scholarly journals Gastric Flora in Gastrostomy Fed Children with Neurological Impairment on Antacid Medication

Children ◽  
2020 ◽  
Vol 7 (10) ◽  
pp. 154
Author(s):  
Bradley De Souza ◽  
Susan E. Richardson ◽  
Eyal Cohen ◽  
Sanjay Mahant ◽  
Yaron Avitzur ◽  
...  
Keyword(s):  
Aspiration Pneumonia ◽  
Bacterial Growth ◽  
Bacterial Colonization ◽  
Neurological Impairment ◽  
Empiric Therapy ◽  
Gastric Ph ◽  
Neurologically Impaired ◽  
Neurologically Impaired Children ◽  
High Concentrations ◽  
Impaired Children

This prospective cohort study aimed to: (1) describe types, concentrations and sensitivity profiles of bacteria found in gastric aspirates of neurologically impaired children; (2) compare flora between outpatients and those admitted with aspiration pneumonia; and (3) examine predictors of bacterial colonization. Gastric aspirates from gastrostomy fed, neurologically impaired children on antacid medication were measured for pH and sent for microbiological testing. The outpatient arm included 26 children at their baseline; the inpatient arm included 31 children with a clinical diagnosis of aspiration pneumonia. Descriptive statistics summarized the ecology and resistance patterns of microbial flora. Predictors of total bacterial colonization were explored with linear regression. High concentrations of potentially pathogenic fecal-type bacteria were detected in 50/57 (88%) gastric aspirates. pH was found to be the only predictor of bacterial growth; children with gastric pH ≥ 4 had significantly higher concentrations of aerobic growth, while those with no bacterial growth had a pH < 4. Further studies to evaluate optimal gastric pH, the role of gastric bacteria in causing aspiration pneumonia, and the optimal empiric therapy for aspiration pneumonia are recommended.

Performance of Neurologically Impaired Children Copying Geometric Designs with Sticks

1968 ◽  
Vol 26 (3) ◽  
pp. 763-772 ◽  
Author(s):  
James H. Wise
Keyword(s):  
Test Performance ◽  
Neurological Impairment ◽  
Performance Decrement ◽  
Neurologically Impaired ◽  
Number Of Children ◽  
Neurologically Impaired Children ◽  
Mental Age ◽  
Significant Performance ◽  
Impaired Children ◽  
Geometric Designs

The visual-motor performance of 34 brain-damaged children was compared with that of an equal number of children without neurological impairment but matched for IQ, age and sex. Performance involved the copying of geometric designs with sticks rather than drawings. A 14-category rating system was used to evaluate performance. Results indicated statistically significant performance decrement for the brain-damaged Ss, variations in sensitivity among designs and scoring categories for registering performance decrement, and low-to-moderate correlations between test performance and intelligence, age, and mental age. Such results encourage further development of a stick test for young and neurologically impaired children.

Parotid duct ligation for treatment of drooling in children with neurological impairment

2009 ◽  
Vol 123 (9) ◽  
pp. 997-1001 ◽  
Author(s):  
R L Heywood ◽  
L A Cochrane ◽  
B E J Hartley
Keyword(s):  
Surgical Intervention ◽  
Neurological Impairment ◽  
Morbidity Rate ◽  
First Line ◽  
Neurologically Impaired ◽  
Neurologically Impaired Children ◽  
Parotid Duct ◽  
Duct Ligation ◽  
Oral Approach ◽  
Impaired Children

AbstractObjective:Multiple surgical procedures have been advocated for the management of problematic drooling in neurologically impaired children. Parotid duct ligation is a quick and simple operation conducted via an intra-oral approach and usually performed simultaneously with other procedures. In this study, we aimed to evaluate the effectiveness of parotid duct ligation as a discrete procedure.Methods:All children who underwent bilateral parotid duct ligation as the solitary operative intervention at that time, between February 2003 and September 2006, were included in the study.Results:Ten children were studied. Surgery was successful in 80 per cent of cases. One patient (10 per cent) had a post-operative wound infection.Conclusions:Bilateral parotid duct ligation is an effective yet conservative operation for drooling in neurologically impaired children. It requires minimal surgical dissection and has a low morbidity rate. It should be considered as a potential first-line procedure in children who aspirate, and as a further surgical option in anterior droolers or those who continue to drool unacceptably following prior surgical intervention.

Aspiration pneumonia after antireflux surgery among neurologically impaired children with GERD

2020 ◽  
Vol 55 (11) ◽  
pp. 2408-2412
Author(s):  
John Maret-Ouda ◽  
Giola Santoni ◽  
Miia Artama ◽  
Eivind Ness-Jensen ◽  
Jan F Svensson ◽  
...  
Keyword(s):  
Aspiration Pneumonia ◽  
Antireflux Surgery ◽  
Neurologically Impaired ◽  
Neurologically Impaired Children ◽  
Impaired Children

Comparison of Scores on the Revised Stanford-Binet (L), Columbia Mental Maturity Scale (CMMS) and Goodenough Draw-a-Man Test of Children with Neurological Disorders

1966 ◽  
Vol 19 (1) ◽  
pp. 15-16 ◽  
Author(s):  
Samuel Hirschenfang ◽  
Selene Jaramillo ◽  
Joseph G. Benton
Keyword(s):  
Neurological Disorders ◽  
Intelligence Tests ◽  
Neurologically Impaired ◽  
Neurologically Impaired Children ◽  
Mental Maturity ◽  
Impaired Children

IQs from three intelligence tests, individually administered to 15 neurologically impaired children, were analyzed for differences between tests requiring speech and non-verbal examinations. All correlations were significantly different from zero, but the Binet gave IQs unlike those from the CMMS and the DAMT. The CMMS and the DAMT yielded similar IQ estimates, suggesting that non-verbal tests of intelligence are more helpful in the examination of children with neurological disorders.

Gastroesophageal Reflux in Neurologically Impaired Children

1992 ◽  
Vol 85 (3) ◽  
pp. 289-292 ◽  
Author(s):  
MARK S. GLASSMAN ◽  
ALLEN J. DOZER ◽  
LEONARD J. NEWMAN
Keyword(s):  
Gastroesophageal Reflux ◽  
Neurologically Impaired ◽  
Neurologically Impaired Children ◽  
Impaired Children
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