect use of this procedure is
common. Indications and timing of endoscopy mainly depends on the clinical conditions
of the child, the type of object and its posi-tion or the type of substance. The Italian Society
of Gastroenterology, Hepatology and Pediatric Nutrition (SIGENP) together with
the Italian Association of Gastroenterologists and Hospital En-doscopists (AIGO) has
produced the first Italian guidelines for the management of the ingestion of foreign and
caustic bodies in children.
16) Consensus - Novembre 2019
- Consensus della Società Italiana di Nefrologia Pediatrica
- In Italy are not guidelines for the management of idiopathic nephrotic syndrome (NS) in paediatric age. The choice of a treatment with steroids has always been based on the clinical experience of each centre. The present Consensus of the Italian Paediatric Nephrology Association, updated as an overview of the literature in August 2015, aims to provide a multidisciplinary review on the diagnosis and treatment of NS at the onset by proposing a shared therapeutic protocol for both hospital and family paediatricians. The Consensus gives recommendations on the early recognition and treatment of complications (oedema, hypovolemia, infections and thromboembolic events) as well as on the definition of cortico-resistance and indications on the performance of kidney biopsy.
17) La pagina gialla - Marzo 2021 a cura di Alessandro Ventura
18) Speciale - Luglio 2021
- Berti I, Cutrone M
19) Aggiornamento monografico - Maggio 2005
- A. Balsamo, A. Cicognani
- Congenital adrenal hyperplasia (CAH) refers to a group of inherited disorders of adrenal steroidogenesis.
More than 90% of CAH is due to 21-hydroxylase deficiency (21-OH-D), found
in 1:10.000 to 1:15.000 live births as classical form and detected in about 2:100 of certain
populations as non classical form. Females with classical 21-OH-D present at birth genital virilization.
Potentially life-threatening adrenal crisis may characterize two-third to three-quarters
of patients of both sexes with the classical salt wasting (SW) form. Non classical patients
may present as precocious pubarche in children or polycystic ovarian syndrome in young women.
21-OH-D is caused by CYP21 gene mutations which in more than 90% of the cases result
from inter-genic recombination between the active CYP21 gene and the inactive CYP21P
pseudogene. The degree to which each mutation impairs enzymatic activity is strictly correlated
with the clinical severity of the disease. Glucocorticoid and mineralcorticoid replacement
therapies are the basics of treatment, although alternative strategies of treatment are
being developed. Neonatal screening may identify affected children before SW crises develop,
reducing mortality of this disease. Prenatal diagnosis and treatment should be performed
in families at risk for classical form, underlining them that long term results in dexamethasone
treated subjects have however lacking. Long term outcome shows an adult height generally
between 1 and 2 standard deviations under the familial target height and a fertility rate only
moderately reduced in female more than in male treated patients.
20) La pagina gialla - Febbraio 2021 a cura di Alessandro Ventura