Publications by authors named "Francisco Jose Climent-Alcala"
Article Synopsis
- Respiratory infections significantly affect hospitalization rates and costs for children with tracheostomies, prompting a study on antibiotic treatment patterns.
- The research analyzed medical records of 83 children to evaluate antibiotic use for tracheobronchitis and nonspecific respiratory episodes (NSRE), revealing that a high percentage of tracheobronchitis cases received antibiotics, while many NSRE cases did not require them.
- Factors like fever were linked to increased antibiotic prescriptions, but many cases resolved without treatment, indicating the need for careful antibiotic prescription practices to avoid unnecessary usage.
Background: Despite respiratory infections being a leading cause of hospitalization in children with tracheostomy tubes, there are no published guidelines for their diagnosis and management. This study aims to outline the clinical, laboratory and microbiological aspects of pneumonia in these children, along with the antibiotics used and outcomes. Additionally, it seeks to determine pneumonia incidence and associated risk factors.
View Article and Find Full Text PDFBackground And Objectives: Respiratory infections are the most frequent cause of hospitalization in tracheostomized children. However, there is a lack of publications to guide their management. The primary objective was to describe the microbiological isolates and their antibiotic susceptibilities of bacterial respiratory infections in a population of tracheostomized children.
View Article and Find Full Text PDFPearson syndrome is a rare multisystem disease caused by single large-scale mitochondrial DNA deletions (SLSMDs). The syndrome presents early in infancy and is mainly characterised by refractory sideroblastic anaemia. Prognosis is poor and treatment is supportive, thus the development of new models for the study of Pearson syndrome and new therapy strategies is essential.
View Article and Find Full Text PDFArticle Synopsis
- The study evaluates the care of children with medical complexity from both family and physician perspectives within Primary Care settings.
- Results indicate significant dissatisfaction among families regarding coordination and communication with Pediatric Care physicians, alongside a lack of training and experience reported by doctors.
- Recommendations highlight the need for improved coordination between Primary Care and hospitals, enhanced training for healthcare providers, and increased consultation time to better support families and their children's needs.
Article Synopsis
- Research on factors affecting deep vein thrombosis (DVT) resolution in children with central venous access devices (CVAD) is limited, impacting treatment decisions.
- A study of 85 pediatric patients found that successful thrombus resolution in the first 6 months was less likely with total occlusions, certain vein locations, early collateral circulation, and fewer prothrombotic risk factors.
- The findings indicate that these risk factors should be carefully considered for anticoagulation treatment duration and effectiveness in pediatric patients with CVAD-associated DVT.
Spanish Case of Acute Encephalopathy With Biphasic Seizures and Late Reduced Diffusion: Are We Only Seeing the Tip of the Iceberg?
Pediatr Infect Dis J
February 2021
Introduction: The increase in survival of children with severe diseases has led to the rise of children with chronic diseases, sometimes with lifelong disabilities. In 2008, a unit for the specific care of medically complex children (MCC) was created in Hospital La Paz.
Objectives: To describe the work and care activities of this Unit.