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  1. Article: Exploring the adoption of less restricted criteria for respiratory syncytial virus prophylaxis in late preterm infants: insights from a retrospective analysis.

    Mondì, Vito / Paolillo, Piermichele / Bedetta, Manuela / Lucangeli, Natalia / Picone, Simonetta

    Frontiers in pediatrics

    2023  Volume 11, Page(s) 1154518

    Abstract: Background: Preterm infants born between 33 and 35 weeks of gestational age (wGA) have been considered a "major underserved population" and ineligible to receive palivizumab (PLV), the only drug authorized to date for respiratory syncytial virus (RSV) ... ...

    Abstract Background: Preterm infants born between 33 and 35 weeks of gestational age (wGA) have been considered a "major underserved population" and ineligible to receive palivizumab (PLV), the only drug authorized to date for respiratory syncytial virus (RSV) prophylaxis, by current international guidelines. In Italy, such a vulnerable population is currently eligible for prophylaxis, and, in our region, specific risk factors are taken into consideration (SIN
    Materials and methods: A retrospective analysis was conducted in 296 moderate-to-late preterm infants (born between 33 and 35
    Results: Based on the SIN
    Conclusion: Our work further supports the need for targeting late preterm infants for RSV prophylaxis and calls for an appraisal of the current eligibility criteria for PLV treatment. Therefore, adopting less restrictive criteria may ensure a comprehensive prophylaxis of the eligible subjects, thus sparing them from avoidable short- and long-term consequences of RSV infection.
    Language English
    Publishing date 2023-06-08
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2711999-3
    ISSN 2296-2360
    ISSN 2296-2360
    DOI 10.3389/fped.2023.1154518
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Enterovirus and Paraechovirus Meningitis in Neonates: Which Is the Difference?

    Picone, Simonetta / Mondì, Vito / Di Palma, Federico / Valli, Maria Beatrice / Rueca, Martina / Bedetta, Manuela / Paolillo, Piermichele

    Clinical pediatrics

    2024  , Page(s) 99228241235448

    Abstract: Enterovirus (EV) and parechovirus (HPeV) are common viruses in the neonatal period, with similar seasonality and symptomatology. They also are the main causes of aseptic meningitis in newborns and children under 1 year of age. We compared the clinical ... ...

    Abstract Enterovirus (EV) and parechovirus (HPeV) are common viruses in the neonatal period, with similar seasonality and symptomatology. They also are the main causes of aseptic meningitis in newborns and children under 1 year of age. We compared the clinical signs, laboratory data, brain, and neurodevelopmental outcome of 10 infants with HPeV and 8 with EV meningitis. In patients with EV meningitis, serum C-reactive protein (CRP) values were significantly higher than those of patients with HPeV infection. Procalcitonin values were low in both groups. White blood cell (WBC) and lymphocyte values were significantly higher in EV patients. None of the infants had a brain lesion on cerebral ultrasound neither negative neurological outcome. Based solely on symptoms, it is not possible to distinguish HPeV from EV infection. C-reactive protein, WBC, and lymphocyte values might allow the physician to assume EV infection. The gold standard test for diagnosis remains real-time polymerase chain reaction on cerebral spinal fluid.
    Language English
    Publishing date 2024-03-04
    Publishing country United States
    Document type Journal Article
    ZDB-ID 207678-0
    ISSN 1938-2707 ; 0009-9228
    ISSN (online) 1938-2707
    ISSN 0009-9228
    DOI 10.1177/00099228241235448
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Pharmacological resolution of a multiloculated Candida spp. liver abscess in a preterm neonate.

    Picone, Simonetta / Manzoni, Paolo / Bedetta, Manuela / Mostert, Michael / Benjamin, Daniel K / Paolillo, Piermichele

    Early human development

    2013  Volume 89 Suppl 1, Page(s) S47–50

    Abstract: We report the case of a 31-week gestational age neonate with Candida albicans sepsis and a hepatic abscess. Diagnosis relied on clinical and radiological signs of sepsis, liver function impairment and culture isolation of Candida spp. from sterile sites. ...

    Abstract We report the case of a 31-week gestational age neonate with Candida albicans sepsis and a hepatic abscess. Diagnosis relied on clinical and radiological signs of sepsis, liver function impairment and culture isolation of Candida spp. from sterile sites. Liver ultrasound documented the presence of a multiloculated abscess. Treatment with micafungin (3 mg/kg/day) resulted in normalization of liver function and inflammatory laboratory values and improvement of clinical condition. After 30 days of treatment, the liver abscess resolved and at the 8-month follow up the infant is doing well. Prompt diagnosis and antifungal treatment avoided surgical drainage and liver surgery in this high-risk neonate.
    MeSH term(s) Antifungal Agents/therapeutic use ; Candidiasis/drug therapy ; Candidiasis/microbiology ; Candidiasis/pathology ; Echinocandins/therapeutic use ; Gestational Age ; Humans ; Infant, Newborn ; Infant, Premature ; Infant, Premature, Diseases/drug therapy ; Infant, Premature, Diseases/microbiology ; Infant, Premature, Diseases/pathology ; Lipopeptides/therapeutic use ; Liver/diagnostic imaging ; Liver/microbiology ; Liver/pathology ; Liver Abscess/diagnosis ; Liver Abscess/drug therapy ; Liver Abscess/microbiology ; Male ; Treatment Outcome ; Ultrasonography
    Chemical Substances Antifungal Agents ; Echinocandins ; Lipopeptides ; micafungin (R10H71BSWG)
    Language English
    Publishing date 2013-06
    Publishing country Ireland
    Document type Case Reports ; Journal Article
    ZDB-ID 752532-1
    ISSN 1872-6232 ; 0378-3782
    ISSN (online) 1872-6232
    ISSN 0378-3782
    DOI 10.1016/S0378-3782(13)70015-X
    Database MEDical Literature Analysis and Retrieval System OnLINE

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