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Lauzacco, Italy

Background - In 2008 the American Academy of Paediatrics (AAP) recommended the administration of 400 UI/die of vitamin D to all newborns. Aims - The aim of this study was to verify the adherence to current guidelines in birth centres of the three regions in North-East Italy (Triveneto). Materials and methods - In the months of February and March 2012 a questionnairewas sent to all 64 nurseries to verify whether the intake of vitamin D was recommended for all healthy newborns as a matter of department, and in what way, shape and dose was prescribed. Results - It resulted that 93.8% of birth centres prescribed vitamin D at discharge of healthy newborns and 89.8% prescribed it indiscriminately. All prescribed vitamin D in writing, at a dose of 400 UI/die in 93.1% and 27.6% in pure form. Conclusions - Adherence to guidelines regarding the recommendation to give supplemental vitamin D to newborns was optimal in the regions of Triveneto.

Caffarelli C.,University of Parma | Baldi F.,UO di Pediatria | Marani M.,Pediatria | Pasquinelli P.,U.O. Pediatria
Italian Journal of Pediatrics | Year: 2010

A joint study group on cow's milk allergy was convened by the Emilia-Romagna Working Group for Paediatric Allergy and by the Emilia-Romagna Working Group for Paediatric Gastroenterology to focus best practice for diagnosis, management and follow-up of cow's milk allergy in children and to offer a common approach for allergologists, gastroenterologists, general paediatricians and primary care physicians. The report prepared by the study group was discussed by members of Working Groups who met three times in Italy. This guide is the result of a consensus reached in the following areas. Cow's milk allergy should be suspected in children who have immediate symptoms such as acute urticaria/angioedema, wheezing, rhinitis, dry cough, vomiting, laryngeal edema, acute asthma with severe respiratory distress, anaphylaxis. Late reactions due to cow's milk allergy are atopic dermatitis, chronic diarrhoea, blood in the stools, iron deficiency anaemia, gastroesophageal reflux disease, constipation, chronic vomiting, colic, poor growth (food refusal), enterocolitis syndrome, protein-losing enteropathy with hypoalbuminemia, eosinophilic oesophagogastroenteropathy. An overview of acceptable means for diagnosis is included. According to symptoms and infant diet, three different algorithms for diagnosis and follow-up have been suggested. © 2010 Caffarelli et al; licensee BioMed Central Ltd.

In the second half of 2011, in the pediatric ward of the Forli hospital, monthly meetings were organized for family, community and hospital pediatricians, psychologists and child neuro-psychiatrists. Clinical cases chosen by family pediatricians were presented followed by a discussion from an interdisciplinary perspective aimed at examining the problems that lead to a consultation with the paediatrician. This modality more than any theorization can, in our opinion, effectively contribute to explain the goals and contents of this integrated training initiative.

Lega S.,University of Trieste | Carbone M.,Science di Ortopedia Pediatrica | Chiaffoni G.,UO di Pediatria
Medico e Bambino | Year: 2015

Up to 15% of children with Down syndrome have atlanto-axial instability (AAI) due to constitutional ligament hyperlaxity. Symptomatic disease occurs in 3% of patients: most frequently neurological symptoms of spinal cord compression slowly progress over time but complications from vertebral dislocation can manifest with sudden painful torticollis. While asymptomatic cases require no intervention, symptomatic cases are at risk for irreversible neurological damage and require prompt recognition and surgical stabilization of cervical spine. The paper describes the case of a 10-year-old girl with Down syndrome and AAI who presented with painful torticollis caused by rotatory dislocation of C1-C2. Torticollis was initially misdiagnosed as myogenic. Vertebral dislocation was recognized one month after the onset of symptoms and appropriately managed with surgical stabilization of cervical spine.

Valletta E.,UO di Pediatria | Camoglio F.S.,University of Verona
Quaderni ACP | Year: 2012

Appendectomy has been the mainstay of treatment of acute appendicitis for a long time. Recent studies suggest that in uncomplicated acute appendicitis antibiotic treatment could be a suitable alternative to surgery. It would not significantly increase the risk of peritonitis and could avoid all unnecessary surgery-related morbidity. We offer a commented review of the most recent trials and of at least six systematic reviews or metanalysis published in the last few months. In our opinion, available data regarding exclusive antibiotic treatment are not conclusive nor immediately applicable to paediatric patients.

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