Associations Among School Absenteeism, Gastrointestinal and Respiratory Illness, and Income - United States, 2010-2016.
MMWR Morb Mortal Wkly Rep. 2020 Jan 17;68(53):1201-1205
Authors: Berendes D, Andujar A, Barrios LC, Hill V
Control of communicable diseases in children, including respiratory and diarrheal illnesses that affect U.S. school-aged children, might require public health preventive efforts both in the home and at school, a primary setting for transmission. National Health Interview Survey (NHIS) data on school absenteeism and gastrointestinal and respiratory illnesses in the United States during 2010-2016 were analyzed to examine their associations with income. Prevalence of gastrointestinal and respiratory illnesses (queried for the 2 weeks preceding the survey) increased as income decreased. The likelihood of missing any school days during the past year decreased with reduced income. However, among children who missed school, those from low-income households missed more days of school than did children from higher income households. Although the reason for absenteeism cannot be ascertained from this analysis, these data underscore the importance of preventive measures (e.g. hand hygiene promotion and education) and the opportunity for both homes and schools to serve as important points for implementation of public health preventive measures, including improved hand hygiene practices.
PMID: 31945036 [PubMed - indexed for MEDLINE]
Evaluation of parenteral nutrition-associated liver disease in surgical infants for necrotizing enterocolitis.
Medicine (Baltimore). 2020 Jan;99(2):e18539
Authors: Zeng S, Li X, Deng C, Li L, Guo C
The purpose of this study was to determine the factors associated with parenteral nutrition-associated liver disease (PNALD) in infants who underwent surgery for necrotizing enterocolitis (NEC) and followed up the postoperative outcomes for long term parenteral nutrition (PN).This study included a retrospective review of 87 infants with NEC and managed surgically from July 2007 to May 2017 at the Children's Hospital, Chongqing Medical University. Clinical data and procedure information were collected and analyzed.Among the infants included, 16.1% of patients developed PNALD. Multivariable logistic regression analysis revealed progressive clinical deterioration (OR, 5.47; 95% CI, 1.10-26.96; P = .037) was independent risk factor for PNALD whereas congenital heart disease (OR, 0.068; 95% CI, 0.008-0.55; P = .012) presentation served as a protective factor.The current data suggested the distinct disease process for cardiac patients with NEC, which might help in the prevention and treatment of PNALD for patients with NEC.
PMID: 31914027 [PubMed - indexed for MEDLINE]
Anti-TNF Therapy Is Emerging as the Primary Treatment Modality in Pediatric Inflammatory Bowel Disease.
Inflamm Bowel Dis. 2020 01 01;26(1):139-140
Authors: Niklinska-Schirtz BJ, Kugathasan S
PMID: 31323085 [PubMed - indexed for MEDLINE]