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Shahbaznejad L, Hosseininasab A, Mahboobi L, Mohammadi H, Esmaeili H, Farrokhi Far SM, Alipour MR, Sedighi I, Mansour Ghanaei R, Sobouti B, Taremiha A, Malek AR, Ghadiri K, Soleimani G, Tabasizadeh H, Ghadimi Moghadam A, Barak M, Salehi Abarghouei F, Hashemian H, Daryani Nezhad H, Sherkatolabbasieh HR, Abedini-Varamini M, Rahmati MB, Movahedi FS, Rezai MS. Epidemiological data of national Kawasaki disease registry in Iran, 2007-2019. Front Pediatr 2022; 10:988371. [PMID: 36714641 PMCID: PMC9875885 DOI: 10.3389/fped.2022.988371] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/30/2022] [Accepted: 12/20/2022] [Indexed: 01/13/2023] Open
Abstract
INTRODUCTION Kawasaki disease(KD) is a vasculitis of childhood that tends to influence the coronary arteries. There is no national data about the prevalence of KD in Iran. This study aimed to perform a national registry in Iran for 13 years. METHODS In this retrospective study, the data for KD extracted from medical records of <19 year-old patients admitted to tertiary hospitals in Iran between 2007 and 2019 were recorded in the national KD registry system. Age, admission date, gender, location, and presence of KD criteria, laboratory and echocardiography findings, and treatment modalities were evaluated. Complete KD was considered if ≥4 clinical criteria of the KD existed and otherwise, incomplete KD was considered. RESULTS Data from 1,682 KD patients including 999(59.39%) boys and 683(40.61%) girls and male/female ratio of 1.46 were evaluated. The mean age was 3.08 ± 2.49 years and 1465(87%) were living in urban regions. The yearly incidence of the disease was between 2.62 to 3.03 from 2015 to 2019. The highest age-specific incidence was observed in children <1-year-old. Incomplete and resistant KD included 1,321(78.54%) and 9(0.54%) patients, respectively. Abnormal echocardiography was detected in 619(36.80%) patients. Leukocytosis, with dominancy of neutrophils, anemia, thrombocytosis and increased ESR and CRP were the most noticeable laboratory findings. No death due to KD disease was reported. CONCLUSION Based on this study, most of the KD cases are presented with atypical presentation in Iran. So, increasing awareness of primary healthcare workers by educating and updating their data is very important in timely diagnosis and management of the disease.
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Affiliation(s)
- Leila Shahbaznejad
- Pediatric Infectious Diseases Research Center, Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran
| | - Ali Hosseininasab
- Research Center of Tropical and Infectious Diseases, Afzalipour Hospital, Kerman University of Medical Sciences, Kerman, Iran
| | - Leila Mahboobi
- Department of Pediatrics, School of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran
| | - Hamid Mohammadi
- Neonatal Research Center, Namazi Teaching Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Hassan Esmaeili
- Ischemic Disorders Research Center, Golestan University of Medical Sciences, Gorgan, Iran
| | | | - Mohammad Reza Alipour
- Cardiovascular Research Center, Afshar Heart Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
| | - Iraj Sedighi
- Department of Pediatrics, School of Medicine, Besat Hospital, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Roxana Mansour Ghanaei
- Pediatric Infections Research Center, Research Institute for Children Health, Mofid Children's Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Behnam Sobouti
- Department of Pediatrics, School of Medicine, Shahid Motahari Burns Hospital, Iran University of Medical Sciences, Tehran, Iran
| | - Alireza Taremiha
- Department of Pediatrics, School of Medicine, Qods Teaching Hospital, Qazvin University of Medical Sciences, Qazvin, Iran
| | - Abdol Reza Malek
- Department of Pediatrics, School of Medicine, Akbar Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Keyghobad Ghadiri
- Infectious Diseases Research Center, Research Institute for Health, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Gholamreza Soleimani
- Children and Adolescents Health Research Center, Research Institute of Cellular and Molecular Sciences in Infectious Diseases, Zahedan University of Medical Sciences, Zahedan, Iran
| | - Hamed Tabasizadeh
- Department of Clinical Sciences, School of Medicine, Imam Hossein Hospital, Bahar Hospital, Shahroud University of Medical Sciences, Shahroud, Iran
| | | | - Manouchehr Barak
- Department of Pediatrics, School of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran
| | | | - Houman Hashemian
- Department of Pediatrics, School of Medicine, 17 Shahrivar Hospital, Guilan University of Medical Sciences, Rasht, Iran
| | | | - Hamid Reza Sherkatolabbasieh
- Department of Pediatrics, School of Medicine Shahid Rahimi Hospital, Shahid Madani Hospital, Lorestan University of Medical Sciences, Lorestan, Iran
| | - Masoumeh Abedini-Varamini
- Department of Pediatrics, School of Medicine, Besat Hospital, Kurdistan University of Medical Sciences, Sanandaj, Iran
| | - Mohammad Bagher Rahmati
- Department of Pediatric Infectious Diseases, Children's Clinical Research Development Center, Hormozgan University of Medical Sciences, Bandar abbas, Iran
| | - Faezeh Sadat Movahedi
- Pediatric Infectious Diseases Research Center, Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran
| | - Mohammad Sadegh Rezai
- Pediatric Infectious Diseases Research Center, Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran
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Mahyar A, Ayazi P, Ahmadi NK, Pour Nikoo ST, Hamzehloo S, Taremiha A, Yazdi Z, Esmaeily S. Zinc sulphate for acute bronchiolitis: A double-blind placebo-controlled trial. Infez Med 2016; 24:331-336. [PMID: 28011970] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
The use of adjunctive therapies to achieve rapid recovery from clinical symptoms of acute bronchiolitis would appear necessary. This study was performed to determine the effect of zinc sulphate on treating acute bronchiolitis. In this study, 100 children affected with acute bronchiolitis were investigated. Fifty patients received oral zinc sulphate and 50 patients placebo. Signs and symptoms of the disease were compared between two groups at the time of admission and then 24, 48, 72, 96 and 120 hours after the beginning of treatment. The trend of recovery of clinical signs and symptoms was more favourable in the case group than in the control group in 24, 48, 72, 96 and 120 hours after beginning of the treatment. The significant differences were observed between the two groups in terms of improvements in coughing and wheezing 48 and 72 hours after the beginning of the treatment (P<0.05). Full recovery was observed in 49 (98%) patients receiving zinc sulphate within 72 hours of the beginning of treatment (P=0.0001). The present study showed that administration of zinc sulphate accelerates improvement from clinical signs and symptoms of acute bronchiolitis. Thus we recommend the use of zinc sulphate for the treatment of acute bronchiolitis.
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Affiliation(s)
- Abolfazl Mahyar
- Department of Paediatrics, Qazvin Children Hospital, Qazvin University of Medical Sciences, Qazvin, Iran
| | - Parviz Ayazi
- Department of Paediatrics, Qazvin Children Hospital, Qazvin University of Medical Sciences, Qazvin, Iran
| | - Negin Khoshbakht Ahmadi
- Department of Paediatrics, Qazvin Children Hospital, Qazvin University of Medical Sciences, Qazvin, Iran
| | - Sara Talebi Pour Nikoo
- Department of Paediatrics, Qazvin Children Hospital, Qazvin University of Medical Sciences, Qazvin, Iran
| | - Samaneh Hamzehloo
- Department of Paediatrics, Qazvin Children Hospital, Qazvin University of Medical Sciences, Qazvin, Iran
| | - Alireza Taremiha
- Department of Paediatrics, Qazvin Children Hospital, Qazvin University of Medical Sciences, Qazvin, Iran
| | - Zohreh Yazdi
- Medical College of Qazvin University of Medical Sciences, Qazvin, Iran
| | - Shiva Esmaeily
- Departments of Statistics, Qazvin University of Medical Sciences, Qazvin, Iran
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Ayazi P, Mahyar A, Taremiha A, Ghorani N, Esmailzadehha N. Effect of oral cephalexin in the treatment of BCG lymphadenitis. Infez Med 2014; 22:112-117. [PMID: 24955797] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
Lymphadenitis and abscess formation are the most common side effects of vaccination with Bacille Calmette Guerin (BCG). The lower the child's age at the time of vaccination, the higher the incidence of BCG lymphadenitis tends to be. Although various therapeutic approaches are in use for the treatment of BCG lymphadenitis, there is no consensus on which of them is optimal. This study aimed to determine whether oral cephalexin treatment hastens recovery from BCG lymphadenitis. The study involved 40 children (24 boys and 16 girls) with BCG lymphadenitis who were referred to Qazvin Children's Hospital, Qazvin University of Medical Sciences between December 2008 and the end of September 2009. The patients were randomly assigned to two groups of 20 patients each (12 boys and 8 girls in each group): group A patients did not receive any treatment and served as controls, and group B patients were treated with 50 mg/kg/day cephalexin syrup, administered in four doses, for 10 days. In all patients, clinical examination was normal, except for lymphadenitis. In all patients, BCG vaccination had been performed at birth, and polymerase chain reaction tests were positive for tuberculous bacilli. The recovery period and requirement of fine needle aspiration did not significantly differ between the two groups (P 0.05). This study showed that treatment with cephalexin does not hasten recovery from BCG lymphadenitis.
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Affiliation(s)
- Parviz Ayazi
- Department of Paediatric Infectious Diseases; Department of Paediatrics; Metabolic Diseases Research Center, Qazvin University of Medical Sciences, Qazvin, Iran
| | - Abolfazl Mahyar
- Department of Paediatric Infectious Diseases; Department of Paediatrics; Metabolic Diseases Research Center, Qazvin University of Medical Sciences, Qazvin, Iran
| | - Alireza Taremiha
- Department of Paediatric Infectious Diseases; Department of Paediatrics; Metabolic Diseases Research Center, Qazvin University of Medical Sciences, Qazvin, Iran
| | - Najmeh Ghorani
- Department of Paediatric Infectious Diseases; Department of Paediatrics; Metabolic Diseases Research Center, Qazvin University of Medical Sciences, Qazvin, Iran
| | - Neda Esmailzadehha
- Department of Paediatric Infectious Diseases; Department of Paediatrics; Metabolic Diseases Research Center, Qazvin University of Medical Sciences, Qazvin, Iran
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