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Journal Article 2007; 28(Suppl 2): 30-31 PubMed PMID: 17558374 Citation  Keywords:  Anti-Bacterial Agents:therapeutic use, Cross Infection:drug therapy, Humans, Hydrocephalus:etiology, Infant, Newborn, Language Development Disorders:etiology, Meningitis, Bacterial:drug therapy, Rare Diseases, Retrospective Studies, Streptococcal Infectio.   

: Streptococcus agalactiae is a rare cause of neonatal meningitis in the era of peripartum prophylaxis with prophylaxis with ampicillin in colonized/infected mothers. However 5 cases of meningitis among 171 cases of pediatric nosocomial meningitis database within last 15 years occurred. All 5 children were neonates (one VLBW and early gestation newborn), 2 after neurosurgery. All 5 cases were successfully cured with a combination of cefotaxim (or ceftazidim) plus aminoglycosides, in one case also with addition of vancomycin or ampicillin. However 3 of 5 cured patients had neurologic sequellae, two of them reversible hydrocephalus and in speech retardation....

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Journal Article 2007; 28(Suppl 2): 27-29 PubMed PMID: 17558373 Citation  Keywords:  Anti-Bacterial Agents:therapeutic use, Child, Child, Preschool, Cross Infection:drug therapy, Drug Resistance, Bacterial, Enterobacteriaceae Infections:complications, Female, Humans, Infant, Infant, Newborn, Male, Meningitis, Bacterial:drug therapy, Risk .   

: Nosocomial neuroinfections due to Enterobacteriaceae represented 9.5% in our cohort of 171 cases of paediatric meningitis within last 15 years. Commonest etiologic agents was E. coli - 9 (50%) followed by Klebsiella pneumoniae - 3 (16,7%) and Enterobacter cloacae. Citrobacter freundii, Proteus mirabilis and Salmonella enteritidis (1 each). Commonest risk factors were neonatal age 13 - (72.2%), very low birth weight 5 (27.8%), craniocerebral trauma - 4 (22.2%) and neurosurgery - 5 (27.8%). All but 1 case were treated with antibiotics: 8 with III-rd and 3 with IV-th generation cephalosporins (ceftazidim, cefotaxim and cefepim) 2 with meropenem and 4 with ciprofloxacin: Nosocomial meningitis due to enterobacteriaceae was associated with significantly high mortality (29.9% vs. 15.1% in all cohort of pediatric meningitis - p<0.02)....

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Journal Article 2007; 28(Suppl 2): 25-26 PubMed PMID: 17558372 Citation  Keywords:  Acquired Immunodeficiency Syndrome:complications, Antifungal Agents:therapeutic use, Brain Abscess:complications, Candidiasis:drug therapy, Child, Child, Preschool, Humans, Infant, Infant, Newborn, Meningitis, Cryptococcal:complications, Meningitis, Funga.   

: Within last 25 years we have observed 20 cases of fungal meningitis and/or cerebral abscesses. Commonest etiologic agens was Candida spp. (C. albicans 9 of 20). Molds were responsible for 4 cases of brain abscess. Mortality was 50% what seems to be very high. Extremely high mortality is caused by delayed onset of therapy, severe underlying disease and multiresistant fungal organisms such as Mucorales, Fusarium solani and Aureobasidium....

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Letter 2007; 28(Suppl 2): 20-21 PubMed PMID: 17558369 Citation  Keywords:  Aminoglycosides:therapeutic use, Anti-Bacterial Agents:therapeutic use, Carbapenems:therapeutic use, Child, Child, Preschool, Cross Infection:drug therapy, Drug Therapy, Combination, Humans, Infant, Infant, Newborn, Meningitis, Bacterial:drug therapy, Ret.   

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Journal Article 2007; 28(Suppl 2): 15-16 PubMed PMID: 17558367 Citation  Keywords:  Acinetobacter Infections:drug therapy, Acinetobacter baumannii:immunology, Anti-Bacterial Agents:therapeutic use, Central Nervous System:abnormalities, Child, Child, Preschool, Cross Infection:drug therapy, Humans, Infant, Newborn, Infant, Very Low Birth .   

: Twenty five (25) cases of nosocomial postsurgical meningitis due to Acinetobacter baumannii meningitis were compared to other 146 cases of meningitis after surgery caused by other pathogens. Prior neurosurgical ventriculo-peritoneal shunt insertion and CNS abnormality as well as very low birth weight were significant risk factors for acquisition of Acinetobacter baumannii meningitis. Mortality - 40% among children with nosocomial meningitis was unacceptably high and significantly higher than among meningitis caused by microorganisms other than Acinetobacter baumannii....

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Comparative Study 2007; 28(Suppl 2): 11-14 PubMed PMID: 17558366 Citation  Keywords:  Child, Child, Preschool, Cross Infection:epidemiology, Data Collection, Gram-Negative Bacterial Infections:epidemiology, Humans, Infant, Infant, Newborn, Meningitis, Bacterial:epidemiology, Risk Factors, Slovakia:epidemiology, Staphylococcal Infections:ep.   

: In 1993-1998 and in 1999-2004 we have performed two surveys of pediatric bacterial meningitis in all 8 neurosurgery/pediatrics and infectious diseases departments in Slovakia. We have detected 101 and another 54 cases with attributable mortality of 15% and sequellae in 18%....

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Journal Article 2006; 27(6): 745-747 PubMed PMID: 17187018 Citation  Keywords:  Acidosis:blood, Adult, Apgar Score, Asphyxia Neonatorum:blood, Birth Weight, Blood Gas Analysis, Female, Fetal Blood:chemistry, Gestational Age, Humans, Infant, Newborn, Insulin-Like Growth Factor Binding Protein 3:blood, Insulin-Like Growth Factor I:anal.   

OBJECTIVE: Determination and pathogenesis of perinatal asphyxia is still an important problem. During the asphyxial insult and recovery phase, alteration of the growth factors has been demonstrated and there is evidence that expression of insulin-like growth factors (IGF) and their insulin-like growth factor binding proteins (IGFBP) in injured sites in experimental studies. Aim of this study was to evaluate relationship between serum IGF-1, IGFBP-3 levels and perinatal asphyxia.

PATIENTS AND METHODS: 18 term-newborn who defined as perinatal asphyxia and 12 term-healthy newborn were enrolled. Umbilical cord IGF-1 and IGFBP-3 levels were detected and searched correlation with apgar scores and umbilical artery gas analysis as pH, pC02, pO2, base excess, HCO3, ctO2, SO2 and lactate levels.

RESULTS: Cord blood IGF-1 and IGFBP-3 levels for asphyxiated newborns were lower than normal group (27.8+/-2.6 ng/ml, 55.1+/-2.8 ng/ml respectively, p<0.01 for IGF-1; 1107.7+/-320.4, 1682.5+/-364.1, p<0.001 for IGFBP-3). Cord blood IGF-1 levels were positively correlated with birth weight; first and 5th minute Apgar score, cord blood arterial pH, ABE, HCO3, SO2 levels. Cord blood IGFBP-3 levels were positively correlated with first and 5th minutes Apgar scores, cord blood arterial pH, pCO2, ABE, HCO3, sO2, and also negatively correlated with cord CO2 and cord lactate levels.

CONCLUSION: Our study demonstrates that exposure to hypoxia and acidosis at birth strongly correlated with a fall in IGF-1 and IGFBP-3 levels in cord blood....

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Evaluation Studies 2006; 27(Suppl 2): 82-85 PubMed PMID: 17159786 Citation  Keywords:  Animals, Animals, Newborn, Antioxidants:therapeutic use, Behavior, Animal:drug effects, Carbolines:therapeutic use, Female, Growth and Development:drug effects, Hypoxia:pathology, Male, Motor Activity:drug effects, Pregnancy, Pregnancy, Animal, Premedicat.   

OBJECTIVES: The aim of this study was to evaluate the effect of the synthetic pyridoindole antioxidant stobadine (STO, 50mg/kg/day) on behavioural alterations induced by acute neonatal anoxia in rat offspring.

METHODS: STO was administered orally from day 15 of gestation up to day 7 post partum (PP). Pups of both genders were exposed to anoxia (100% N(2) for 10 minutes in a special glass chamber) on day 6 PP. After the anoxic insult, neurobehavioural development of rats (somatic growth and maturation, neuromotor and reflex development, spontaneous behaviour in open field) was evaluated up to adulthood.

RESULTS: Neonatal anoxia did not affect somatic growth and maturation. The anoxic insult resulted in hyperactivity of male offspring in the open field test. STO pretreatment was found to decrease the anoxia induced hyperactivity in male offspring, and affected also the performance of pups on rotating rod.

CONCLUSIONS: Since STO reduced anoxia-induced hyperactivity, we suggest its potential protective effect in acute hypoxic insults in the perinatal period....

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