Publications by authors named "Lisbeth S Schmidt"

We investigated the potential role of pivmecillinam in the treatment of urinary tract infections in children. Among 351 children (0-6 years) with urinary tract infections, 83% could be treated with pivmecillinam following urine culture. Resistance was highest in infants (0-3 months) caused by the high prevalence of Enterococcus faecalis.

View Article and Find Full Text PDF

Background: infections resurged globally in 2023-2024 after a three-year decline during the COVID-19 pandemic. We explored the incidence and severity of infections in children and adolescents before, during, and after the pandemic.

Methods: This nationwide, population-based cohort study included all Danish children and adolescents aged 0-17 years with a positive PCR test from May 1, 2016, to April 30, 2024.

View Article and Find Full Text PDF
Article Synopsis
  • - This study explored whether starting treatment for bone and joint infections (BJIs) in children with oral antibiotics is as effective and safe as beginning with intravenous (IV) antibiotics, which are often more expensive and burdensome.
  • - Conducted in Denmark from September 2020 to June 2023, the trial involved children aged 3 months to 17 years and compared high-dose oral antibiotics (amoxicillin/clavulanic acid or dicloxacillin) to IV ceftriaxone, with strict inclusion and exclusion criteria to ensure appropriate patient selection.
  • - The main goal was to assess any lasting complications in mobility or function after six months, determining that if the risk difference in negative outcomes between the two treatment methods
View Article and Find Full Text PDF

Multisystem inflammatory syndrome in children (MIS-C) is a severe disease that emerged during the COVID-19 pandemic. Although recognized as an immune-mediated condition, the pathogenesis remains unresolved. Furthermore, the absence of a diagnostic test can lead to delayed immunotherapy.

View Article and Find Full Text PDF

Early diagnosis of infections in young infants remains a clinical challenge. Young infants are particularly vulnerable to infection, and it is often difficult to clinically distinguish between bacterial and viral infections. Urinary tract infection (UTI) is the most common bacterial infection in young infants, and the incidence of associated bacteremia has decreased in the recent decades.

View Article and Find Full Text PDF
Article Synopsis
  • A significant rise in invasive group A streptococcal (iGAS) infections in children was observed globally in 2022, prompting a study in Denmark to compare the incidence and severity of these infections across different clinical types and GAS emm variants over multiple seasons from 2016 to 2023.
  • The study was a nationwide, multicentre cohort analysis that included data from all Danish children and adolescents aged 0-17 with confirmed iGAS infections, using data from active hospital records and the Danish Microbiology Database.
  • Of the 1.15 million Danish children, 174 cases of iGAS were studied, with 76 cases specifically identified in the 2022-23 period; this reflects differences
View Article and Find Full Text PDF
Article Synopsis
  • A study is testing the effectiveness of high-dose oral antibiotics compared to traditional intravenous antibiotics in treating children (3 months to 18 years) with bone and joint infections.
  • The trial involves randomizing participants into two groups: one receiving oral antibiotics only and the other receiving IV antibiotics followed by oral treatment after improvement.
  • The main goal is to see if oral treatment is as effective as IV treatment, with ethical considerations aimed at minimizing hospital stays and reducing unnecessary use of IV antibiotics.
View Article and Find Full Text PDF
Article Synopsis
  • - The study examines the likelihood of developing multisystem inflammatory syndrome in children who have been infected with SARS-CoV-2, comparing vaccinated and unvaccinated groups.
  • - It focuses on data collected before and during the Omicron variant wave in Denmark, providing insights into the impact of vaccination on this risk.
  • - The research aims to enhance understanding of how COVID-19 affects children's health and the effectiveness of vaccines in preventing severe complications.
View Article and Find Full Text PDF
Article Synopsis
  • Multisystem inflammatory syndrome in children (MIS-C) is linked to prior SARS-CoV-2 infections, and its occurrence may vary based on factors like the virus variant and vaccine effectiveness.
  • A study in Denmark tracked MIS-C cases among children 0-17 during the delta variant wave and compared these with earlier cases, using data from 18 hospitals.
  • The study found 51 cases in unvaccinated children versus one in a fully vaccinated teenager, demonstrating a significantly higher incidence of MIS-C in unvaccinated individuals, with vaccine effectiveness estimated at 94%.
View Article and Find Full Text PDF
Article Synopsis
  • The study conducted in Denmark assessed the incidence of myopericarditis following the Pfizer-BioNTech COVID-19 vaccination in adolescents aged 12-17 years.
  • A total of 15 cases were identified among nearly 261,000 vaccinated individuals, resulting in a rate of 97 cases per million for males and 16 per million for females.
  • The findings suggest that the rate of myopericarditis in males after vaccination is higher compared to similar data reported from the United States.
View Article and Find Full Text PDF

A 3-week-old boy with viral gastroenteritis was by error given 200 mL 1 mmol/mL hypertonic saline intravenously instead of isotonic saline. His plasma sodium concentration (PNa) increased from 136 to 206 mmol/L. Extreme brain shrinkage and universal hypoperfusion despite arterial hypertension resulted.

View Article and Find Full Text PDF

In Denmark, severe acute respiratory syndrome coronavirus 2 antibodies were assessed in a cross-sectional study among 1033 children visiting pediatric departments and 750 blood donors in June 2020, using a point-of-care test. Antibodies were detected in 17 children (1.6%) and 15 blood donors (2.

View Article and Find Full Text PDF

Genetic risk score (GRS) is used to demonstrate the genetic variants contributing to the polygenic architecture of complex diseases. By using a GRS, we have investigated the additive impact of the known adult glioma susceptibility loci on the pediatric brain tumor (PBT) risk and assessed the proportion of PBT heritability attributable to these susceptibility loci. A GRS was generated for PBTs based on the alleles and associated effect sizes derived from a previously published genome-wide association study on adult glioma.

View Article and Find Full Text PDF
Article Synopsis
  • The primary clinical manifestation of Epstein-Barr virus infection is infectious mononucleosis, but the virus can also cause other diseases.
  • This review discusses the diagnostics and basic pathophysiology of Epstein-Barr virus, highlighting conditions like hepatitis, autoimmune hemolytic anemia, and neurological diseases.
  • The goal is to enhance clinicians’ awareness of these conditions to improve diagnosis and treatment timing.
View Article and Find Full Text PDF

Epstein-Barr virus (EBV) is globally prevalent and in adolescents mostly observed as infectious mononucleosis. Abnormal liver blood tests are common, whereas more serious hepatitis is less prevalent. Autoimmune haemolytic anaemia may also occur in the course of this infection.

View Article and Find Full Text PDF

Rhabdomyolysis is a rare, but known complication to treat-ment with systemic isotretinoin in patients with acne and can lead to severe kidney damage. In our case report a 17-year-old male, exercising moderately, developed rhab-domyolysis without kidney injury after two-month treatment with isotretinoin 20 mg daily. He complained of some muscle pain and was treated according to guidelines for rhabdomyolysis with no sequelae.

View Article and Find Full Text PDF

Sub-acute neurotoxicity is a well-known complication to high-dose and intrathecal methotrexate (MTX) treatment of children with leukemia. Symptoms can be treated safely by dextromethorphan, a non-competitive antagonist to N-methyl-D-aspartic acid receptor (NMDAR). In a female with subacute MTX neurotoxicity, we observed an electroencephalographic (EEG) with extreme delta brush.

View Article and Find Full Text PDF

Approximately 0.5-2% of upper viral infections are com-licated by secondary acute bacterial sinusitis and may in rare cases evolve into more serious complications such as meningitis and intracranial abscess. Symptoms are often subtle and nonspecific as fever, headache, scalp tenderness, nausea and altered mental status.

View Article and Find Full Text PDF

Background: Previous studies have evaluated the effect of medical diagnostic radiation on brain tumors. Recent cohort studies have reported an increased risk associated with exposure to head CT scans.

Methods: Information regarding medical conditions, including prenatal and postnatal exposure to medical diagnostic radiation, was obtained from CEFALO, a multicenter case-control study performed in Denmark, Norway, Sweden, and Switzerland through face-to-face interview.

View Article and Find Full Text PDF

Knowledge on the role of genetic polymorphisms in the etiology of pediatric brain tumors (PBTs) is limited. Therefore, we investigated the association between single nucleotide polymorphisms (SNPs), identified by candidate gene-association studies on adult brain tumors, and PBT risk.The study is based on the largest series of PBT cases to date.

View Article and Find Full Text PDF

Little is known about the aetiology of childhood brain tumours. We investigated anthropometric factors (birth weight, length, maternal age), birth characteristics (e.g.

View Article and Find Full Text PDF

The role of genetic polymorphisms in pediatric brain tumor (PBT) etiology is poorly understood. We hypothesized that single nucleotide polymorphisms (SNPs) identified in genome-wide association studies (GWAS) on adult glioma would also be associated with PBT risk. The study is based on the Cefalo study, a population-based multicenter case-control study.

View Article and Find Full Text PDF