201 results match your criteria: "Hospital Nacional de Niños "Dr. Carlos Sáenz Herrera[Affiliation]"

Data on the health impact of carbapenem-resistant bloodstream infections (CRE-BSIs) in pediatric populations from Latin America and the Caribbean (LAC) are limited. This systematic review aims to examine the demographic, clinical, and microbiological aspects and resource utilization of this infection in children from this region. This systematic review investigates the impact of CRE-BSIs in pediatric populations across LAC.

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Importance: There is growing understanding that Social Determinants of Health (SDH) impact on the outcomes of different pediatric conditions. We aimed to determine whether SDH affect the severity of MIS-C.

Design: Retrospective cohort study, 2021-2023.

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Update in Asthma Management in Low-Middle Income Countries.

Pediatr Pulmonol

November 2024

Respiratory Department, Hospital Nacional de Niños "Dr. Carlos Sáenz Herrera", Caja Costarricense Seguro Social, San José, Costa Rica.

Asthma represents a significant global health burden, particularly in low and middle income countries (LMICs), where its impact is disproportionately severe. In these regions, asthma management is characterized by poorer control and greater mortality rates compared to wealthier nations. The prevalence of asthma is on the rise and demographic trends indicate that there would be a greater burden on children given that they represent a larger proportion of the population pyramid in LMICs.

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Consequences of Indoor Pollution in Children in Latin America.

Pediatr Pulmonol

November 2024

Department of Pediatrics, Division of Respiratory Medicine, Hospital Nacional de Niños "Dr. Carlos Sáenz Herrera," Caja Costarricense Seguro Social, San José, Costa Rica.

Introduction: Indoor air pollution represents a major health problem in developing countries. Common sources of contaminants include biomass fuels, dust mites, mold, and insecticides, which are frequently found in Latin American households due to cultural, geographical, and socioeconomic conditions. Additionally, tobacco consumption and e-cigarette use are both frequent in the region and represent another source of air pollution.

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Article Synopsis
  • - This study focuses on creating biocompatible scaffolds using polylactic acid (PLA), calcium phosphate, and diatomaceous earth for bone regeneration, with a goal of improving cell adhesion and biodegradability.
  • - The optimal composite mix (20 PLA/1 CP/1 DE) showed almost no cytotoxicity following gamma sterilization and was tested for its mechanical properties, which were found to be similar to cancellous bone.
  • - Degradation tests over 13 weeks indicated stability without significant mass loss, and successful cell interaction was noted, suggesting potential for these 3D-printed scaffolds as alternatives to traditional bone implants.
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Article Synopsis
  • - The study reviews the incidence and prevalence of Respiratory Syncytial Virus (RSV) in Latin America and the Caribbean, highlighting that RSV is a significant cause of lower respiratory tract infections and hospitalizations in the region, especially among young children and high-risk older adults.
  • - A systematic review method was used, analyzing 156 studies conducted from January 2012 to January 2023, primarily from Brazil, Colombia, and Argentina, with most studies being cross-sectional and low-risk for bias.
  • - Findings indicated a high prevalence of RSV in patients under 1 year old (58%), with notable ICU admission rates (42%) and mortality rates varying by age, suggesting a need for better methodological standards in clinical guidelines regarding RSV treatment
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The present situation of neuropathology practice in the Central American region has not been addressed in the past. These are low middle-income countries, and therefore, many do not have a basic immunohistochemistry panel. Cytogenetics and molecular studies are not available in most of Central America.

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A murine experimental model of the pulmonary thrombotic effect induced by the venom of the snake Bothrops lanceolatus.

PLoS Negl Trop Dis

October 2024

Instituto Clodomiro Picado, Facultad de Microbiología, Universidad de Costa Rica, San José, Costa Rica.

Article Synopsis
  • The venom of Bothrops lanceolatus, a viper species from Martinique, is known to cause thrombosis, particularly in patients bitten by juvenile snakes, prompting research into the underlying mechanisms.
  • The study compared the venoms of juvenile and adult specimens, revealing that juvenile venom induces more significant thrombus formation in mice than adult venom, despite both having similar proteomes.
  • An experimental model showcasing the thrombotic effects of B. lanceolatus venom was established, highlighting the differences in effects between juvenile and adult specimens, and indicating that other factors like metalloproteinase activity may not be solely responsible for thrombus formation.
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Article Synopsis
  • Access to safe surgery is a human right, but significant disparities exist between high-income and low-to-middle-income countries in terms of surgical care.* -
  • The LASOS-Peds study is a 14-day international research project exploring the rates of complications after pediatric surgeries in Latin America, focusing on both elective and emergency cases.* -
  • Approved by an Institutional Review Board, the findings will be published in peer-reviewed journals and shared at international conferences, with the aim of improving pediatric surgical outcomes.*
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Article Synopsis
  • The study aimed to investigate the epidemiology and outcomes of multisystem inflammatory syndrome in children (MIS-C) across 16 Latin American countries from August 2020 to June 2022.
  • Out of 1239 children with MIS-C, the majority were previously healthy, with common symptoms including abdominal pain and conjunctival injection, and nearly half required intensive care.
  • The overall death rate was 4.88%, notably higher for those not initially diagnosed with MIS-C, emphasizing the need for improved awareness and early detection of the syndrome.
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Advocacy, one of the five domains of global neurosurgery, represents a powerful avenue to influence public policy to expand access to safe, timely, and affordable neurosurgical care. In this manuscript, we characterize advocacy in global neurosurgery, describe specific neurosurgeon-led initiatives, and delineate how neurosurgeons can become involved in global neurosurgery advocacy efforts. Advocacy in global neurosurgery involves working together in organized neurosurgery with organizations focused on clinical provisions, training, and policy initiatives.

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Introduction: Dengue disease represents a large and growing global threat to public health, accounting for a significant burden to health systems of endemic countries. The World Health Organization's (WHO) Strategic Advisory Group of Experts (SAGE) and the European Medicines Agency (EMA) currently recommend the use of TAK-003 dengue vaccine in high dengue burden and transmission settings for countries considering vaccination as part of their integrated management strategy for prevention and control of Dengue.

Areas Covered: This paper describes the main conclusions of a workshop held by the Arbovirus Committee of the Latin American Society of Pediatric Infectious Diseases (SLIPE) in November 2023, to generate consensus recommendations on the introduction of this new vaccine in the region.

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Article Synopsis
  • RSV is the top cause of severe respiratory infections in children and has seen a rise in cases post-pandemic, especially in low- and middle-income countries.
  • Traditional treatments have been mainly supportive, but new preventive measures like long-acting monoclonal antibodies and vaccinations for pregnant women are becoming available.
  • The Latin American Pediatric Infectious Diseases Society (SLIPE) is assessing the impact of RSV in the LAC region and recommending new strategies for prevention.
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Economic burden of respiratory syncytial virus disease in Latin America: A systematic review.

Hum Vaccin Immunother

December 2024

Health Technology Assessment, Instituto de Efectividad Clínica y Sanitaria (IECS-CONICET), Buenos Aires, Argentina.

This Systematic Review assesses the economic impact of Respiratory Syncytial Virus (RSV) in Latin America and the Caribbean (LAC) in relation to healthcare resource utilization and associated costs. We searched online databases from January 2012 to November 2022 to identify eligible publications. We identified 12 publications that reported direct costs, indirect costs, and resources associated with RSV and its complications.

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Article Synopsis
  • Neurological issues are prevalent in children hospitalized with SARS-CoV-2-related multisystem inflammatory syndrome (MIS-C), potentially leading to lasting cognitive and functional problems.
  • This study investigates how severe neurological symptoms during hospitalization relate to new cognitive and functional impairments upon discharge among children under 18.
  • Over 3,500 patients were examined, revealing that those with severe neurological manifestations had a higher likelihood of experiencing new morbidities at discharge compared to those without such issues.
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Purpose: This study aims to provide an exhaustive analysis of pediatric low-grade gliomas (pLGGs) in the cerebellar hemispheres, focusing on incidence, clinical characteristics, surgical outcomes, and prognosis. It seeks to enhance understanding and management of pLGGs in the pediatric population.

Methods: We conducted an observational, descriptive, retrospective, and cross-sectional study at a pediatric hospital, reviewing medical records of 30 patients with cerebellar hemispheric pLGGs treated from December 2014 to January 2023.

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Article Synopsis
  • The CDC and ACIP endorse COVID-19 vaccination for patients with inborn errors of immunity (IEI), but there's limited knowledge on its safety and impact on infection severity in these patients.
  • A study involving a registry of 1,245 IEI patients across 24 countries was conducted to gather data on vaccination frequency, safety, and effectiveness, revealing that 64.7% were vaccinated, primarily with mRNA vaccines.
  • Results showed that vaccinated patients had significantly lower hospitalization and ICU admission rates when infected with COVID-19, indicating that vaccination is both safe and effective in reducing the severity of the disease in IEI patients.
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Unlabelled: We aimed to describe differences in the epidemiology, management, and outcomes existing between centers located in countries which differ by geographical location and economic status during to post-pandemic bronchiolitis seasons.  This was a prospective observational cohort study performed in two academic centers in Latin America (LA) and three in Italy. All consecutive children with a clinical diagnosis of bronchiolitis were included, following the same data collection form.

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Prevalence of Bacterial Codetection and Outcomes for Infants Intubated for Respiratory Infections.

Pediatr Crit Care Med

July 2024

Red Colaborativa Pediátrica de Latinoamérica (LARed Network), Montevideo, Uruguay.

Article Synopsis
  • The study aimed to find out how common respiratory bacterial codetection is in children under 2 years old who are intubated for acute lower respiratory tract infections, mainly viral bronchiolitis, and to see how it affects the duration of mechanical ventilation.
  • It analyzed 472 children, finding that 29% had bacterial codetection, with younger age and positive RSV tests linked to higher rates, while codetection didn't show a clear connection to longer mechanical ventilation duration.
  • The research suggests that while bacterial codetection is common, it may not significantly impact the length of time patients need invasive mechanical ventilation.
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Article Synopsis
  • Multisystem inflammatory syndrome in children (MIS-C) related to COVID-19 shows varied severity, with a lower mortality rate in wealthier countries, highlighting differences in outcomes across regions.
  • In a study of 1,239 children across 16 Latin American countries, the majority were previously healthy, but nearly half required admission to the pediatric intensive care unit (PICU), where they experienced more severe symptoms like myocardial dysfunction.
  • Key risk factors for PICU admission included being over six years old, experiencing shock or seizures, having low platelet counts, elevated inflammatory markers, and abnormalities on chest X-rays, with an overall mortality rate of 4.8%, which is notably higher than in high-income countries.
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