Early Detection of ARI Disease and First Aid in Children with Fever Seizures at Posyandu Cadres at Kantil Depok, Sleman

Background: Acute Respiratory Infection (ARI) is one of the problems of death in children in developing countries. ARI is an upper or lower respiratory tract disease, usually contagious, which can cause a wide spectrum of disease that ranges from asymptomatic disease or mild infection to severe and deadly disease.Objective: Yandu cadres can improve knowledge, attitudes and skills in handling ARI and febrile seizures in children, so as to optimize growth and development in children optimally.Methods: socialization and simulation of the handling of ARI and febrile seizures in children through cadres. Cadres were given material about ARI and febrile seizures, followed by interactive activities about the steps taken to overcome/handle ARI and febrile seizures in children. The cadres were divided into three groups and accompanied by one trainer.Results: the cadres stated that they understood, and seemed capable of handling febrile seizures in children.Suggestion: The existence of counseling and training to parents/mothers about ARI and handling febrile seizures in children, providing first aid kits and simple medicines for handling febrile seizures at Posyandu, also in families who have children and often experience febrile seizures under the supervision of a doctor, it is necessary the existence of socialization in physical form contains the importance of handling febrile seizures in children.

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Clinical Characteristics of the Afebrile Pneumonia Associated With Chlamydia trachomatis Infection in Infants Less Than 6 Months of Age

PEDIATRICS ◽

10.1542/peds.63.2.192 ◽

1979 ◽

Vol 63 (2) ◽

pp. 192-197

Author(s):

Margaret A. Tipple ◽

Marc O. Beem ◽

Evelyn M. Saxon

Keyword(s):

Chlamydia Trachomatis ◽

Respiratory Tract ◽

Lower Respiratory Tract ◽

Clinical Characteristics ◽

Respiratory Tract Disease ◽

Chlamydia Trachomatis Infection ◽

Lower Respiratory Tract Disease ◽

Tract Disease ◽

Blood Eosinophils ◽

Respiratory Tract Colonization

Respiratory tract colonization with Chlamydia trachomatis commonly occurs in natally acquired chlamydial infection and is sometimes associated with a chronic, afebrile pneumonia that has relatively distinctive clinical characteristics. To further define the frequency and clinical characteristics of lower respiratory tract disease associated with C trachomatis, we grouped 56 infants aged less than 6 months with afebrile pneumonia according to nasopharyngeal shedding of Chlamydia and viruses and compared their illnesses. Forty-one (73%) were positive for C trachomatis (23 had C trachomatis only, while 18 had C trachomatis plus a virus [cytomegalovirus, respiratory synctial virus, adenovirus, rhinovirus, or enterovirus]), and 15 were C trachomatis negative (nine had a virus only, and six had neither C trachomatis nor virus). The 41 infants with C trachomatis alone or C trachomatis plus a virus were similar clinically and differed significantly from other infants in several ways: (1) onset of symptoms before 8 weeks of age; (2) gradually worsening symptoms; (3) presentation for care at 4 to 11 weeks of age; (4) presence of conjunctivitis and ear abnormalities; (5) chest roentgenograms showing bilateral, symmetrical, interstitial infiltrates and hyperexpansion; (6) peripheral blood eosinophils ≥300/cu mm; and (7) elevated values for serum immunoglobulins M, G, and A.

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CLINICAL DETERMINANTS OF MECHANICAL VENTILATION IN INFANTS WITH RESPIRATORY SYNCYTIAL VIRUS LOWER RESPIRATORY TRACT DISEASE

Pediatric Critical Care Medicine ◽

10.1097/00130478-200503000-00054 ◽

2005 ◽

Vol 6 (2) ◽

pp. 239

Author(s):

Martin CJ Kneyber ◽

Jan LL Kimpen ◽

Adrianus J. van Vught

Keyword(s):

Mechanical Ventilation ◽

Respiratory Syncytial Virus ◽

Respiratory Tract ◽

Lower Respiratory Tract ◽

Respiratory Tract Disease ◽

Lower Respiratory Tract Disease ◽

Syncytial Virus ◽

Tract Disease

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New human coronavirus, HCoV-NL63, associated with severe lower respiratory tract disease in Australia

Journal of Medical Virology ◽

10.1002/jmv.20288 ◽

2005 ◽

Vol 75 (3) ◽

pp. 455-462 ◽

Cited By ~ 122

Author(s):

Katherine E. Arden ◽

Michael D. Nissen ◽

Theo P. Sloots ◽

Ian M. Mackay

Keyword(s):

Respiratory Tract ◽

Lower Respiratory Tract ◽

Respiratory Tract Disease ◽

Human Coronavirus ◽

Lower Respiratory Tract Disease ◽

Tract Disease

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Weight Status and Risk of Inpatient Admission for Children With Lower Respiratory Tract Disease

Hospital Pediatrics ◽

10.1542/hpeds.2021-005975 ◽

2021 ◽

Author(s):

Elizabeth E. Halvorson ◽

Amit Saha ◽

Christopher B. Forrest ◽

Hanieh Razzaghi ◽

Suchitra Rao ◽

...

Keyword(s):

Respiratory Tract ◽

Hospital Admission ◽

Lower Respiratory Tract ◽

Normal Weight ◽

Research Network ◽

Respiratory Tract Disease ◽

Weight Category ◽

Lower Respiratory Tract Disease ◽

Class 1 ◽

Tract Disease

OBJECTIVES To identify associations between weight category and hospital admission for lower respiratory tract disease (LRTD), defined as asthma, community-acquired pneumonia, viral pneumonia, or bronchiolitis, among children evaluated in pediatric emergency departments (PEDs). METHODS We performed a retrospective cohort study of children 2 to <18 years of age evaluated in the PED at 6 children’s hospitals within the PEDSnet clinical research network from 2009 to 2019. BMI percentile of children was classified as underweight, healthy weight, overweight, and class 1, 2, or 3 obesity. Children with complex chronic conditions were excluded. Mixed-effects multivariable logistic regression was used to assess associations between BMI categories and hospitalization or 7- and 30-day PED revisits, adjusted for covariates (age, sex, race and ethnicity, and payer). RESULTS Among 107 446 children with 218 180 PED evaluations for LRTD, 4.5% had underweight, 56.4% had healthy normal weight, 16.1% had overweight, 14.6% had class 1 obesity, 5.5% had class 2 obesity, and 3.0% had class 3 obesity. Underweight was associated with increased risk of hospital admission compared with normal weight (odds ratio [OR] 1.76; 95% confidence interval [CI] 1.69–1.84). Overweight (OR 0.87; 95% CI 0.85–0.90), class 1 obesity (OR 0.88; 95% CI 0.85–0.91), and class 2 obesity (OR 0.91; 95% CI 0.87–0.96) had negative associations with hospital admission. Class 1 and class 2, but not class 3, obesity had small positive associations with 7- and 30-day PED revisits. CONCLUSIONS We found an inverse relationship between patient weight category and risk for hospital admission in children evaluated in the PED for LRTD.

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Ribavirin. Red Book Committee Recommendations Questioned

PEDIATRICS ◽

10.1542/peds.93.4.672 ◽

1994 ◽

Vol 93 (4) ◽

pp. 672-673

Author(s):

Ellen R. Wald ◽

Barry Dashefsky

Keyword(s):

High Risk ◽

Lower Respiratory Tract ◽

Respiratory Tract Disease ◽

American Academy Of Pediatrics ◽

Lower Respiratory Tract Disease ◽

Rsv Infection ◽

Syncytial Virus ◽

Tract Disease ◽

New Guidelines ◽

Do So

The new guidelines provided by the Committee on Infectious Diseases of the American Academy of Pediatrics on the Use of Ribavirin in the Treatment of Respiratory Syncytial Virus Infection (RSV) are perplexing and prompt concern: "Ribavirin treatment is recommended for the following patients hospitalized with RSV lower respiratory tract disease: a. infants at high risk for severe or complicated RSV infection, including those with complicated congenital heart disease (including pulmonary hypertension); those with bronchopulmonary dysplasia, . . ."1,pp502-503 The accompanying qualifier that "the recommendations in this statement do not indicate an exclusive course of treatment or procedure to be followed"1,p501 is important but insufficient to dampen the effect of the Committee's decision to change its former stance of merely urging consideration of the use of ribavirin for patients at high risk for complications2 to an unequivocal recommendation to do so.

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