Návrat spalniček – historie se opakuje

prof. MUDr. Petr Pazdiora, CSc.

Pediatr. praxi 2019; 20(2): 71-72  

Treatment options for viral infections in children

MUDr. Hana Zelená

Pediatr. praxi 2019; 20(2): 78-81 | DOI: 10.36290/ped.2019.017  

At present, a number of viral diseases can be treated causally with antiviral drugs. The indications of antiviral drugs are limited by a restricted spectrum of available agents and their pharmaceutical forms, toxicity, high cost, and, in children, even by age restrictions. They are administered primarily in viral infections with a severe course and immune-deficient persons. The dosage and pharmaceutical form depend on the infective agent and disease severity. Antiviral drugs have been approved for the treatment of HIV infection, hepatitis B and C, influenza, some herpesviruses, and RS viruses. In the off-label setting, they are even used in treating...

Measles as a real nowadays threat

MUDr. Lenka Kukrálová, doc. MUDr. Dalibor Sedláček, CSc., MUDr. Mirka Švecová

Pediatr. praxi 2019; 20(2): 82-86 | DOI: 10.36290/ped.2019.018  

Measles is a highly contagious viral infection that can lead to many severe complications in children and adults. This year, in 2018, the Czech Republic is confronted with the third largest measles outbreak in the last five years, despite the availability of a safe and effective vaccine from 1969. The disease is typically imported and due to increasing tourism, we can expect an increase in outbreaks. There are also more and more unvaccinated children, causing rapid spreading of the virus within the population. In this article, the authors focus on the clinical problematic of measles, its epidemiology, vaccine history and recommended steps, in addition...

Medication of primary headaches

MUDr. Michal Ryzí, Ph.D.

Pediatr. praxi 2019; 20(2): 88-92 | DOI: 10.36290/ped.2019.019  

Children with headache are very frequent patients of general pediatricians. Primary headaches despite benign nature are conditionwith significant negative impact on the quality of life of the affected children. Childhood migraine not only has a typical clinicalcourse that matches a typical range of nosological units, but also requires specific treatment. This article reviews the currentpossibilities of classification and acute and profylactic treatment options of primary headaches and differences between childand adult treatment and diagnostics.

Photoprotection in kids

doc. MUDr. Karel Ettler, CSc., MUDr. Jiří Ettler

Pediatr. praxi 2019; 20(2): 93-97 | DOI: 10.36290/ped.2019.020  

Skin photoprotection is a complex of protective measures preventing side effects of solar radiation on skin. It consists of behavioralprecautions, wearing of photoprotective clothing and aplication of sunscreens on unprotected skin. Photoprotection of childrenskin is particularly important since their skin is much more sensitive to ultraviolet harmful effects than the skin of adults. Use ofsunbeds during childhood is considered very dangerous. Vitamin D is also discussed.

The Quality of life in children with congenital heart disease

MUDr. Alžběta Palátová, doc. MUDr. Eva Klásková, Ph.D., MUDr. Sabina Kaprálová, MUDr. Jan Pavlíček

Pediatr. praxi 2019; 20(2): 98-102 | DOI: 10.36290/ped.2019.021  

Authors report the influence of congenital heart disease on quality of life of children. The subject of the review is theqw cdhhimpact on growth, nutrition and psychomotorical developement. They point that the heart defect can influence the education,skills for the jobs and also the possibilities of sports. The purpose of this article is also to focus on role of general practitioner incare of patient with congenital heart defect.

Analysis of invasive meningococcal diseases in the moravian‑silesian

MUDr. Blažena Braunsteinová, Mgr. Kamila Franková

Pediatr. praxi 2019; 20(2): 103-106 | DOI: 10.36290/ped.2019.022  

Invasive meningococcal disease is one of the most serious diseases with a rapid course. Bacteria Neisseria meningitis is the cause of the disease. It has 13 serotypes, of which only 6 (A, B, C, W, X, Y) causes the disease. Invasive meningococcal disease has a fulminant course. The diagnosis based on the patient’s anamnestic data and physical exam, should be determined in timely matter and should be immediately followed by antibiotic therapy. In the Czech Republic vaccination is available and recommended. 628 patients were reported in the Czech Republic in 2008–2017. 171 patients were from the Moravian-Silesian Region. Group B meningococcus...

Non-serious digestive disorders and self-medication option

PharmDr. Bc. Hana Kotolová, Ph.D.

Pediatr. praxi 2019; 20(2): 107-113  

The management of gastrointestinal disorders is a frequent cause of attending a physician or pharmacist. Despite reasons canbe different, in many cases self-treatment can be effective. At present we have a vast spectrum of medicines in free purchase. Itis also possible to prescribe registered phytopharmacological drugs in the form of supositoria, pills and drops.

Formic acid burns – two cases of terrible medication administration error

MUDr. Lucie Holická, MUDr. Štěpánka Dočekalová, MUDr. Radek Štichhauer, Ph.D., MUDr. Pavel Rozsíval, MUDr. Lukáš Eimer, PharmDr. Petra Rozsívalová

Pediatr. praxi 2019; 20(2): 114-117 | DOI: 10.36290/ped.2019.024  

Formic acid of 10–90% concentration has been used for its caustic effect as one of the methods of treatment of viral warts. Althoughnowadays considered obsolete for the risk of irritant dermatitis, burns and necrosis followed by scarring, the topical treatment isstill being prescribed by dermatologists. The authors report two cases of burns in infants. The cause was common to both cases,the unfortunate erroneous administration of topical solution orally. The patients suffered significant burns affecting the face,neck, oral cavity and oesophagus. In both cases, the systemic effects of concentrated formic acid were expressed...

Adapted clinical practice guideline: assessment and solution of complications of venous access in neonates and infants Department of Anaesthesiology, Resuscitation, Intensive and Perioperative Care, National Centre of Nursing and Other Health Professions in Brno

Mgr. Jaroslava Fendrychová, Ph.D.

Pediatr. praxi 2019; 20(2): 123-126 | DOI: 10.36290/ped.2019.026  

The article presents another adapted clinical practice guideline (CPG) which follows the preceding two guidelines dealing with care of peripheral and central venous access in neonates and infants (published in Pediatrie pro praxi No. 2/2018 and No. 5/2018). The aim of the guideline is to provide the competent health care workers with practical information concerning assessment and solution of complications of venous access in neonates and infants who are endangered more than other children or adults due to small lumen of veins, insufficient supporting function of the connective tissue and the need for delivery of parenteral nutrition and other high...

Mesenteric lipoma – rare cause of recurrent abdominal pain in a child

prof. MUDr. Vladimír Mihál, CSc., MUDr. Jiří Kysučan, Ph.D., MUDr. Jana Janková, MUDr. Lenka Bakaj Zbrožková, Ph.D., MUDr. Kamila Michálková

Pediatr. praxi 2019; 20(2): 120-122 | DOI: 10.36290/ped.2019.025  

Mesenteric lipomas are a rare benign tumors of mature fat cells. Although generally asymptomatic, it occasionally causes abdominalpain, ileus, and small bowel volvulus, depending on its location and size. We present a case report of an 8-year-old boy witha mesenteric lipoma who has clinically presented repeated abdominal pain with vomiting. The pre-operative diagnosis of lipomawas suggested by abdominal ultrasonography and MRI. The diagnosis of lipoma arising in the leaves of the small bowel mesentery,was verified microscopically after the operation. The tumour was enucleated from the mesenterium leaving the intestine intact.

A home medical – practical advices for parents

MUDr. Jarmila Seifertová

Pediatr. praxi 2019; 20(2): 128-130  

A home medical kit helps to solve the most common health problems of household members. Its content should be adapted tothe age of children and the symptoms of their most common illnesses. Most common are symptoms of upper respiratory tractdisease (cold, cough, fever), digestive disorders or injury. A sick child must be under the supervision of an adult person.