Pediatrics for Practice, 2019, issue 5

Editorial

Dětský pacient (a jeho rodič) v sanitce

MUDr. Bc. Michal Ptáček

Pediatr. praxi 2019; 20(5): 283

Review articles

Interpretation of serological and molecular biological detections in infections of children

Mgr. Pavel Sauer, Ph.D., Mgr. Renata Večeřová, Ph.D., Mgr. Taťána Štosová, Ph.D.

Pediatr. praxi 2019; 20(5): 289-293 | DOI: 10.36290/ped.2019.077

The possibilities of serological and molecular-biological microbiological examination methods, on the one hand, extend thespectrum of detected pathogens and significantly accelerate pathogen capture, but on the other hand, the interpretation of resultsis accompanied by a number of pitfalls. This article tries to describe the basic nature, possibilities and use of the mentionedmethods of detection, taking into account various pitfalls of interpretation.

Peroral isotretinoin in a treatment of acne

MUDr. Zuzana Nevoralová, Ph.D.

Pediatr. praxi 2019; 20(5): 294-298 | DOI: 10.36290/ped.2019.058

Acne is a polymorphic inflammatory disease of a pilosebaceous unit. Peroral isotretinoin belongs to the first non-aromatic generationof retinoids and is the most effective medicine in acne treatment. It is indicated first of all for a therapy of severe and resistentforms of acne. The therapy should by directed only by a dermatologist who is experienced in the treatment with this medicine.Howecer, it is useful, pediatricians had a basic knowledge about this treatment. In the article basic informations about an effect,indications and about the course of the treatment with peroral isotretinoin including a maintenance therapy are...

Drug use and drug addiction of children and youth – medicine and pedagogical problem

prof. PhDr. Ingrid Emmerová, PhD.

Pediatr. praxi 2019; 20(5): 299-302 | DOI: 10.36290/ped.2019.059

The article deals with the problem of drug use in children and youth in the Slovak Republic, especially non-alcoholic drugs. Itpoints out to children’s and youth’s, pupils of primary and secondary schools, experimentation with drugs. Experimentation withor recreational use of drugs presents a significant risk of drug addiction. The article reveals official statistics by the National HealthInformation Centre. A special attention is paid to possibilities of prevention.

Allergy, atopic march, and prevention options

Prof. MUDr. Mgr. Miloš Jeseňák, PhD., MBA, Dott.Ric., MHA

Pediatr. praxi 2019; 20(5): 304-308

Allergic diseases currently represent the most important group of diseases of affluence, with an ever increasing prevalence worldwide; therefore, it is essential to seek effective tools for preventing the development of symptoms. Given the fact that the largest portion of the immune system resides in the gut, proper nutrition can become an effective preventive tool. Recently, a number of constituents with an antiallergic potential have been identified in breast milk and, subsequently, added to infant formulas. Hypoallergenic milk formulas providing controlled exposure to proteins with a reduced allergenic and preserved tolerogenic potential are intended...

Case report

Not every swelling and redness of scrotum belongs to the operating room

MUDr. Sabina Kaprálová, MUDr. Kamila Michálková, MUDr. Jan Vrána, doc. MUDr. Eva Klásková, Ph.D., prof. MUDr. Vladimír Mihál, CSc.

Pediatr. praxi 2019; 20(5): 309-311 | DOI: 10.36290/ped.2019.061

Acute idopathic scrotal edema is a rare benign cause of scrotal edema and erythema with typical sonographic findings. It is morecommon in the pediatric population than in adults. And it doesn’t require surgical exploration. Authors present a case report ofsix-year-old boy with a recurrence of this disease. The study focuses on a brief overview of the issues, clinical manifestations andhow to diagnose the acute idiopathic scrotal edema.

Congenital midline cervical cleft

MUDr. Kamila Podkalská Sommerová, MUDr. Bohumil Zálešák, Ph.D., MUDr. Daniel Stehlík

Pediatr. praxi 2019; 20(5): 312-314 | DOI: 10.36290/ped.2019.062

Congenital midline cervical cleft is a rare anterior neck congenital anomaly. It is necessary to distinguish more frequent cysts, forexample a cyst of ductus thyreoglossus. Incorrect primary diagnosis may lead to serious late complications.

Diapragmatic hernia in an eight‑year

MUDr. Markéta Nowaková, MUDr. Bořek Trávníček, MUDr. Jan Pavlíček, Ph.D., MUDr. Ivana Slívová, MUDr. Vladimír Richter

Pediatr. praxi 2019; 20(5): 315-317 | DOI: 10.36290/ped.2019.063

We present a case study of large aquired diapragmatic hernia in an 8-year old boy with subtle clinical signs and symptoms.

From gastroenteritis to pneumonia

MUDr. Hana Heřmánková

Pediatr. praxi 2019; 20(5): 318-319 | DOI: 10.36290/ped.2019.064

Pneumonia is the seventh most common cause of hospitalization in the Czech Republic. The diagnosis is based on a thoroughhistory, physical examination, laboratory tests, and imaging. The article deals with the case of a four and a half year old femalepatient who had initially presented with symptoms of gastroenteritis and was hospitalized for streptococcal pneumonia.

For nurses

Adapted clinical practice guideline: thermal management in newborn babies

Mgr. Jaroslava Fendrychová, Ph.D.

Pediatr. praxi 2019; 20(5): 326-330 | DOI: 10.36290/ped.2019.067

The article presents another adapted clinical practice guideline (CPG) focused on provision and maintaining of thermoneutral environment in postnatal care of newborn babies, which was developed in a similar way (using the ADAPTE protocol) as the clinical practice guideline published in Pediatrie pro praxi (No. 4/2015, No. 1/2016, No. 4/2017, No. 2 and 5/2018, No. 2/2019). On the basis of a literature search the existing clinical practice guidelines and other recommendations were identified and analyzed methodologically and then a draft of a new, adapted clinical practice guideline was developed. It was presented to 398 nurses from 11 perinatology centres...

The work of non‑medical healthcare workers in human milk bank

Bc. Pavla Podlahová, Mgr. Alena Machová, MUDr. Milan Hanzl, Ph.D.

Pediatr. praxi 2019; 20(5): 331-334 | DOI: 10.36290/ped.2019.068

Breastfeeding brings many benefits to the child, mother, family and society at large. These are health, nutritional, immunological, developmental, psychological, social, economic and environmental benefits. If the mother cannot breast-feed her baby, there is a possibility of feeding with donated breast milk. For this purpose, human banks and breast milk collections were established all over the world, including the Czech Republic. Milk is provided by healthy mothers (donors) who have a surplus after breastfeeding their own baby. The donated human milk is most often used for premature newborn whose mothers do not have enough milk. This article presents...

Clinicoradiological diagnosis

Unusual way to the diagnosis of neuroblastoma

prof. MUDr. Vladimír Mihál, CSc., MUDr. Lucie Sulovská, Ph.D., MUDr. Ivan Šišola, MUDr. Lenka Bakaj-Zbrožková, Ph.D., MUDr. Kamila Michálková

Pediatr. praxi 2019; 20(5): 321-324 | DOI: 10.36290/ped.2019.065

Neuroblastoma, a tumor of the sympathetic nervous system, is the most common extracranial solid tumor of childhood. Itaccounts for 15 percent of all cancers diagnosed in children less than five years of age. The clinical signs neuroblastoma area function of the location of the primary tumor or the sites of metastatic disease. Up to 65 percent of primary tumors arise inthe abdomen. We present a 5-year-old boy with abdominal pain after falling down the stairs, where ultrasound examinationled to the diagnosis of large right adrenal neuroblastoma.