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Nutrition: Iron

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Emergent ‘bloody diarrhea’ associated with concomitant use of oral Cefdinir and iron-containing preparations in young children: A Brief Report.
This report describes a case series of three infants presenting to the emergency for evaluation of bloody diarrhea. The parents noticed red stools when their children were started on oral cefdinir while they were previously receiving iron-containing preparations.
Source: The Journal of Emergency Medicine - December 23, 2022 Category: Emergency Medicine Authors: Souad Al Okla, Gowda Parameshwara Prashanth, Santosh Kurbet, Yahya Al Attraqchi, Alhasan Asaad Tags: Clinical Communications: Pediatric Source Type: research

Emergent “Bloody Diarrhea” Associated with Concomitant Use of Oral Cefdinir and Iron-Containing Preparations in Young Children: A Brief Report
Cefdinir is an extended-spectrum, third-generation, oral cephalosporin widely used in pediatric population to treat common bacterial infections, including otitis media and streptococcal pharyngitis. It is considered a safe and well-tolerated alternative to penicillin and macrolides.
Source: The Journal of Emergency Medicine - December 23, 2022 Category: Emergency Medicine Authors: Souad Al Okla, Gowda Parameshwara Prashanth, Santosh Kurbet, Yahya Al Attraqchi, Alhasan Asaad Tags: Clinical Communications: Pediatric Source Type: research

Challenges in the Treatment of Iron Deficiency Anemia in a Child With Autism Spectrum Disorder: A Case Study
Children with autism spectrum disorder (ASD) face many challenges, including feeding problems due to behavioral issues and food aversions. Therefore, pediatric nurse practitioners need to assess for different mineral deficiencies, including iron deficiency anemia (IDA). The following case study describes a 4-year-old with ASD with persistent IDA despite typical recommendation of oral iron supplementation. Other potential etiologies of IDA are reviewed. Finally, different management approaches for managing IDA in children with ASD are described.
Source: Journal of Pediatric Health Care - January 23, 2019 Category: Pediatrics Authors: Emily Burd, Elizabeth A. Doyle Tags: Case Report Source Type: research

Outbreak of Yersiniabactin-producing Klebsiella pneumoniae in a Neonatal Intensive Care Unit
Conclusions: Yersiniabactin-producing K. pneumoniae can display a high pathogenicity in extremely premature infants with low chronologic age. This outbreak also underlines the considerable potential of today’s infection control systems for recognizing and controlling nosocomial infections in highly vulnerable populations.
Source: The Pediatric Infectious Disease Journal - May 24, 2019 Category: Infectious Diseases Tags: Maternal-Neonatal Reports Source Type: research

Practice review: Evidence-based and effective management of anaemia in palliative care patients
CONCLUSION: We advocate early consideration and investigation of anaemia, guided by symptom burden and patient preferences. Correction of reversible causes should be the mainstay of treatment, with a restrictive approach to blood transfusion. Research is required to evaluate the efficacy of IV iron in these patients.PMID:35331051 | DOI:10.1177/02692163221081967
Source: Palliative Medicine - March 25, 2022 Category: Palliative Care Authors: Karen Neoh Andrew Page Nicolas Chin-Yee Carolyn Doree Michael I Bennett Source Type: research

Assessment of Iron Status in Adolescents Presenting to the Emergency Department With Heavy Menstrual Bleeding
The objective of this study was to evaluate screening for iron deficiency in adolescents presenting to the emergency department for HMB. Methods This is a secondary analysis of a single-center, cross-sectional observational study using retrospective chart review. The study subjects are adolescents ages 11 to 19 years with International Classification of Diseases, Ninth Revision, Clinical Modification/International Classification of Diseases, Tenth Revision, Clinical Modification, codes for HMB who presented to the emergency department at a national tertiary care hospital from 2006 to 2018. Pregnant adolescents with ...
Source: Pediatric Emergency Care - May 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research

Clinical experience with the use of ferric citrate as a phosphate binder in pediatric dialysis patients
ConclusionsIn pediatric dialysis patients, ferric citrate may be able to concurrently lower phosphate levels and treat iron deficiency. However, larger studies are needed to further evaluate safety and efficacy in the pediatric chronic kidney disease population.
Source: Pediatric Nephrology - September 18, 2018 Category: Urology & Nephrology Source Type: research

Prevalence of Iron Deficiency (ID) without Anemia in the General Population Presenting to Primary Care Clinics: A Cross-Sectional Study.
Conclusion: Iron deficiency without anemia in childbearing females is common but only one-seventh of females developed anemia within 5 years. Guidelines should consider incorporating ferritin levels with CBC in the workup of patients presenting with symptoms suggestive of iron deficiency or anemia. PMID: 31933400 [PubMed - as supplied by publisher]
Source: Postgraduate Medicine - January 16, 2020 Category: Internal Medicine Tags: Postgrad Med Source Type: research

Anemia in Children With Inflammatory Bowel Disease: A Position Paper by the IBD Committee of the North American Society of Pediatric Gastroenterology, Hepatology and Nutrition
This article reviews management of anemia in children with IBD, including diagnosis, etiopathogenesis, evaluation of a patient, protocol to screen and monitor patients for early detection and response to therapy, treatment including parenteral iron therapy, and newer approaches in management of anemia of chronic disease. This report has been compiled by a group of pediatric gastroenterologists serving on the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition (NASPGHAN) IBD committee, in collaboration with a pediatric hematologist, pharmacist, and a registered dietician who specializes in pediat...
Source: Journal of Pediatric Gastroenterology and Nutrition - September 22, 2020 Category: Gastroenterology Tags: Society Paper Source Type: research

Targeted treatment of iron deficiency in prolonged critical illness: an opportunity to improve survival or not?
Source: Critical Care - June 1, 2021 Category: Intensive Care Authors: Jan Gunst, Greet Van den Berghe and Michael P. Casaer Tags: Letter Source Type: research

Associations among erythropoietic, iron-related, and FGF23 parameters in pediatric kidney transplant recipients
ConclusionOur study provides further insight into factors potentially associated with erythropoiesis in pediatric kidney transplant recipients.Graphical abstractA higher resolution version of the Graphical abstract is available as Supplementary information
Source: Pediatric Nephrology - September 17, 2021 Category: Urology & Nephrology Source Type: research