O (ne)zodpovědnosti

Luděk Ryba

Pediatr. praxi. 2022;23(6):371-372  

Is flu vaccination relevant in covid era?

MUDr. Šárka Rumlarová, MUDr. Pavel Kosina, Ph.D.

Pediatr. praxi. 2022;23(6):375-377 | DOI: 10.36290/ped.2022.067  

In the Czech Republic, influenza was often perceived as a common uncomplicated illness. Recently, it has been completely overshadowed by the covid-19 disease, but this situation can change quickly. The incidence of influenza is increasing, and parallel circulation of the SARS-CoV-2 virus and influenza viruses is now common. Vaccination against the flu, which reduces the risk of infection and the risk of a complicated course, is becoming more important. People over the age of 65, patients with chronic internal diseases (even in childhood), pregnant women and those who are in contact with risk persons should be vaccinated.

Acute rhinosinusitis in children

MUDr. Pavel Horník, MUDr. Josef Machač

Pediatr. praxi. 2022;23(6):378-382 | DOI: 10.36290/ped.2022.068  

Acute rhinosinusitis (ARS) is a very common disease in the office of a pediatrician or, less often, an otorhinolaryngologist. Currently, both diagnosis and treatment follow the recommendations of EPOS 2020. Diagnosis is based on symptoms of the disease - history (type, duration and severity of problems) and on clinical examination. The etiology is mostly viral (treatment is symptomatic) with eventual. possible bacterial superinfection (treatment with ATB antibiotics). The first drug of choice is fenoxymetylpenicilin. Most infections are uncomplicated, the practitioner sends the patient to an ENT doctor if there is no improvement after 10 days, in case...

Migraine in children and its treatment

MUC. Tereza Strnadová, MUDr. Petra Matalová, Ph.D.

Pediatr. praxi. 2022;23(6):383-393 | DOI: 10.36290/ped.2022.069  

Headache is a common problem in adults, but also in children. It occurs in nearly every child. The most common type of headache is migraine, which is described as a chronic paroxysmal disease of a benign nature. Migraine is one of the primary headaches. It leads to deterioration in the quality of life in childhood and it can also cause increased stress for parents and negatively affect the family life. The article summarizes the epidemiology, classification, specifics and therapeutic procedures in migraine.

Intestinal parasites in children yesterday, today and tomorrow

Mgr. Hana Bílková Fránková, MBA, MUDr. Jan Boženský, MUDr. Anna Mikošková

Pediatr. praxi. 2022;23(6):394-396 | DOI: 10.36290/ped.2022.070  

The incidence of intestinal parasites in the population is decreasing according to the Information System of Infectious Diseases. Detection is affected by the accuracy of stool collection and the method by which the sample is examined. Based on PCR diagnostics of stool samples from 200 children, we showed that parasitosis prevalence is higher than the data described. Clinical symptoms and positivity in our study do not correlate. Eradication of asymptomatic individuals should always be considered given the emerging evidence that there is an indirect relationship between the prevalence of intestinal parasitosis and the incidence of allergies, autoimmunity,...

Primary disorders of monoamine neurotransmitter metabolism in clinical practice

MUDr. Martin Macháček, doc. MUDr. Hana Ošlejšková, Ph.D.

Pediatr. praxi. 2022;23(6):397-401 | DOI: 10.36290/ped.2022.071  

Primary disorders of monoamine neurotransmitters are a group of rare inherited neurometabolic diseases. Dominant signs of these disorders are the appearance of first symptoms in early childhood, polymorph symptomatology with variable prognosis, difficult definitive diagnosis, and in most cases, absence of causal therapy. Many patients worldwide stay undiagnosed since there is a lack of sufficient knowledge among health professionals. The authors tend to familiarize health professionals with the most important representatives of these disorders.

An overview of current system of psycho-social care for children with autism spectrum disorder in Czech Republic

Mgr. Martina Vyhnalová, Mgr. Lucie Stroupková, MUDr. Pavlína Danhofer, Ph.D., doc. MUDr. Hana Ošlejšková, Ph.D., MUDr. Lenka Knedlíková, MUDr. Senad Kolář

Pediatr. praxi. 2022;23(6):402-408 | DOI: 10.36290/ped.2022.072  

The article provides an overview of current system of psycho-social care in Czech republic that might be used by children with autism spectrum disorder (ASD) and their families. General practitioners might recommend these services to their patients if necessary. The text deals with the possibilities of support in educational system, social care system including social benefits and mentions several other specific interventions and organizations for children with ASD.

Sharp syndrome

MUDr. Gabriela Takáčová, MBA, prof. MUDr. Jagienka Jautová, PhD., MBA

Pediatr. praxi. 2022;23(6):409-410 | DOI: 10.36290/ped.2022.073  

Sharp syndrome (mixed connective tissue disease - MCTD) is a rare autoimmune disease combining the clinical symptoms of systemic lupus, systemic sclerosis, polymyositis and rheumatoid arthritis. Variability of clinical manifestations often delays the correct diagnosis. We demonstrate the case report of an 11-year-old patient diagnosed with Sharp syndrome. We point out the importance of immunofluorescence examination with evidence of antinuclear antibodies and their specification in the diagnosis of the disease. Due to the wide spectrum of clinical manifestations, interdisciplinary cooperation is essential.

Prevention and initial treatment of extravasation in newborns and infants

Mgr. Jaroslava Fendrychová, Ph.D.

Pediatr. praxi. 2022;23(6):417-419 | DOI: 10.36290/ped.2022.077  

The article deals with the risk of extravasation, which is a serious complication of intravenous therapy, its prevention and initial treatment in newborns and infants. It also mentions the occurrence of extravasation in newborns abroad and indirectly links to an article published in Pediatrics for Practice (No. 3/2022), which discusses the investigation of the incidence of skin injuries in newborns in the Czech Republic in 2020, in which extravasation was identified as the most common cause of injury.

Idiopathic facial aseptic granuloma - prolonged course with spontaneous regression

prof. MUDr. Vladimír Mihál, CSc., MUDr. Jakub Čivrný

Pediatr. praxi. 2022;23(6):411-414 | DOI: 10.36290/ped.2022.074  

Idiopathic facial aseptic granuloma (IFAG) is usually a solitary erythematous-violaceous nodular skin lesion located on the child's face. The clinical course is lengthy but benign. Most children heal spontaneously within a few months. Ultrasound examination of the skin using Doppler imaging improves its diagnostic accuracy. We present a 2-year-old girl with IFAG. High-resolution ultrasonography provided a decisive diagnostic conclusion after a five-month course. A high-resolution ultrasound examination provided a decisive diagnostic conclusion after a five-month course.

Pediatric-onset inflammatory bowel disease

MUDr. Pavel Frühauf, CSc.

Pediatr. praxi. 2022;23(6):420-421  

Rates of pediatric-onset PIBD continue to rise around the world and data are emerging from regions where it was not previously reported.

Diabetes mellitus - znamení modlitby

prof. MUDr. Zdeněk Doležel, CSc., MUDr. Jana Šťastná, Ph.D., MUDr. Petra Konečná, Ph.D.

Pediatr. praxi. 2022;23(6):415 | DOI: 10.36290/ped.2022.075  

Lingua villosa nigra u batolete

MUDr. Jiří Bufka, MUDr. Jan Schwarz, MUDr. Hana Hromádková

Pediatr. praxi. 2022;23(6):416 | DOI: 10.36290/ped.2022.076  

Possibilities of early diagnosis of Duchenne muscular dystrophy - recommendations for paediatricians

MUDr. Lenka Juříková

Pediatr. praxi. 2022;23(6):422-425  

Duchenne muscular dystrophy (DMD) is with its incidence 1 : 5 000 newborn males the most frequent muscle disease in childhood. It is caused by mutation in dystrophin gene located on X chromosome. First symptoms of DMD include delayed motor milestones, difficult running or climbing stairs, later we can see weakness of shoulder girdle. Cardiomyopathy and respiratory failure most often occur in the third decade. Because of new treatment possibilities, it is necessary to confirm diagnose as soon as possible. E. g. ataluren as a treatment for DMD boys can be used from the age of 2 years. We should test creatine kinase (which elevation more than 100x is...

Na každém dnu záleží – podpora dětí s hendikepem by měla být zahájena co nejdříve po narození

ranapece.cz

Pediatr. praxi. 2022;23(6):426  

Setting up the system (development) of health and social care for mother and child in Czechoslovakia in 1918-1938

prof. PhDr. Valérie Tóthová, Ph.D., doc. Mgr. et Mgr. Andrej Tóth, Ph.D., doc. PhDr. Lukáš Novotný, Ph.D., PhDr. Martin Červený, Ing. Jakub Drábek, Ph.D., Ing. Jan Hladík

Pediatr. praxi. 2022;23(6):429-433  

The First Czechoslovak Republic devoted considerable attention to supporting families, mothers and children, including youth, in order to reduce the high infant and child mortality rates. The aim of the paper is to introduce the readers to the issues influencing the development of health and social care for mother and child in the First Czechoslovak Republic. On the basis of an analysis of primary and secondary sources, the development of the establishment of counselling centres is presented, which were supposed to include not only health, social, educational and supportive care, but also legal protection.