Fusidic Acid Ointment in Treatment of Recurrent Epistaxis in Children

ABSTRACT Aim To establish fusidic acid ointment in the treatment of recurrent epistaxis in children as a local antiseptic. Materials and methods It was a retrospective study and a total of 184 pediatric patients’ data were analyzed. Ninety-seven patients were found to be fitting in selection criteria. The time of presentation, number of episodes, treatment received, and follow-ups were noted. Results were confirmed over the phone. Results Ninety-five patients had simple bleed and were managed on outpatient treatment with fusidic acid ointment and saline nasal drops, while two required admission and underwent electrocautery of offending vessel. Out of the 95 patients, 10 had initial failure of treatment in the 1st month, but with continued treatment were subsequently treated. Fifteen of these 95 had episodes in the next season. The incidence of bleeding was more in summers than winters in children. Conclusion Fusidic acid ointments are safe and effective in the treatment of recurrent epistaxis in children. Clinical significance: The effectivity of fusidic acid in epistaxis has never been studied. This study can establish it as an antiseptic ointment in the treatment of recurrent epistaxis. How to cite this article Khandelwal G, Pathak S, Sharma M. Fusidic Acid Ointment in Treatment of Recurrent Epistaxis in Children. J Postgrad Med Edu Res 2016;50(4):194-196.

Download Full-text

Clinical Significance of Extended-Spectrum β-Lactamase ProducingEscherichia coliin Pediatric Patients with Febrile Urinary Tract Infection

Journal of the Korean Society of Pediatric Nephrology ◽

10.3339/jkspn.2012.16.1.38 ◽

2012 ◽

Vol 16 (1) ◽

pp. 38 ◽

Cited By ~ 3

Author(s):

Cheol Park ◽

Min Sang Kim ◽

Mi Kyung Kim ◽

Hyung Eun Yim ◽

Kee Hwan Yoo ◽

...

Keyword(s):

Urinary Tract Infection ◽

Urinary Tract ◽

Tract Infection ◽

Clinical Significance ◽

Pediatric Patients ◽

Febrile Urinary Tract Infection ◽

Extended Spectrum

Download Full-text

Preoperative hypoxemia in patients with type A acute aortic dissection: a retrospective study on incidence, related factors and clinical significance

Journal of Thoracic Disease ◽

10.21037/jtd.2019.11.68 ◽

2019 ◽

Vol 11 (12) ◽

pp. 5390-5397

Author(s):

Zijian Guo ◽

Yanwei Yang ◽

Mingming Zhao ◽

Bo Zhang ◽

Jiakai Lu ◽

...

Keyword(s):

Retrospective Study ◽

Aortic Dissection ◽

Clinical Significance ◽

Acute Aortic Dissection ◽

Type A ◽

Related Factors

Download Full-text

Parasitic infections in Swiss children: Are we overtesting?

BMC Gastroenterology ◽

10.1186/s12876-021-01619-6 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Corinne Légeret ◽

Céline Rüttimann ◽

Hans Fankhauser ◽

Henrik Köhler

Keyword(s):

Retrospective Study ◽

Positive Result ◽

Pediatric Patients ◽

Intestinal Parasites ◽

Gastrointestinal Symptoms ◽

International Travel ◽

Parasitic Infections ◽

Stool Samples ◽

Stool Specimens

Abstract Background A wide variation of causes can lead to gastrointestinal symptoms in children- an infection with parasites is one of them. The expansion of international travel might lead to an increase in testing children for a correspondent infection. Currently there are no guidelines available, which patients should be tested for a possible parasitical infection. The aim of the study was to characterize Swiss children suffering from intestinal parasites, in order to provide more knowledge for the clinician who should be tested. Methods This is a retrospective study of Swiss pediatric patients, whose stools have been tested for parasites and helminths. Results A total of 1855 stool samples, belonging to 572 different children with an average age of 7.9 years, were tested within a 10-year period. The prevalence of a positive result was 4.2%, of which all were positive for Blastocystis, and 12.5% had a co-infection with Endolimax nana. Conclusion Immigrants, immune compromised children with diarrhea and pediatric patients with bloody or protracted diarrhea should have 2 different stool specimens examined for a possible parasitical infection.

Download Full-text

Prevalence of COVID-19 Among Children and Adolescents While Easing Lockdown Restrictions in Cologne, North Rhine-Westphalia, Germany

Klinische Pädiatrie ◽

10.1055/a-1341-9530 ◽

2021 ◽

Author(s):

Robert Walter Körner ◽

Lutz Thorsten Weber

Keyword(s):

Children And Adolescents ◽

Medical History ◽

Day Care ◽

Pediatric Patients ◽

Upper Respiratory Tract ◽

Care Facilities ◽

Physical Examinations ◽

Oropharyngeal Swab ◽

Tract Infections ◽

Time Of Presentation

Abstract Background In Germany, widespread full closures of schools and day care facilities were part of lockdown measures to control the spread of coronavirus disease 2019 (COVID-19). In the state of North Rhine-Westphalia closures took place on March 16, 2020 and were gradually eased from end of April 2020 until beginning of June 2020. Objective This study aims to evaluate the prevalence of COVID-19 among children and adolescents during the reopening period of schools and day care facilities in Cologne, North Rhine-Westphalia, Germany. It further depicts medical history and results of physical examinations of pediatric patients undergoing a test for severe acute respiratory distress syndrome coronavirus 2 (SARS-CoV-2). Methods Testing for SARS-CoV-2 was carried out by a naso- and / or oropharyngeal swab by local pediatricians at the time of presentation. Samples were analyzed by real-time reverse transcription polymerase chain reaction (RT-PCR). Medical history and physical examination results were retrospectively analyzed. Results 525 children and adolescents presented mainly with mild upper respiratory tract infections. Three patients were diagnosed with COVID-19. Their medical history and examination results did not stand out from the other patients. Conclusion A precautious stepwise opening of schools and day care facilities was not associated with the occurrence of a relevant prevalence of COVID-19 among children and adolescents. However, a low general prevalence of COVID-19 at the end of the observation period has to be taken into account. Systematic testing might enable adjusted regulations in favor of full closures, especially in the light of increasing evidence for pediatric patients constituting a low-risk group for COVID-19.

Download Full-text

ASO Visual Abstract: Clinical Significance of Pretreatment Red Blood Cell Distribution Width as a Predictive Marker for Postoperative Morbidity After Esophagectomy for Esophageal Cancer: A Retrospective Study

Annals of Surgical Oncology ◽

10.1245/s10434-021-10786-5 ◽

2021 ◽

Author(s):

Naoya Yoshida ◽

Tomo Horinouchi ◽

Tasuku Toihata ◽

Kazuto Harada ◽

Kojiro Eto ◽

...

Keyword(s):

Esophageal Cancer ◽

Retrospective Study ◽

Blood Cell ◽

Clinical Significance ◽

Red Blood Cell ◽

Postoperative Morbidity ◽

Predictive Marker ◽

Cell Distribution ◽

Distribution Width ◽

Red Blood Cell Distribution

Download Full-text

The clinical significance of tertiary lymphoid structure and its relationship with peripheral blood characteristics in patients with surgically resected non-small cell lung cancer: a single-center, retrospective study

Cancer Immunology Immunotherapy ◽

10.1007/s00262-021-03067-3 ◽

2021 ◽

Author(s):

Mitsuro Fukuhara ◽

Satoshi Muto ◽

Sho Inomata ◽

Hikaru Yamaguchi ◽

Hayato Mine ◽

...

Keyword(s):

Lung Cancer ◽

Retrospective Study ◽

Small Cell Lung Cancer ◽

Clinical Significance ◽

Cell Lung Cancer ◽

Peripheral Blood ◽

Small Cell ◽

Single Center ◽

Small Cell Lung ◽

Blood Characteristics

Download Full-text

Does Hydrogen Peroxide Mouthwash Improve the Outcome of Secondary Post-Tonsillectomy Bleed? A 10-year Review

Otolaryngology ◽

10.1016/j.otohns.2005.04.002 ◽

2005 ◽

Vol 133 (2) ◽

pp. 202-205 ◽

Cited By ~ 11

Author(s):

Irumee Pai ◽

Stephen Lo ◽

Satsuki Brown ◽

Abbad G. Toma

Keyword(s):

Hydrogen Peroxide ◽

Retrospective Study ◽

Study Design ◽

Broad Spectrum ◽

Pediatric Patients ◽

Surgical Intervention ◽

Control Group ◽

Intravenous Antibiotics ◽

The Common

Objective: To determine whether hydrogen peroxide (H2O2) mouthwash influences the outcome of secondary post-tonsillectomy hemorrhage in children. Study Design: Ten-year retrospective study of all children with secondary post-tonsillectomy hemorrhage. Setting: Tertiary otolaryngology center. Results: Of the 156 patients, 59 received H2O2 and 97 did not. All patients received broad-spectrum intravenous antibiotics. The average rehospitalization duration due to hemorrhage was 1.7 days (H2O2 group) and 1.6 days (control group). In the H2O2 group, 8.5% required surgery, compared with 10.3% in the control group. Further hemorrhage episodes requiring readmission occurred in 3.4% of the H2O2 group and 3.1% of controls. There was no difference between the 2 groups in rehospitalization duration ( P = 0.49), rate of surgical intervention ( P = 0.85), and rate of readmission with further hemorrhage ( P = 0.92). Conclusion: Hydrogen peroxide mouthwash does not improve the outcome of secondary post-tonsillectomy hemorrhage in pediatric patients. Significance: This study does not support the common practice of treating post-tonsillectomy hemorrhage with H2O2.

Download Full-text