Publications by authors named "Su Eun Park"

Article Synopsis
  • A resurgence of Mycoplasma pneumoniae (MP) infections, mainly causing pneumonia in kids, was noted after the COVID-19 pandemic, leading to a study on its clinical features and treatment in late 2023.
  • Out of 474 patients screened, 374 met criteria for MP pneumonia, with most presenting fever and a common radiological sign being lobar consolidation, while macrolide resistance was high at 87%.
  • The study underscores the challenge of treating MP pneumonia due to high macrolide resistance rates, as these antibiotics, along with corticosteroids, are still frequently used despite their ineffectiveness in improving radiological outcomes.
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Background: We aimed to describe the clinical and microbiological characteristics of enterococcal bacteremia, as well as the effect of Enterococcus resistance against vancomycin on clinical outcomes in Korean children.

Methods: We retrospectively reviewed the medical records of children diagnosed with enterococci isolated from blood cultures at Pusan National University Children's Hospital between December 2009 and November 2021.

Results: In total, 64 patients were enrolled in the study.

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There is an ongoing burden of pneumococcal disease in children despite the use of pneumococcal conjugate vaccines (PCVs). This phase 3, open-label, single-arm, multisite, descriptive study was designed to evaluate the safety and immunogenicity of a 3 + 1 regimen of V114 (VAXNEUVANCE™), a 15-valent PCV, in South Korean infants and toddlers. Adverse events (AEs) were reported for 14 d following any vaccination, and throughout the study period for serious AEs.

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NMDA receptors (NMDARs) modulate glutamatergic excitatory tone in the brain via two complementary modalities: a phasic excitatory postsynaptic current and a tonic extrasynaptic modality. Here, we demonstrated that the tonic NMDAR-current ( ) mediated by NR2A-containing NMDARs is an efficient biosensor detecting the altered ambient glutamate level in the supraoptic nucleus (SON). of magnocellular neurosecretory cells (MNCs) measured by nonselective NMDARs antagonist, AP5, at holding potential ( ) -70 mV in low concentration of ECF Mg ([Mg]) was transiently but significantly increased 1-week post induction of a DOCA salt hypertensive model rat which was compatible with that induced by a NR2A-selective antagonist, PEAQX ( ) in both DOCA-HO and DOCA-salt groups.

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Background: Tuberculosis (TB) exposure in congregate settings related to neonates is a serious medical and social issue. TB exposure happens during the neonatal period, but contact investigations for exposed infants are usually conducted after the neonatal period. Generally, recommendations for screening and managing close contact are different for neonates and children.

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Article Synopsis
  • - The study analyzed pediatric invasive bacterial infections (IBIs) in children over 25 years (1996-2020) in Korea, highlighting changes in the types of bacteria causing these infections.
  • - A total of 2,195 IBI cases were recorded, with specific bacteria being more common in different age groups: (e.g., Streptococcus pneumoniae in younger children and Staphylococcus aureus in older ones).
  • - Findings indicate a decrease in certain bacteria (like Haemophilus influenzae) and an increase in others (such as Streptococcus pyogenes) before the COVID-19 pandemic, providing important baseline data for understanding IBI trends post-pandemic.
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Background: Sepsis within the first 3 days of life remains a leading cause of neonatal mortality and morbidity. However, few studies have addressed the epidemiology of sepsis in late preterm and term neonates, particularly in Asia. We aimed to estimate the epidemiology of early-onset sepsis (EOS) in neonates born at ≥35 0/7 weeks' gestation in Korea.

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Article Synopsis
  • As of September 3, 2022, Korea reported over 5.3 million COVID-19 cases in children under 18, with a case fatality rate of 0.85 per 100,000.
  • Of the 46 deaths, most were boys, with a median age of 7, and nearly half had underlying health conditions, particularly neurologic diseases.
  • COVID-19 deaths often occurred quickly after diagnosis, highlighting the need for improved access to medical care for children during the pandemic.
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The birth prevalence of symptomatic congenital cytomegalovirus (cCMV) disease among live birth in Korea from a multicenter study was 0.06% during 2001-2015 with increasing frequency. The administrative prevalence of cCMV infection by big-data analysis from the national health insurance system was 0.

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Objectives: Invasive bacterial infection (IBI) causes a significant burden in infants. In this study, we analyzed changes in epidemiology of IBI among infants in Korea.

Methods: A retrospective multicenter-based surveillance for IBIs in infants <3 months of age was performed during 2006-2020.

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Coronavirus disease 2019 (COVID-19) is usually less severe in children and adolescents than in adults. However, it can cause severe respiratory illness in a small proportion of children with risk factors. Here, we report a rare case of a 10-year-old boy with postinfectious bronchiolitis obliterans that developed after pneumonia caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2).

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Article Synopsis
  • The study aimed to analyze the distribution and antibiotic susceptibility of group A streptococcus (GAS) emm genotypes in Korean children, focusing on data from 2012 to 2019.
  • Among 169 GAS isolates, the most common genotypes were emm1, emm12, and emm4, with a shift to emm3 during the 2017-2018 scarlet fever outbreak.
  • The research found that GAS isolates had low erythromycin resistance, with only 1.2% showing resistance along with specific resistance genes.
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Monoamine oxidase (MAO) inhibitors have been investigated for the treatment of neuropathic pain. Here, we assessed the antiallodynic effects of a novel MAO-B inhibitor, KDS2010, on paclitaxel (PTX)-induced mechanical hypersensitivity. Oral administration of KDS2010 effectively relieved PTX-induced mechanical hypersensitivity in a dose-dependent manner.

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Article Synopsis
  • Human coronaviruses (HCoVs) are linked to respiratory infections in children, and this study focused on their clinical and epidemiological features in Korean kids from 2015 to 2019.
  • A total of 1,096 patients were examined, with most cases occurring in winter, particularly with HCoV-OC43 being the most prevalent strain, while co-infections were also observed.
  • Many patients were hospitalized, with common diagnoses being upper respiratory infections and pneumonia, but fortunately, there were no reported deaths.
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X-linked lymphoproliferative disease type 1 (XLP1), an X-linked recessive genetic disorder, is associated with primary immunodeficiency. Patients with XLP1 are susceptible to Epstein-Barr virus (EBV) infection. gene is known as the causative gene.

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Article Synopsis
  • Invasive bacterial infections (IBIs) in children were studied in Korea to assess the impact of nonpharmaceutical interventions (NPIs) during the COVID-19 pandemic.
  • From January 2018 to December 2020, surveillance was conducted across 22 hospitals, revealing a 57% decrease in invasive pneumococcal disease and a 59% drop in Salmonella infections in 2020 compared to previous years.
  • While NPIs significantly reduced some bacterial infections, they did not affect the rates of S. aureus, S. agalactiae, and E. coli infections in children.
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Background: Multidrug-resistant (MDRAB) is widespread among intensive care units worldwide, posing a threat to patients and the health system. We describe the successful management of a MDRAB outbreak by implementing an infection-control strategy in a pediatric intensive care unit (PICU).

Methods: This retrospective study investigated the patients admitted to the PICU in periods 1 (8 months) and 2 (7 months), from the index MDRAB case to intervention implementation, and from intervention implementation to cessation of MDRAB spread.

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During the 2019 domestic measles outbreak in Korea, measles occurred in healthcare workers with two doses of the measles, mumps and rubella vaccine, and the strict application of the Occupational Safety and Health Act required medical institutions to identify healthcare workers' immunity to measles and vaccinate the susceptible pockets. In response to the frontline medical institutions' request to review the measles recommendations and guidelines, the Korean Society of Infectious Diseases held a roundtable discussion on the causes of measles outbreak, timing of vaccinations, antibody tests, and booster vaccinations for healthcare workers, and financial support from the government and municipality as well as response strategies against the outbreak in healthcare settings. In Korea, the seroprevalence of measles is decreasing in the vaccine-induced immunity group during the maintenance of measles elimination over several years.

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Background: Mycoplasma pneumoniae is a common pathogen that causes community-acquired pneumonia in school-age children. Macrolides are considered a first-line treatment for M. pneumoniae infection in children, but macrolide-refractory M.

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Article Synopsis
  • A study in South Korea analyzed pediatric invasive pneumococcal diseases (IPDs) from 2014 to 2019 to examine changes in serotype distribution following the introduction of pneumococcal vaccines.
  • Vaccine serotypes (VTs) made up a small portion of the isolates (16.1%), while a majority (82.1%) were nonvaccine serotypes (NVTs), with serotype 10A being the most common and significantly increasing over the study period.
  • Most serotype 10A isolates were identified as multidrug-resistant ST11189, highlighting a concerning trend in antibiotic resistance among these infections.
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Background: Coronavirus disease 2019 (COVID-19) vaccination is necessary to reach herd immunity and essential for mitigating the spread of the pandemic. In May 2021, the US FDA and the EU have expanded the emergency use authorization for a COVID-19 vaccine to children aged 12 to 15. The aim of this study was to investigate parental acceptability of COVID-19 vaccination for their children, factors affecting their acceptability, and children's perceptions of COVID-19 vaccines in Republic of Korea.

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Article Synopsis
  • Rosai-Dorfman disease (RDD) is a rare condition primarily affecting children, characterized by painless bilateral cervical lymphadenopathy and potential extranodal involvement, with the spleen being an uncommon site.
  • A case study of a 10-month-old girl with RDD showed multiple splenic masses presented without the usual cervical lymphadenopathy, accompanied by fever and blood abnormalities.
  • The child did not respond to antibiotics and underwent a splenectomy for diagnosis, leading to her recovery, emphasizing the need for clinicians to consider RDD in children with unexplained symptoms even if typical signs are absent.
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