Publications by authors named "Roland Fressle"

Article Synopsis
  • There has been a rise in cutaneous infections caused by Corynebacterium diphtheriae among adolescent and young adult refugees in Germany since September 2022, prompting this study to assess treatment options and outcomes.
  • The study included 31 cases from 9 medical centers, revealing that most infections were cutaneous and generally afebrile, with a few cases showing systemic complications requiring more intensive care.
  • The recommended treatment for uncomplicated cases involves topical antiseptics and a 7-day course of antibiotics like clindamycin, while cases with fever or throat symptoms necessitate further medical evaluation, including cultures.
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Refugee children and adolescents with chronic diseases and disabilities are among the most vulnerable persons as their health and developmental chances are considerably at risk. This article describes the challenges and opportunities in the care of this group of patients from the perspective of different care sectors: initial reception center, public health service, pediatricians in private practice, social pediatric centers and patient organizations. The starting point is a presentation of the rights to optimal healthcare that can be derived from the United Nations (UN) Convention on the Rights of Persons with Disabilities and the UN Convention on the Rights of the Child.

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Background: The microbiological diagnosis of pulmonary tuberculosis (Tb) in a pediatric population is hampered by both low pathogen burden and noncompliance with sputum sampling. Although endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) has been found useful for the evaluation of mediastinal pathologies in adults, for children, sparse data are available. Here, we have evaluated EBUS-TBNA as a diagnostic procedure in children and adolescents with suspected pulmonary Tb.

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Background: Information regarding the prevalence of infectious diseases (IDs) in child and adolescent refugees in Europe is scarce. Here, we evaluate a standardized ID screening protocol in a cohort of unaccompanied refugee minors (URMs) in a municipal region of southwest Germany.

Methods And Findings: From January 2016 to December 2017, we employed a structured questionnaire to screen a cohort of 890 URMs.

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