scholarly journals COVID-19 in Italy: The Point of View of the Italian Society of Pediatric Allergy and Immunology-COVID-19 Commission

2020 ◽  
Vol 33 (3) ◽  
pp. 121-123
Author(s):  
Gian Luigi Marseglia ◽  
Elena Chiappini ◽  
Ilaria Brambilla ◽  
Amelia Licari ◽  
Maria Angela Tosca ◽  
...  
Keyword(s):  
Point Of View ◽  
Italian Society ◽  
Pediatric Allergy ◽  
Allergy And Immunology

scholarly journals Pediatric health care professionals’ vaccine knowledge, awareness and attitude: a survey within the Italian Society of Pediatric Allergy and Immunology

2021 ◽  
Vol 47 (1) ◽  
Author(s):  
Elisabetta Del Duca ◽  
Loredana Chini ◽  
Simona Graziani ◽  
Mayla Sgrulletti ◽  
Viviana Moschese ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Italian Society ◽  
Vaccine Hesitancy ◽  
Natural Immunity ◽  
Pediatric Health ◽  
Pediatric Allergy ◽  
Pediatric Health Care ◽  
Allergy And Immunology ◽  
Family Setting

Abstract Background Physicians play a key role in driving vaccine acceptance and their recommendations are crucial to address vaccine hesitancy. The aim of the study was to assess knowledge, awareness and attitude of Italian Pediatric Health Care Professionals (pHCPs) on vaccinations. Methods An anonymous on-line questionnaire was developed within the Vaccine Committee of Italian Society of Pediatric Allergy and Immunology (SIAIP) and spontaneously completed by 231 Pediatricians and Pediatric Nurses (PN). Results An accurate vaccine education was reported by 70% of pediatricians and 13% of PN but 11% of pediatricians versus 26% of PN consult social media instead of scientific sources for their vaccine update. The investigation on the pHCPs attitudes to vaccination in a personal and family setting highlights poor adherence to vaccinations. Only 63% of pediatricians versus 16% of PN (p < 0.0001) annually received the Flu vaccine. In their family setting 93% of pediatricians versus 51% of PN recommended all vaccinations (p < 0.0001). Anti-flu, anti-rotavirus, anti-zoster and anti-pneumococcal vaccines were not regularly recommended by all pHCPs due to doubts of uselessness (55% of pediatricians versus 40% of PN) and preference for “natural immunity” (44% of pediatricians versus 40% of PN). Conclusions Our results indicate that pHCPs’ attitude and confidence in regards to vaccines remain suboptimal. Current COVID-19 pandemic and the rapid development of vaccines could increase vaccine hesitancy. Due to the documented pHCPs’ influence in the parental decision, educational interventions are needed to improve their level of knowledge and counselling skills in order to address parental vaccine hesitancy and to maintain continuity of immunization services.

scholarly journals Chronic cough in childhood: A systematic review for practical guidance by the Italian Society of Pediatric Allergy and Immunology

2021 ◽  
Vol 49 (2) ◽  
pp. 133-154
Author(s):  
Gian Luigi Marseglia ◽  
Sara Manti ◽  
Elena Chiappini ◽  
Ilaria Brambilla ◽  
Carlo Caffarelli ◽  
...  
Keyword(s):  
Systematic Review ◽  
Clinical Practice ◽  
Chronic Cough ◽  
Screening Program ◽  
Early Stage ◽  
National Health System ◽  
Italian Society ◽  
Pediatric Allergy ◽  
Allergy And Immunology ◽  
Wait And See

The current systematic review presented and discussed the most recent studies on pediatric chronic cough. In addition, the Italian Society of Pediatric Allergy and Immunology elaborated a comprehensive algorithm to guide the primary care approach to a pediatric patient with chronic cough.Several algorithms on chronic cough management have been adopted and validated in clinical practice; however, unlike the latter, we developed an algorithm focused on pediatric age, from birth until adulthood. Based on our findings, children and adolescents with chronic cough without cough pointers can be safely managed, initially using the watchful waiting approach and, successively, starting empirical treatment based on cough characteristics. Unlike other algorithms that suggest laboratory and instrumental investigations as a first step, this review highlighted the importance of a “wait and see” approach, consisting of parental reassurance and close clinical observation, also due to interprofessional collaboration and communication between general practitioners and specialists that guarantee better patient management, appropriate prescription behavior, and improved patient outcome. Moreover, the neonatal screening program provided by the Italian National Health System, which intercepts several diseases precociously, allowing to treat them in a very early stage, helps and supports a “wait and see” approach.Conversely, in the presence of cough pointers or persistence of cough, the patient should be tested and treated by the specialist. Further investigations and treatments will be based on cough etiology, aiming to intercept the underlying disease, prevent potentially irreversible tissue damage, and improve the general health of patients affected by chronic cough, as well as the quality of life of patients and their family. Further high-quality randomized controlled trials are needed to validate this algorithm’s performance in real clinical practice.

scholarly journals Acute cough in children and adolescents: A systematic review and a practical algorithm by the Italian Society of Pediatric Allergy and Immunology

2021 ◽  
Vol 49 (2) ◽  
Author(s):  
Gian Luigi Marseglia ◽  
Sara Manti ◽  
Elena Chiappini ◽  
Ilaria Brambilla ◽  
Carlo Caffarelli ◽  
...  
Keyword(s):  
Systematic Review ◽  
Children And Adolescents ◽  
National Health System ◽  
Italian Society ◽  
Pediatric Age ◽  
Upper Respiratory Tract ◽  
Acute Cough ◽  
Pediatric Allergy ◽  
Allergy And Immunology ◽  
Tract Infections

The current systematic review presented and discussed the most recent studies on acute cough in pediatric age. After that, the Italian Society of Pediatric Allergy and Immunology elaborated a comprehensive algorithm to guide the primary care approach to pediatric patients, such as infants, children, and adolescents, with acute cough. An acute cough is usually consequent to upper respiratory tract infections and is self-resolving within a few weeks. However, an acute cough may be bothersome, and therefore remedies are requested, mainly by the parents. An acute cough may significantly affect the quality of life of patients and their family.Several algorithms for the management of acute cough have been adopted and validated in clinical practice; however, unlike the latter, we developed an algorithm focused on pediatric age, and, also, in accordance to the Italian National Health System, which regularly follows the child from birth to all lifelong. Based on our findings, infants from 6 months, children, and adolescents with acute cough without cough pointers can be safely managed using well-known medications, preferably non-sedative agents, such as levodropropizine and/or natural compounds, including honey, glycerol, and herb-derived components.

SECTION ON ALLERGY AND IMMUNOLOGY

PEDIATRICS ◽  
1990 ◽  
Vol 85 (5) ◽  
pp. ii-ii
Author(s):  
Keyword(s):  
American Academy ◽  
Asthmatic Child ◽  
Task Force ◽  
National Institutes Of Health ◽  
Educational Resource ◽  
Pediatric Allergy ◽  
The Past ◽  
American Academy Of Pediatrics ◽  
Allergy And Immunology ◽  
Children With Asthma

The Section on Allergy and Immunology was one of the first sections formed (1948) within the American Academy of Pediatrics. It now has almost 600 members. Its objective is to improve the care of children with asthma, allergies, and immunologic disorders. The Section aims to serve as a major informational and educational resource for the 34 000 members of the American Academy of Pediatrics. The Section sponsors a 2-day scientific program and symposium at each Anual Meeting of the Academy; and, for the past several years, it has also presented a symposium at the Annual Meeting of the American Academy of Allergy and Immunology, as well as the annual "Synopsis Book." Other educational activities by the Section include publishing position papers (most recently, "Exercise and the Asthmatic Child"), assisting the National Asthma Education Task Force of the National Institutes of Health, and developing informational pamphlets for patients. In addition, the Section sponsors visiting professorship programs to medical schools which do not have a division of pediatric allergy and immunology. The membership of the Section on Allergy and Immunology consists of Fellows of the American Academy of Pediatrics who have been certified by the American Board of Pediatrics and by the American Board of Allergy and Immunology. Any and all qualified American Academy of Pediatrics Fellows are invited to apply for membership in the Section. If interested, please write to: DIRECTOR, DIVISION OF SECTIONS American Academy of Pediatrics 141 Northwest Point Blvd PO Box 927 Elk Grove Village, IL 60009-0927 The reviews contained in this 1988 to 1989 synopsis were written by 28 Fellows of the American Academy of Pediatrics Section on Allergy and Immunology and by 5 senior fellows in allergy and immunology who contributed reviews under the aegis of their mentors.

scholarly journals Detection limits of significant prostate cancer using multiparametric MR and digital rectal examination in men with low serum PSA: Up-date of the Italian Society of Integrated Diagnostic in Urology

2021 ◽  
Vol 93 (1) ◽  
pp. 92-100
Author(s):  
Andrea B. Galosi ◽  
Erika Palagonia ◽  
Simone Scarcella ◽  
Alessia Cimadamore ◽  
Vito Lacetera ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Clinical Practice ◽  
Early Stage ◽  
Specific Antigen ◽  
Digital Rectal Examination ◽  
Point Of View ◽  
Italian Society ◽  
Rectal Examination ◽  
Normal Limits ◽  
Low Serum

Reasons why significant prostate cancer is still missed in early stage were investigated at the 22nd National SIEUN (Italian Society of integrated diagnostic in Urology, Andrology, Nephrology) congress took place from 30th November to 1st December 2020, in virtual modality. Even if multiparametric magnetic resonance (MR) has been introduced in the clinical practice several, limitations are emerging in patient with regular digital rectal examination (DRE) and serum prostate specific antigen (PSA) levels approaching the normal limits. The present paper summarizes highlights observed in those cases where significant prostate cancer may be missed by PSA or imaging and DRE. The issue of multidisciplinary interest had been subdivided and deepened under four main topics: biochemical, clinical, pathological and radiological point of view with a focus on PI-RADS 3 lesions.

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