8,864 results match your criteria Archives De Pediatrie[Journal]

Prevalence of overweight, obesity, and early adiposity rebound in nursery school children in southeastern France.

Arch Pediatr 2022 May 3. Epub 2022 May 3.

Conseil Départemental des Bouches-du-Rhône, DPMISP, Maternal Child Health Service (Protection Maternelle et Infantile), 4 quai d'Arenc, Marseille 13304, France.

Background: The aim of the present study was to assess the prevalence of overweight, obesity, and early adiposity rebound in nursery school children aged 3.5-4.5 years and to evaluate associations with deprivation. Read More

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Postural tachycardia syndrome among adolescents.

Arch Pediatr 2022 May 3. Epub 2022 May 3.

Departments of Neurology and Neurosurgery, Inselspital, Bern University Hospital, Freiburgstrasse 16, 3010 Bern, Switzerland.

Postural tachycardia syndrome (PoTS) is a polymorphic clinical syndrome that is underdiagnosed, especially in adolescents. It is a form of dysautonomia, but its exact physiopathology remains elusive. Several pathologies can mimic PoTS; it is characterized by heterogeneous symptoms that accompany a disproportionate tachycardia upon the upright position. Read More

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Impact of COVID-19 disease on clinical research in pediatric and congenital cardiology.

Arch Pediatr 2022 Apr 20. Epub 2022 Apr 20.

Pediatric and Congenital Cardiology Department, M3C National Reference Centre, Bordeaux University Hospital, Avenue de Magellan, Bordeaux 33604, France; IHU Liryc, Electrophysiology and Heart Modelling Institute, INSERM 1045, Bordeaux University Foundation, Pessac, France. Electronic address:

Background: COVID-19 triggered an unprecedented crisis affecting society at every level. Research in pediatric and congenital cardiology is currently in full development and may have been disrupted. The aim of the study was to determine the impact of COVID-19 on pediatric and congenital cardiology clinical research and to analyze decision-making and adaptation processes, from a panel of ongoing academic and industry-sponsored research at the time of the pandemic. Read More

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The position during urine sample collection from young precontinent children through a bag does not limit contamination rates: Results from a randomized controlled trial: Does infant position influence quality of urine collection?

Arch Pediatr 2022 May 2. Epub 2022 May 2.

Département de pédiatrie, CHU de Limoges, 8 avenue Dominique Larrey, 87000 Limoges, France.

Aim: Despite its limitation, bag collection is still widely used for a preliminary urine screening test in non-toilet-trained children suspected of febrile urinary tract infection. A previous study conducted by our group raised the hypothesis that the absence of direct contact between urine and the perinea during urine collection could limit urine contamination by perineal flora. The aim of this study was to evaluate the impact of the patient's position during urine collection (upright standing position versus free position) on the rate of contaminated urine samples in non-toilet-trained children with suspected febrile urinary tract infection. Read More

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Sleep, chronotype, and behavior in adolescents with attention-deficit/hyperactivity disorder.

Arch Pediatr 2022 May 3;29(4):277-280. Epub 2022 Apr 3.

Pediatric Neurology, Hospital Universitario Infanta Sofía, Madrid, Spain.

Sleep problems are highly prevalent in patients with attention-deficit/hyperactivity disorder (ADHD). Although chronotype has been linked to behavioral problems, its specific contribution to ADHD symptoms remains unclear. We assessed the association between chronotype and sleep and behavioral problems in adolescents with ADHD between 12 and 18 years of age using questionnaires (Morningness-Eveningness Scale for Children [MESC], Strengths and Difficulties Questionnaire [SDQ], and Pediatric Sleep Questionnaire [PSQ]). Read More

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Are plasma proteins a valid alternative for assessing nephrotic syndrome in children from low-income countries?

Arch Pediatr 2022 May 2;29(4):263-266. Epub 2022 Apr 2.

Reference Centre for Rare Renal diseases Néphrogones, Hospices Civils de Lyon, Lyon, France; Faculté de Médecine Lyon Est, Université Claude-Bernard Lyon 1, Lyon, France.

Background: A diagnosis of nephrotic syndrome (NS) in children with edema relies on urinary albumin excretion and usually plasma protein (Pprot) and albumin (Palb) concentrations.

Methods: In order to fit laboratory tests to optimal healthcare in low-resource countries, we established correlations between Pprot and Palb in children with NS (217 measurements in 60 patients) and in children with exudative enteropathy and chronic hepatopathy/liver insufficiency (186 measurements in 21 patients); all patients had repeated measurements at various stages of their disease.

Results: There was a good correlation between Pprot and Palb in children with idiopathic NS and genetic NS (ICC=0. Read More

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Neonatal screening for congenital hypothyroidism: Time to lower the TSH threshold in France.

Arch Pediatr 2022 May 26;29(4):253-257. Epub 2022 Mar 26.

Department of Pediatric Endocrinology and Diabetology, University Hospital of Angers, 4 rue Larrey, Angers 49000, France; Reference Center for Rare Diseases of Thyroid and Hormone Receptivity, University Hospital of Angers, 4 rue Larrey, Angers 49000, France. Electronic address:

Neonatal screening for congenital hypothyroidism (CH) is based on the measurement of thyroid-stimulating hormone (TSH) in whole dried blood samples on filter paper in all newborns. The objective of screening for CH is to prevent mental retardation, which is irreversible in the event of a late diagnosis, by setting up prompt treatment (before day 15) with levothyroxine. The threshold value of TSH on filter paper on day 3 is 17 mIU/L in France in the GSP method (GSP, Genetic Screening Processor, Perkin Elmer): It is one of the highest thresholds used in the world. Read More

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Organization of trauma management in French level-1 pediatric trauma centers: A cross-sectional survey.

Arch Pediatr 2022 May 26;29(4):326-329. Epub 2022 Mar 26.

Pediatric Intensive Care Unit, Grenoble-Alps University Hospital, Grenoble, France. Electronic address:

Background: Due to the lack of available evidence on pediatric trauma care organization, no French national guideline has been developed. This survey aimed to describe the management of pediatric trauma patients in France.

Methods: In this cross-sectional survey, an electronic questionnaire (previously validated) was distributed to intensive care physicians from tertiary hospitals via the GFRUP (Groupe Francophone de Réanimation et Urgences Pédiatriques) mailing list. Read More

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Clinical characteristics and liver profiles of Dubin-Johnson syndrome in neonates: Multicenter retrospective study.

Arch Pediatr 2022 May 26;29(4):267-271. Epub 2022 Mar 26.

Department of Pediatric Gastroenterology, King Saud University, Riyad, Saudi Arabia.

Objectives: Dubin-Johnson syndrome (DJS) is a rare benign autosomal recessive disorder characterized by cholestasis in neonates. The aim of the present study was to describe the clinical characteristics, hepatic profiles, histopathology, gene mutations, and treatment outcomes of neonatal DJS.

Material And Methods: A multicenter retrospective study was undertaken with patients who had DJS. Read More

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Determinants of total incapacity to work duration among 231 victims of school violence in France.

Arch Pediatr 2022 May 26;29(4):272-276. Epub 2022 Mar 26.

CHRU Montpellier, Service de Médecine Légale, University of Montpellier, Montpellier, France.

Introduction: This study aimed to identify the factors that may influence the duration of the total incapacity to work (TIW) among victims of school violence from the perspective of clinical forensics practice.

Methods: It used a cross-sectional design to collect data from school violence victims examined at a French forensic unit following a judicial requisition. Logistic regression models were used to identify whether the victim's characteristics, the circumstances of the violence, or the evaluation itself could predict a TIW duration equal to or greater than 2 days. Read More

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Vitamin D and calcium intakes in general pediatric populations: A French expert consensus paper.

Arch Pediatr 2022 May 16;29(4):312-325. Epub 2022 Mar 16.

AP-HP, Centre de Référence des Maladies Rares du Calcium et du Phosphore, Service d'Endocrinologie et diabète de l'enfant, Filières Santé Maladies Rares OSCAR, ERN endoRARE et BOND, Plateforme d'expertise des maladies rares Paris Saclay, Hôpital Bicêtre Paris-Saclay, Université Paris Saclay, INSERM U1185, Le Kremlin Bicêtre, France.

Objectives: Nutritional vitamin D supplements are often used in general pediatrics. Here, the aim is to address vitamin D supplementation and calcium nutritional intakes in newborns, infants, children, and adolescents to prevent vitamin D deficiency and rickets in general populations.

Study Design: We formulated clinical questions relating to the following categories: the Patient (or Population) to whom the recommendation will apply; the Intervention being considered; the Comparison (which may be "no action," placebo, or an alternative intervention); and the Outcomes affected by the intervention (PICO). Read More

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A qualitative study of adolescents and young adults' experience and perceived needs during the first wave of the COVID-19 pandemic.

Arch Pediatr 2022 May 28;29(4):281-286. Epub 2022 Feb 28.

Université de Montréal, Montréal, Québec, Canada; CHU Sainte-Justine Research Center, Montréal, Quebec, Canada; Division of Gastroenterology, Department of Pediatrics, CHU Sainte-Justine University Hospital, Canada. Electronic address:

Aims: COVID-19 has led to unprecedented public health measures such as school and university closures across the world. While initial surveys show an increase in anxiety, we have little information on the subjective experience of adolescents and young adults (AYAs). The aims of this study were to understand the lived experience and needs of AYAs related to home confinement and preventive measures due to COVID-19. Read More

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Proton pump inhibitors are still overprescribed for hospitalized children.

Arch Pediatr 2022 May 16;29(4):258-262. Epub 2022 Mar 16.

Bordeaux University Hospital, Pediatric department, Pediatric Gastroenterology Unit, France. Electronic address:

Objective: The use of proton pump inhibitors has increased exponentially over the past 20 years. Several side effects have been reported and concerns exist about the consequences of long-term proton pump inhibitors on health, leading to limitation of their use. The present study analyzed prescriptions of proton pump inhibitors at inpatient units and assessed their compliance with current recommendations. Read More

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Prognostic factors and treatment of relapsed osteosarcoma: A monocentric Tunisian retrospective study.

Arch Pediatr 2022 May 16;29(4):287-291. Epub 2022 Mar 16.

Department of Medical Oncology, Habib Bourguiba Hospital University of Sfax, Tunisia.

Background: This study aimed to explore the treatment modalities of relapsed osteosarcoma, treatment results, and prognostic factors.

Methods: We conducted a retrospective study of patients treated for relapsed osteosarcoma between 2005 and 2019. Patient survival was compared according to age, performance status, time to relapse, and surgical treatment at the relapse. Read More

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Assessing puberty-related health needs among 10-15-year-old boys: A cross-sectional study approach.

Arch Pediatr 2022 May 12;29(4):307-311. Epub 2022 Mar 12.

Health Promotion and Education, Department of Health Promotion and Education, Ardabil University of Medical Sciences, Ardabil, Iran. Electronic address:

This study investigated the puberty-related health needs of 10-5-year-old boys in Iran. The literature shows that the growing health problems of adolescents are an important health issue worldwide. The present study was a cross-sectional descriptive survey that applied a stratified-cluster sampling technique to collect data from boys aged 10-15 years in order to assess puberty-related health problems. Read More

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Severe imported malaria involving hyperparasitemia (≥ 10%) in non-immune children: Assessment of French practices.

Arch Pediatr 2022 May 11;29(4):300-306. Epub 2022 Mar 11.

Assistance Publique - Hôpitaux de Paris, Armand Trousseau University Hospital, Pediatric Emergency Department, 26 Avenue du Dr Arnold Netter 75012 Paris, France.

Background: Plasmodium falciparum hyperparasitemia (over or equal to 10%), isolated or associated with other severity criteria, should be managed in a pediatric intensive care unit according to the French pediatric guidelines. The main objective of our study was to describe the management and course of these special cases.

Population And Methods: We conducted a retrospective study in eight French hospital facilities from January 2007 to December 2014. Read More

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Benign anorectal disease in children: What do we know?

Arch Pediatr 2022 Apr 3;29(3):171-176. Epub 2022 Mar 3.

Third Department of Pediatrics, Attikon University General Hospital, National and Kapodistrian University of Athens, Athens, Greece.

Benign anorectal disease refers to a diverse group of frequent anorectal complaints that cause considerable discomfort, disability, and often constitute a significant problem for the child and his or her family. Hemorrhoids, fissures, rectal prolapse, and perianal abscess and fistulas are the most common anorectal disorders in pediatric population and their appearance may be age-specific. Although they generally follow a benign course, a careful examination must be performed in order to exclude other serious and complicated underlying pathology. Read More

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Neonatal gastrointestinal emergencies: a radiological review.

Arch Pediatr 2022 Apr 3;29(3):159-170. Epub 2022 Mar 3.

Department of Radiology, Children's Hospital of Philadelphia, Philadelphia, PA, USA; Department of Radiology, University of Pennsylvania, Philadelphia, PA, USA. Electronic address:

Background: Abdominal emergencies in neonates require surgical management in almost all cases and complications may include bowel perforation, sepsis, shock, and even death. Radiological imaging has become a very important aid in the clinical setting as it shortens time to diagnosis.

Objective: The objective of this review is to discuss the more prevalent neonatal gastrointestinal emergencies, review appropriate imaging options, and illustrate common radiological presentations of these entities. Read More

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Impact of an intensive multimodal educative program on behavioral disorders of polyhandicapped patients: A randomized controlled trial.

Arch Pediatr 2022 May 3;29(4):292-299. Epub 2022 Mar 3.

Hôpital de La Roche Guyon, Service de Polyhandicap Pédiatrique, Assistance Publique Hôpitaux de Paris, 1 Rue Justinien Blazy, 95780 La Roche-Guyon, France; Sorbonne Université, UPMC, GRC ConCer-LD and AP-HP, Hôpital Trousseau, Service de Neuropédiatrie - Pathologie du développement, Paris, France, Centre de référence des déficits intellectuels de causes rares, Inserm U 1141, 26 Avenue du Dr Arnold Netter, 75012 Paris, France.

Background: Hospitalized children and young adults with polyhandicap (PLH) often present with behavioral and relational disorders that are mainly related to their difficulties in communicating and interacting with their environments. Educational support is rarely provided to these patients. An intensive multimodal educative program could help in reducing behavioral disorders and in improving the quality of life of healthcare workers, including nurses and auxiliary nurses. Read More

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The "3R Team" in action! Implementation of a program of learning from excellence in a neonatal and pediatric intensive care unit in France.

Arch Pediatr 2022 Apr 1;29(3):225-229. Epub 2022 Feb 1.

Neonatal and Pediatric Intensive Care Unit, Children's Hospital, 330 avenue de Grande-Bretagne, Toulouse Cedex 9, France.

Background: The pursuit of improving quality of care and of patient safety is a crucial objective in intensive care units (ICUs). Classically, safety is characterized by analyzing adverse events. Neonatal and pediatric ICUs (NICUs/PICU) are highly technological units, with evidence of risk for elevated levels of emotional exhaustion and thus a significant level of staff turnover. Read More

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The psychological effects of COVID-19-related containment in children: The E-COCCON French study.

Arch Pediatr 2022 Apr 19;29(3):188-193. Epub 2022 Jan 19.

Pediatric Emergency Department, Children's Hospital, CHU Toulouse, France; UMR 1416, Inserm, IRSD, Toulouse, France.

The first containment of the Sars-Cov2 pandemic had the potential to generate posttraumatic stress (PTS) symptoms in children.

Objective: The main objective of the study was to determine the prevalence of PTS symptoms within 6 weeks of the end of lockdown, in children contained between March 17, 2020 and May 11, 2020 in France.

Material And Methods: This was a French prospective cross-sectional study between May 15 and July 2, 2020 conducted via telephone survey. Read More

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Distress, anxiety, and its correlates among caregivers of children with kidney diseases during COVID-19 pandemic lockdown.

Arch Pediatr 2022 Apr 19;29(3):243-248. Epub 2022 Jan 19.

Department of Pediatrics, Advanced Pediatrics Centre, Post Graduate Institute of Medical Education and Research, Room No. 5120, 5A, Chandigarh 160012, India. Electronic address:

Background: The COVID-19 pandemic has generated a significant amount of psychological burden in the form of stress, anxiety, uncertainty, depression, anger, and helplessness. The caregivers of children with chronic diseases in particular are at a higher risk of mental stress and burden.

Material And Methods: We conducted an online survey among caregivers of children with kidney diseases to assess the psychosocial impact of COVID-19. Read More

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Dexmedetomidine sedation vs. inhaled general anesthesia for pediatric MRI: A retrospective cohort study: Dexmedetomidine sedation vs. inhaled general anesthesia for MRI.

Arch Pediatr 2022 Apr 31;29(3):213-218. Epub 2022 Jan 31.

Department of pediatrics, CHU de Caen, Caen, F-14000, France; Department of anesthesia, CHU de Caen, F-14000, France; Department of pharmacy, CHU de Caen, F-14000, France.

Objectives: The objective of this study was to evaluate the feasibility and the efficacy of a dexmedetomidine-based protocol followed by anesthesiologists unaccustomed to using dexmedetomidine during pediatric magnetic resonance imaging (MRI) examinations compared to conventional halogenated general anesthesia.

Methods: This was a single-center retrospective cohort study including patients younger than 18 years who underwent sedation for MRI between August 1, 2018 and March 31, 2019. Patients who received dexmedetomidine were included in the DEX group and patients who had general anesthesia formed the GA group. Read More

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Child defenestration: An unexpected collateral effect of the first COVID-19 lockdown!

Arch Pediatr 2022 04 19;29(3):249-252. Epub 2022 Jan 19.

Paediatric Emergency Department, Children's Hospital CHU, Toulouse University Hospital, Toulouse, France.. Electronic address:

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Prognostic value of contrast-enhanced MRI in Guillain-Barré syndrome in children.

Arch Pediatr 2022 Apr 31;29(3):230-235. Epub 2022 Jan 31.

Département de Neuroradiologie, CHU Gui de Chauliac, 34 295, Montpellier, France.

Background: The aim of this retrospective study is to explore the prognostic value of different contrast enhancement imaging patterns in childhood Guillain-Barré syndrome by comparing the clinical, laboratory, and therapeutic outcomes.

Methods: We included a total of 37 patients who were diagnosed and followed up by a pediatric neurology team at Montpellier University Hospital between 2000 and 2016. All images were reinterpreted by the first author and a senior pediatric neuroradiology staff member in two different sessions; in the case of disagreement, the expert's reading was considered. Read More

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Nasal irrigation practice habits in infants: A Belgian survey: Nasal irrigation practice habits in infants.

Arch Pediatr 2022 Apr 31;29(3):200-206. Epub 2022 Jan 31.

Secteur de Kinésithérapie et Ergothérapie, Cliniques universitaires Saint-Luc, Avenue Hippocrate 10, 1200 Brussels, Belgium; Faculté des Sciences de la Motricité, Université Catholique de Louvain, Louvain-La-Neuve, Belgium; Institut de recherche expérimentale et clinique (IREC), pôle de Pneumologie, ORL et Dermatologie, Université Catholique de Louvain, Avenue Hippocrate 55, 1200 Brussels, Belgium; Service de Pneumologie, Cliniques universitaires Saint-Luc, Avenue Hippocrate 10, 1200 Brussels, Belgium.

Background: Nasal irrigation is widely used in infants to relieve nasal obstruction. However, the nasal irrigation technique has not been standardized, and nasal irrigation practice habits (NIPH) in infants have not been investigated. Our objective was to provide an overview of NIPH in infants among parents, childcare workers, and healthcare professionals living in Belgium. Read More

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Epidemiological, clinical, and treatment-related features of children with cerebral palsy in Cameroon: A hospital-based study.

Arch Pediatr 2022 Apr 31;29(3):219-224. Epub 2022 Jan 31.

Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon.

Background: Pediatric cerebral palsy (CP) remains a poorly studied public health problem in sub-Saharan Africa, especially in Cameroon. This study aimed at determining the epidemiological, clinical, and treatment-related characteristics of CP in Cameroonian children.

Methods: A cross-sectional study was conducted at the pediatric department of the Douala Gynaeco-Obstetric and Pediatric Hospital (DGOPH). Read More

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Anxiety and healthcare satisfaction of mothers with children hospitalized in the pediatric emergency service.

Arch Pediatr 2022 Apr 31;29(3):207-212. Epub 2022 Jan 31.

Department of Pediatrics, Faculty of Medicine, Erciyes University, Kayseri, Turkey.

Objectives: This cross-sectional study was conducted to determine the anxiety and healthcare satisfaction levels of mothers with children hospitalized in the pediatric emergency service and the relationship between them.

Methods: The study sample comprised mothers (n = 316) with children hospitalized in the pediatric emergency service of a tertiary hospital in Turkey. Intsitutional and ethics committee approval was obtained, and data were collected using the Questionnare Form, State Anxiety Inventory (SAI), and PedsQL Healthcare Satisfaction Scale (PHSS). Read More

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Factors associated with the onset of smoking and alcohol consumption: A cross-sectional study among Lebanese adolescents in schools.

Arch Pediatr 2022 Apr 31;29(3):194-199. Epub 2022 Jan 31.

INSPECT-LB (Institut National de Santé Publique, d'Épidémiologie Clinique et de Toxicologie-Liban), Beirut, Lebanon; Faculty of Pharmacy, Lebanese University, Beirut, Lebanon; University of Nicosia Medical School, Nicosia, Cyprus.

Objectives: This study aimed to evaluate factors and profiles associated with the earlier onset of cigarette/waterpipe smoking and alcohol consumption among Lebanese adolescents in schools.

Methods: A total of 4000 adolescents (mean age = 15.31 ± 2. Read More

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Systematic skin and nasal decolonization lowers Staphylococcus infection in pediatric cardiac surgery.

Arch Pediatr 2022 Apr 31;29(3):177-182. Epub 2022 Jan 31.

Institut des Cardiopathies Congénitales de Tours, CHRU Tours, France; Université François Rabelais, Tours, France; INSERM UMR 1069 "Nutrition, Croissance et Cancer", Tours, France. Electronic address:

Background: Postoperative infections occur in approximately 10% of pediatric cardiac surgeries, involving Staphylococcus species in most cases. Nasal decontamination of Staphylococcus with mupirocin has been reported to reduce postoperative Staphylococcus infections after cardiac surgery in adults, but the effect of preoperative decontamination in children undergoing cardiac surgery has not been sufficiently studied to reach consensus.

Methods: We conducted a single-center retrospective study to evaluate the impact of systematic preoperative decolonization with intranasal mupirocin application and skin-washing with chlorhexidine soap on postoperative Staphylococcus infection in children undergoing cardiac surgery. Read More

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