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  1. Article ; Online: Impact of health disparity on pediatric infections.

    Rogo, Tanya / Holland, Sabina

    Current opinion in infectious diseases

    2023  Volume 36, Issue 5, Page(s) 394–398

    Abstract: Purpose of review: The COVID-19 pandemic highlighted the health disparities among minoritized children due to structural racism and socioeconomic inequalities. This review discusses how health disparities affect pediatric infections and how they can be ... ...

    Abstract Purpose of review: The COVID-19 pandemic highlighted the health disparities among minoritized children due to structural racism and socioeconomic inequalities. This review discusses how health disparities affect pediatric infections and how they can be addressed.
    Recent findings: In addition to disparities in healthcare access due to poverty, geography, and English-language proficiency, implicit and explicit bias affects the healthcare quality and subsequent outcomes in children and adolescents with infections. Disparities in clinical trial enrollment affect the generalizability of research findings. Physicians who understand their patients' languages and the contexts of culture and socioeconomic conditions are better equipped to address the needs of specific populations and the health disparities among them.
    Summary: Addressing disparities in pediatric infections requires prioritization of efforts to increase physician workforce diversity in Pediatric Infectious Diseases, as well as education in bias reduction and culturally sensitive clinical practice, in addition to socioeconomic interventions that improve healthcare access, delivery, and outcomes.
    MeSH term(s) Adolescent ; Humans ; Child ; Healthcare Disparities ; Pandemics ; COVID-19/epidemiology ; Health Services Accessibility ; Poverty
    Language English
    Publishing date 2023-07-17
    Publishing country United States
    Document type Review ; Journal Article
    ZDB-ID 645085-4
    ISSN 1473-6527 ; 1535-3877 ; 0951-7375 ; 1355-834X
    ISSN (online) 1473-6527 ; 1535-3877
    ISSN 0951-7375 ; 1355-834X
    DOI 10.1097/QCO.0000000000000944
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    Zs.A 2462: Show issues Location:
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  2. Article ; Online: COVID Re-Infection or Something Else? A Case Report

    Joy Ekezie / Tanya Rogo

    Journal of Scientific Innovation in Medicine, Vol 4, Iss

    2021  Volume 2

    Abstract: Introduction: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has infected over 100 million people so far globally with few cases of reinfection reported [1, 2]. Most people with coronavirus disease 2019 (COVID-19) develop antibodies after ... ...

    Abstract Introduction: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has infected over 100 million people so far globally with few cases of reinfection reported [1, 2]. Most people with coronavirus disease 2019 (COVID-19) develop antibodies after resolution of acute infection, however the exact duration of these antibodies and the extent to which it may indicate a protective immunity to SARS-CoV-2 in humans is unknown [2, 3]. We report an unusual case of probable asymptomatic reinfection with SARS-CoV-2 while still having antibodies present. Case Presentation: A 39-year-old healthy female healthcare professional in New York City had severe myalgia, generalized body weakness, cough, and subjective fever (maximum axillary temperature 99.8F) in March of 2020. The patient was not tested for COVID-19 initially because there was no documentation of fever ≥100F and restriction of testing due to limited availability. Conservative management with analgesics and hydration was done and symptoms subsided after 7 days. One week later (April 2020), multiple family members became sick with COVID-like symptoms and tested positive to SARS-CoV-2 by polymerase chain reaction (PCR). Patient was then screened with SARS-CoV-2 RT-PCR (Roche Cobas 6800) due to close household contact and was positive. Routine COVID-19 antibody testing (Roche Cobas Elecsys) offered to hospital staff on a voluntary basis a month later and again 4 months later (September 2020) during annual employee health screening were both positive. In January 2021, the patient was tested due to mandatory return-to-work screening after out-of-state travel and was found to be positive by both PCR and antibody ('Table 1'). At that time, patient was completely asymptomatic but was required to quarantine. Six days later, she repeated both tests in an urgent care facility at which time SARSCoV-2 RNA PCR (Roche Cobas) was negative while the IgG antibodies (Abbott Alinity i) remained positive. A respiratory viral panel for SARS-CoV-2 RNA PCR and influenza A and B (Roche ...
    Keywords sars-cov-2 ; covid-19 ; reinfection ; antibody ; Medicine (General) ; R5-920
    Subject code 630
    Language English
    Publishing date 2021-05-01T00:00:00Z
    Publisher Levy Library Press
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article: Ending Race-Conscious College Admissions and Its Potential Impact on the Infectious Disease Workforce.

    Momplaisir, Florence / Rogo, Tanya / Alexander Parrish, Ronika / Delair, Shirley / Rigaud, Mona / Caine, Virginia / Absalon, Judith / Word, Bonnie / Hewlett, Dial

    Open forum infectious diseases

    2024  Volume 11, Issue 3, Page(s) ofae083

    Abstract: On 29 June 2023, the Supreme Court of the United States ruled that race-conscious consideration for college admission is unconstitutional. We discuss the consequences of this ruling on the delivery of equitable care and health system readiness to combat ... ...

    Abstract On 29 June 2023, the Supreme Court of the United States ruled that race-conscious consideration for college admission is unconstitutional. We discuss the consequences of this ruling on the delivery of equitable care and health system readiness to combat current and emerging pandemics. We propose strategies to mitigate the negative impact of this ruling on diversifying the infectious disease (ID) workforce.
    Language English
    Publishing date 2024-02-14
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2757767-3
    ISSN 2328-8957
    ISSN 2328-8957
    DOI 10.1093/ofid/ofae083
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  4. Article ; Online: An Unusual Presentation of Syphilis in the Context of Child Sexual Abuse.

    Edward, Heather L / Moore, Jessica / Jang, Eun Ji / Rogo, Tanya / Barron, Christine

    Journal of pediatric and adolescent gynecology

    2023  Volume 37, Issue 2, Page(s) 209–212

    Abstract: A 13-year-old presented with a genital lesion, which helped in guiding a diagnosis of child sexual abuse. The patient disclosed unprotected penile-vaginal penetration by a 20-year-old male neighbor. On exam, her left labia minora had a single 2-cm ... ...

    Abstract A 13-year-old presented with a genital lesion, which helped in guiding a diagnosis of child sexual abuse. The patient disclosed unprotected penile-vaginal penetration by a 20-year-old male neighbor. On exam, her left labia minora had a single 2-cm hypopigmented fleshy non-tender mass, and laboratory studies revealed positive Treponemal IgG IgM antibody (>8) and rapid plasma reagin titer of 1:128, indicating syphilis infection. Given the resolution of the labial mass with treatment of syphilis, this lesion was most consistent with condyloma lata. Genital exams are an important component of pediatric evaluations. Condyloma lata can vary in appearance (papules, nodules, or wart-like lesions) and color and may present as a single lesion or multiple lesions. Our patient had one 2-cm lesion, and therefore, clinicians should assume that an anogenital lesion is condyloma lata in the setting of positive syphilis testing.
    MeSH term(s) Male ; Female ; Humans ; Child ; Young Adult ; Adult ; Adolescent ; Syphilis/complications ; Syphilis/diagnosis ; Syphilis/drug therapy ; Child Abuse, Sexual/diagnosis ; Skin Neoplasms
    Language English
    Publishing date 2023-10-04
    Publishing country United States
    Document type Case Reports
    ZDB-ID 1325079-6
    ISSN 1873-4332 ; 1083-3188
    ISSN (online) 1873-4332
    ISSN 1083-3188
    DOI 10.1016/j.jpag.2023.09.012
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    Zs.A 2337: Show issues Location:
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  5. Article ; Online: The Evaluation and Management of Methimazole-Induced Agranulocytosis in the Pediatric Patient: A Case Report and Review of the Literature.

    Fredette, Meghan E / Sasidharan Pillai, Sabitha / Ibrahim, Osama / Kochhar, Manpreet / Cotton, Travis M / Rogo, Tanya O / Scheffler, Margaret D / Bauer, Andrew J

    Hormone research in paediatrics

    2024  

    Abstract: Introduction: Agranulocytosis is a rare, but serious complication of methimazole (MMI) use for Graves' disease (GD). Treatment requires discontinuation of MMI, and the use of propylthiouracil (PTU) is also contraindicated. Few reports exist about the ... ...

    Abstract Introduction: Agranulocytosis is a rare, but serious complication of methimazole (MMI) use for Graves' disease (GD). Treatment requires discontinuation of MMI, and the use of propylthiouracil (PTU) is also contraindicated. Few reports exist about the optimal alternative treatment regimens for the management of thyrotoxicosis in these medically complex patients in the pediatric population.
    Case report: We report prolonged saturated solution of potassium Iodide (SSKI) use (29 days) in a 17-year-old female with GD and MMI-induced agranulocytosis, who presented with septic shock. Her treatment course also included beta-blockade, cholestyramine, and granulocyte colony stimulating factor. We performed a review of the literature on the use of SSKI in the management of thyrotoxicosis, as well as best practices from the view of endocrinology, infectious disease, hematology, surgery, and intensivists, for the evaluation and management of MMI-induced agranulocytosis.
    Discussion: The management of MMI-induced agranulocytosis and associated sequelae require subspecialty input and intensive evaluation and monitoring. Alternative treatments to manage hyperthyroidism and control symptoms of thyrotoxicosis during agranulocytosis are a bridge to definitive therapy, and include beta-blockade, SSKI, cholestyramine, steroids, lithium, and plasmapheresis.
    Language English
    Publishing date 2024-01-31
    Publishing country Switzerland
    Document type Case Reports
    ZDB-ID 2537278-6
    ISSN 1663-2826 ; 1663-2818
    ISSN (online) 1663-2826
    ISSN 1663-2818
    DOI 10.1159/000536508
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    Zs.A 414: Show issues Location:
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  6. Article ; Online: Systemic Inflammation With Cardiac Involvement in Pediatric Patients With Evidence of COVID-19 in a Community Hospital in the Bronx, New York.

    Rogo, Tanya / Mathur, Kanika / Purswani, Murli

    Journal of the Pediatric Infectious Diseases Society

    2020  Volume 9, Issue 4, Page(s) 502–503

    MeSH term(s) Adolescent ; Betacoronavirus ; COVID-19 ; Child, Preschool ; Coronavirus Infections/complications ; Coronavirus Infections/epidemiology ; Female ; Heart Diseases/virology ; Hospitals, Community ; Humans ; Male ; New York City/epidemiology ; Pandemics ; Pneumonia, Viral/complications ; Pneumonia, Viral/epidemiology ; SARS-CoV-2 ; Systemic Inflammatory Response Syndrome/virology ; Young Adult
    Keywords covid19
    Language English
    Publishing date 2020-07-20
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 2668791-4
    ISSN 2048-7207 ; 2048-7193
    ISSN (online) 2048-7207
    ISSN 2048-7193
    DOI 10.1093/jpids/piaa087
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  7. Article: Systemic Inflammation With Cardiac Involvement in Pediatric Patients With Evidence of COVID-19 in a Community Hospital in the Bronx, New York

    Rogo, Tanya / Mathur, Kanika / Purswani, Murli

    J Pediatric Infect Dis Soc

    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #657618
    Database COVID19

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  8. Article ; Online: Strategies to Increase Workforce Diversity in Pediatric Infectious Diseases.

    Rogo, Tanya / Holland, Sabina / Fassiotto, Magali / Maldonado, Yvonne / Joseph, Tuhina / Ramilo, Octavio / Byrd, Katrina / Delair, Shirley

    Journal of the Pediatric Infectious Diseases Society

    2022  Volume 11, Issue Supplement_4, Page(s) S148–S154

    Abstract: The number of physicians who are underrepresented in medicine within the pediatric infectious diseases workforce remains disproportionate compared to the US population. Physician workforce diversity plays an important role in reducing health care ... ...

    Abstract The number of physicians who are underrepresented in medicine within the pediatric infectious diseases workforce remains disproportionate compared to the US population. Physician workforce diversity plays an important role in reducing health care disparities. Pathways to careers in pediatric infectious diseases require that a diverse pool of students enter medicine and subsequently choose pediatric residency followed by subspecialty training. Efforts must be made to expose learners to pediatric infectious diseases earlier in the education timeline. Along with recruitment and creation of pathways, cultures of inclusivity must be created and fostered within institutions of learning along the entire spectrum of medical training.
    MeSH term(s) Child ; Humans ; Communicable Diseases
    Language English
    Publishing date 2022-12-07
    Publishing country England
    Document type Journal Article
    ZDB-ID 2668791-4
    ISSN 2048-7207 ; 2048-7193
    ISSN (online) 2048-7207
    ISSN 2048-7193
    DOI 10.1093/jpids/piac094
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  9. Article ; Online: Antibiotic prescribing practices in three neonatology units in Kigali, Rwanda. - an observational study.

    Cartledge, Peter Thomas / Ruzibuka, Fidel Shofel / Rutagarama, Florent / Rutare, Samuel / Rogo, Tanya

    African health sciences

    2021  Volume 20, Issue 4, Page(s) 1646–1654

    Abstract: Introduction: There is limited published data on antibiotic use in neonatal units in resource-poor settings.: Objectives: This study sought to describe antibiotic prescribing practices in three neonatology units in Kigali, Rwanda.: Methods: A ... ...

    Abstract Introduction: There is limited published data on antibiotic use in neonatal units in resource-poor settings.
    Objectives: This study sought to describe antibiotic prescribing practices in three neonatology units in Kigali, Rwanda.
    Methods: A multi-center, cross-sectional study conducted in two tertiary and one urban district hospital in Kigali, Rwanda. Participants were neonates admitted in neonatology who received a course of antibiotics during their admission. Data collected included risk factors for neonatal sepsis, clinical signs, symptoms, investigations for neonatal sepsis, antibiotics prescribed, and the number of deaths in the included cohort.
    Results: 126 neonates were enrolled with 42 from each site. Prematurity (38%) followed by membrane rupture more than 18 hours (25%) were the main risk factors for neonatal sepsis. Ampicillin and Gentamicin (85%) were the most commonly used first-line antibiotics for suspected neonatal sepsis. Most neonates (87%) did not receive a second-line antibiotic. Cefotaxime (11%), was the most commonly used second-line antibiotic. The median duration of antibiotic use was four days in all surviving neonates (m=113). In neonates with negative blood culture and normal C-reactive protein (CRP), the median duration of antibiotics was 3.5 days; and for neonates, with positive blood cultures, the median duration was 11 days. Thirteen infants died (10%) at all three sites, with no significant difference between the sites.
    Conclusion: The median antibiotic duration for neonates with normal lab results exceeded the recommended duration mandated by the national neonatal protocol. We recommend the development of antibiotic stewardship programs in neonatal units in Rwanda to prevent the adverse effects which may be caused by inappropriate or excessive use of antibiotics.
    MeSH term(s) Anti-Bacterial Agents/therapeutic use ; Antimicrobial Stewardship/methods ; Cross-Sectional Studies ; Female ; Humans ; Infant ; Infant Mortality ; Infant, Newborn ; Intensive Care Units, Neonatal/statistics & numerical data ; Male ; Neonatal Sepsis/drug therapy ; Neonatal Sepsis/microbiology ; Neonatal Sepsis/mortality ; Practice Patterns, Physicians' ; Rwanda/epidemiology
    Chemical Substances Anti-Bacterial Agents
    Language English
    Publishing date 2021-07-30
    Publishing country Uganda
    Document type Journal Article ; Multicenter Study ; Observational Study
    ZDB-ID 2240308-5
    ISSN 1729-0503 ; 1680-6905
    ISSN (online) 1729-0503
    ISSN 1680-6905
    DOI 10.4314/ahs.v20i4.17
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  10. Article ; Online: Systemic Inflammation With Cardiac Involvement in Pediatric Patients With Evidence of COVID-19 in a Community Hospital in the Bronx, New York

    Rogo, Tanya / Mathur, Kanika / Purswani, Murli

    Journal of the Pediatric Infectious Diseases Society

    2020  Volume 9, Issue 4, Page(s) 502–503

    Keywords Pediatrics, Perinatology, and Child Health ; Infectious Diseases ; General Medicine ; covid19
    Language English
    Publisher Oxford University Press (OUP)
    Publishing country uk
    Document type Article ; Online
    ZDB-ID 2668791-4
    ISSN 2048-7207 ; 2048-7193
    ISSN (online) 2048-7207
    ISSN 2048-7193
    DOI 10.1093/jpids/piaa087
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