Publications by authors named "R Seuri"

Article Synopsis
  • The 2023 Finnish guidelines for pediatric lower respiratory tract infections (LRTIs) were updated based on a systematic review of strong, moderate, and weak evidence from various studies.
  • Key recommendations include avoiding antitussives and beta-sympathomimetics for bronchitis, using oral corticosteroids for laryngitis, and prescribing a 5-day course of amoxicillin for community-acquired pneumonia.
  • The goal of the guidelines is to enhance evidence-based treatment for LRTIs in children, focusing on the correct use of antibiotics, inhaled therapies, corticosteroids, and appropriate testing.
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Background: Children with congenital CMV infection (cCMV) shed virus in urine and saliva for prolonged periods of time. Outcome of cCMV varies from asymptomatic infection with no sequelae in most cases, to severe longterm morbidity. The factors associated with asymptomatic cCMV are not well defined.

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The recent European Council Directive 2013/59/EURATOM requires the establishment of diagnostic reference levels (DRLs) to optimise radiation dose in diagnostic and interventional radiology procedures. At the time this directive was enacted, just a few European countries had already set paediatric DRLs and many of these were outdated. For this reason, the European Commission launched a project addressing European Guidelines on Diagnostic Reference Levels for Paediatric Imaging that was awarded to a consortium led by the European Society of Radiology with the collaboration of the European Society of Paediatric Radiology and other European stakeholders involved in the radiation protection of children.

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Background: Congenital cytomegalovirus (cCMV) infection is the most common congenital infection and causes significant morbidity. This study was undertaken to evaluate the benefits of screening newborns for cCMV and to understand the cCMV disease burden in Finland.

Methods: Infants born in Helsinki area hospitals were screened for CMV by testing their saliva with a real-time polymerase chain reaction assay.

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Chest radiography is the most common radiological examination in children. The indications are severe or complicatec pneumonia, exclusion of other diseases when diagnosing asthma, and suspected foreign body aspiration if emergency bronchoscopy is not performed. Community-acquired pneumonia can be diagnosed on the basis of clinical symptoms anc findings alone, but if hospitalization is needed for pneumonia, the diagnosis needs to be confirmed with chest radiography Imaging is the only reliable method to assess the severity of pneumonia and to detect the complications.

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