Mladí praktičtí lékaři, nastupte do služeb!

Ivan Peychl

Pediatr. praxi. 2023;24(6):363  

Asymptomatic bacteriuria

MUDr. Alexander Kolský, CSc., MUDr. Josef Gut, MUDr. Světlana Najmanová, MUDr. Eliška Bébrová

Pediatr. praxi. 2023;24(6):367-371 | DOI: 10.36290/ped.2023.090  

Asymptomatic bacteriuria (ABU) is recurrent significant bacteriuria in individuals with normal anatomy and function of the uropoietic tract, and without the presence of clinical symptoms. Despite the knowledge of pathophysiology and microbiology, the relationship between ABU and urinary tract infection (UTI) has not yet been fully elucidated. The incidence of ABU compared to UTI, is significantly lower. Children with ABU do not require therapy. In the case of antibiotic therapy for ABU, there is a possible risk of subsequent manifestation of UTI by more virulent strains and an increase in antibiotic resistence. Recurrence of ABU is also common. Today,...

Functional tic disorder: a mass social media-induced contagion?

prof. MUDr. Evžen Růžička, DrSc., doc. MUDr. Eva Malá, CSc., doc. MUDr. Tereza Serranová, Ph.D.

Pediatr. praxi. 2023;24(6):372-379  

Tourette syndrome (TS) is one of the most common neuropsychiatric disorders of childhood. The usual age of symptom onset is between the ages of 5 and 6 years, and the vast majority of cases emerge by age 12, up to four times more often in boys than in girls. The course of the disease characteristically varies over time, with exacerbations, remissions, and changes in the tic pattern. In adolescence, the tics usually diminish and marked late exacerbations are rare. However, since 2020, the number of new cases of tic disorder has increased sharply in adolescent girls. Their manifestations are incongruent with the classical presentation of TS and are suggestive...

Arterial hypertension in paediatric patients

MUC. Jiří Kodeš, MUDr. Petra Matalová, Ph.D.

Pediatr. praxi. 2023;24(6):380-382 | DOI: 10.36290/ped.2023.092  

Arterial hypertension is a chronic disease affecting mainly adult patients. However, during the 21^st century, the prevalence of the disease is also increasing in paediatric patients, so it is important to keep it in mind in practice. The role of the general practitioner for children and adolescents is absolutely crucial. He/she should be the first one to catch the elevated blood pressure value. The prevalence of secondary hypertension is higher in small children. On the contrary, primary hypertension is more common in adolescents. Therapy is necessary mainly to prevent complications which can arise in childhood, but the risks in a long-time...

New method of blood pressure measurement in the clinical settings - automatic office blood pressure measurement

doc. MUDr. Mgr. Terezie Šuláková, Ph.D., MUDr. Miroslava Burešová, MUDr. Kristýna Juráková, MUDr. Michal Řepišťák, doc. MUDr. Jan Pavlíček, Ph.D., prof. MUDr. Tomáš Seeman, CSc., MBA

Pediatr. praxi. 2023;24(6):389-393 | DOI: 10.36290/ped.2023.094  

Accurate blood pressure (BP) measurement and its correct interpretation are essential factors influencing proper diagnosis and hypertension therapy. There are 5 methods of BP measurement. The office/casual/clinic blood pressure measurement has a central role as the most used method. This measurement is significantly influenced by its users and also by patient's response. Therefore, most of hypertension guidelines in adults but also in pediatrics have recommended out-of-office BP methods, i.e. home blood pressure measurement or ambulatory blood pressure monitoring. Automated office blood pressure measurement (AOBP) with the patient alone in a room is...

Cow´s Milk-related Symptom Score - is there anything new?

MUDr. Kateřina Bajerová, Ph.D.

Pediatr. praxi. 2023;24(6):394-397 | DOI: 10.36290/ped.2023.095  

The cow´s milk protein allergy (CMPA) is the most frequent allergy of infants and toddlers. It is challenging to early recognize the suspected patient and if indicated, start the diagnostic elimination followed by an oral challenge. To help the medical health care provider to identify infant at allergy risk experts published the Cow´s Milk Related Symptom Score (CoMiSS). The questionnaire brings a relevant overview of CMPA symptoms´ intensity and helps to work out the CMPA correctly. In 2022 the CoMiSS was updated: the cut-off decreased from ≥ 12 to ≥ 10, the Bristol Stool Scale was substituted by the Brussels Infant and Toddler Stool Scale...

Diagnostic significance of postnatal interleukin-6 dynamics in preterm neonates

MUDr. Anna Baštan, MUDr. Jan Hálek, Ph.D., RNDr. Tomáš Fürst, Ph.D., prof. MUDr. Vladimír Mihál, CSc.

Pediatr. praxi. 2023;24(6):398-402 | DOI: 10.36290/ped.2023.096  

Introduction: The aim of this study was to compare interleukin-6 values in umbilical cord and peripheral blood of newborns. The clinical goal was to determine whether the examination of cord blood can replace early postnatal peripheral blood collection. Patients and methods: Study included premature newborns (< 35^th week of gestation) born in 2016-2018 at Olomouc University Hospital. At the same time, it was possible to collect a sufficient amount of blood from the umbilical cord in these newborns. Results: Paired sampling was successful in 73 of these newborns. A significant difference (p < 0,001) was found between the umbilical cord...

Etiology of urticaria in paediatrics

MUDr. Jiří Bufka, MUDr. Jan Schwarz, MUDr. Lenka Vaňková, prof. MUDr. Josef Sýkora, Ph.D.

Pediatr. praxi. 2023;24(6):403-406 | DOI: 10.36290/ped.2023.097  

Urticaria is widely considered disease with typical skin reaction. Although the clinical diagnosis of urticaria is relatively straightforward, in more than 20% of the population it is necessary to exclude more serious causes as part of the differential diagnosis. Etiology of urticaria is mentioned in the article with regard to its pathophysiological background.

A rare case of tularemia in a small child

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

Pediatr. praxi. 2023;24(6):407-410 | DOI: 10.36290/ped.2023.098  

Tularemia is an infectious disease caused by the tiny gram-negative bacterium Francisella tularensis. It belongs to zoonotic infections and in the past there have been several significant epidemics in our conditions. Diagnosis is often difficult mainly due to poorer availability of direct methods. Serological examination is usually unprofitable in the first stages of the disease. The basis for correct diagnosis is a carefully collected epidemiological anamnesis. We recognize several clinical forms, while the pulmonary form may be potentialy misused as a biological weapon.

Juvenile spondyloarthritis/sacroiliitis (previously known as Bechterev´s disease) with focus on early diagnostics and therapy - case reports and summary for clinical practice

doc. MUDr. Kateřina Bouchalová, Ph.D., MUDr. Lenka Frydrychová, MUDr. Veronika Moškořová, MUDr. Zuzana Pytelová, MUDr. Jakub Čivrný

Pediatr. praxi. 2023;24(6):411-415 | DOI: 10.36290/ped.2023.099  

An article is focused on juvenile spondyloarthritis (JSpA) (previously Bechterev´s disease) in childhood. The disease is included in enthesitis-related arthritis (ERA) subgroup of JIA based on currently used classification. Differential diagnostics with stress on early diagnosis and therapy is described. It is also reviewed how general practitioners might contribute. Case reports of children with spondyloarthritis as a main symptom of ERA are presented. A back pain might be the first, and only symptom of ERA. In some patients peripheral arthritis or enthesitis are found. A proportion of patients suffers from uveitis. Here described patients reached...

The effect of diastasis recti abdominis on the biomechanic parameters of the lower limb in children of younger school age

Mgr. Martina Minksová, Ing. Bc. Lucie Honzíková, Ph.D., prof. RNDr. Miroslav Janura, Dr., Mgr. Taťána Funioková, Ph.D.

Pediatr. praxi. 2023;24(6):416-419 | DOI: 10.36290/ped.2023.100  

The aim of the study was to determine whether the occurrence of diastasis recti abdominis can affect the position of the lower limbs and the load on the foot when walking in children of younger school age. The research group consisted of 16 children of younger school age who were classified into two groups according to the spacing of the abdominal muscles: with abdominal diastasis (age 8,0 ± 0,8 years; height 134,6 ± 5,2 cm; weight 35,8 ± 8,2 kg; abdominal muscle spacing 2,5 ± 0,8 cm) and without abdominal diastasis (age 7,9 ± 0,6 years; height 130,3 ± 5,5 cm; weight 29,0 ± 5,0 kg; abdominal muscle spacing 0,9 ±...

Missed nursing care in children's inpatient workplaces in the Czech Republic

Mgr. Daniela Bartoníčková, Ph.D., Mgr. Dominika Kohanová, Mgr. Martina Marková

Pediatr. praxi. 2023;24(6):424-427 | DOI: 10.36290/ped.2023.102  

Missed nursing care in children's inpatient units is currently receiving increasing attention. Pediatric patients are much more sensitive to the negative consequences of hospitalization. A descriptive cross-sectional study was conducted in the Czech Republic using the MISSCARE Survey-Ped, which was developed to assess missed care in pediatric standard departments. The study population consisted of 216 pediatric nurses from five health care institutions. Up to 92,1% of pediatric nurses missed at least one nursing activity during their last shift. On average, nurses did not perform 12,1 nursing activities. The most common missed nursing activities were...

Intramuscular arteriovenous malformation of the left pectoralis major muscle

prof. MUDr. Vladimír Mihál, CSc., MUDr. Bohumil Zálešák, Ph.D., MUDr. Tomáš Tichý, MUDr. Lenka Bakaj-Zbrožková, Ph.D., MUDr. Kamila Michálková

Pediatr. praxi. 2023;24(6):420-423 | DOI: 10.36290/ped.2023.101  

We present a primary intramuscular arteriovenous malformation of the left pectoralis major muscle in a 7-year-old boy. Elastic resistance characteristics on MRI, specifically increased signal intensity on T2-weighted images and marked contrast enhancement with gadolinium, were suggestive of increased vascularity. Histologically, the mass was determined to be an intramuscular vascular malformation of the arteriovenous small vessel subtype. The patient underwent complete microsurgical resection. This is one of the few intramuscular vascular malformations in children.

Enterobius vermicularis - vector of the difficult-to-diagnose intestinal trichomonad Dientamoeba fragilis?

Mgr. Hana Bílková Fránková, MBA

Pediatr. praxi. 2023;24(6):385-388 | DOI: 10.36290/ped.2023.093  

Enterobius vermicularis (E. vermicularis) is currently the most common helminth of the human intestine. The statistics of the National Reference Laboratory for Intestinal Parasitoses show that it is almost the only representative of the helminth group in our conditions (1) (Table 1). Occurs or diagnoses this disease (enterobiosis, oxyuriasis) especially in children. Due to the rapid maturation of larvae in the egg (4-6 h), their overproduction (an adult female lays 5 000-12 000 eggs (2) (Fig. 1a, b, Fig. 2a, b) and the high resistance of eggs to external influences, I assume the current occurrence in most family members, including adults....

Vývoj mikrobiomu trávicího traktu a kvantitativní profil imunitních markerů

MUDr. Zuzana Zafarová


Pediatr. praxi. 2023;24(6):428-430