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Levy C, Pettoello-Mantovani M, Somekh E, Cohen R. Reassessing the Paradigm for Respiratory Tract Infections in European Children. J Pediatr 2024; 264:113775. [PMID: 37839507 DOI: 10.1016/j.jpeds.2023.113775] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/01/2023] [Accepted: 10/09/2023] [Indexed: 10/17/2023]
Affiliation(s)
- Corinne Levy
- ACTIV, Association Clinique et Thérapeutique Infantile du Val-de-Marne, Créteil, France; Clinical Research Center (CRC), Centre Hospitalier Intercommunal de Créteil, Créteil, France; Université Paris Est, IMRB-GRC GEMINI, Créteil, France; AFPA, Association Française des Pédiatres Ambulatoires, Paris, France; European Pediatric Association-Union of National European Pediatric Societies and Associations, Berlin, Germany
| | - Massimo Pettoello-Mantovani
- European Pediatric Association-Union of National European Pediatric Societies and Associations, Berlin, Germany; Italian Academy of Pediatrics, Milan, Italy.
| | - Eli Somekh
- European Pediatric Association-Union of National European Pediatric Societies and Associations, Berlin, Germany; Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel; Mayanei Hayeshuah Medical Center, Bnei Brak, Israel
| | - Robert Cohen
- ACTIV, Association Clinique et Thérapeutique Infantile du Val-de-Marne, Créteil, France; Clinical Research Center (CRC), Centre Hospitalier Intercommunal de Créteil, Créteil, France; Université Paris Est, IMRB-GRC GEMINI, Créteil, France; AFPA, Association Française des Pédiatres Ambulatoires, Paris, France; European Pediatric Association-Union of National European Pediatric Societies and Associations, Berlin, Germany
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2
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Huss G, Barak S, Reali L, Magendie C, Carrasco-Sanz A, Somekh E, Cohen R, Levy C, Namazova-Baranova L, Vural M, Pettoello-Mantovani M. Drug Shortages in Pediatrics in Europe: The Position of the European Pediatric Societies. J Pediatr 2023; 261:113472. [PMID: 37182656 PMCID: PMC10175075 DOI: 10.1016/j.jpeds.2023.113472] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/10/2023] [Accepted: 04/23/2023] [Indexed: 05/16/2023]
Affiliation(s)
- Gottfried Huss
- European Confederation of Primary Care Pediatricians, Lyon, France
| | - Shimon Barak
- European Confederation of Primary Care Pediatricians, Lyon, France
| | - Laura Reali
- European Confederation of Primary Care Pediatricians, Lyon, France
| | | | - Angel Carrasco-Sanz
- European Confederation of Primary Care Pediatricians, Lyon, France; European Pediatric Association, Union of National European Pediatric Societies and Associations, Berlin, Germany
| | - Eli Somekh
- European Pediatric Association, Union of National European Pediatric Societies and Associations, Berlin, Germany
| | - Robert Cohen
- European Confederation of Primary Care Pediatricians, Lyon, France; European Pediatric Association, Union of National European Pediatric Societies and Associations, Berlin, Germany
| | - Corinne Levy
- European Confederation of Primary Care Pediatricians, Lyon, France; European Pediatric Association, Union of National European Pediatric Societies and Associations, Berlin, Germany
| | - Leyla Namazova-Baranova
- European Pediatric Association, Union of National European Pediatric Societies and Associations, Berlin, Germany
| | - Mehmet Vural
- European Pediatric Association, Union of National European Pediatric Societies and Associations, Berlin, Germany
| | - Massimo Pettoello-Mantovani
- European Pediatric Association, Union of National European Pediatric Societies and Associations, Berlin, Germany.
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Chorin O, Markovich MP, Avramovich E, Rahmani S, Sofer D, Weil M, Shohat T, Chorin E, Tasher D, Somekh E. Oral and fecal polio vaccine excretion following bOPV vaccination among Israeli infants. Vaccine 2023:S0264-410X(23)00585-6. [PMID: 37268556 DOI: 10.1016/j.vaccine.2023.05.036] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2023] [Revised: 05/14/2023] [Accepted: 05/16/2023] [Indexed: 06/04/2023]
Abstract
INTRODUCTION Inactivated polio virus (IPV) vaccinations are a mainstay of immunization schedules in developed countries, while oral polio vaccine (OPV) is administered in developing countries and is the main vaccine in outbreaks. Due to circulating wild poliovirus (WPV1) detection in Israel (2013), oral bivalent polio vaccination (bOPV) was administered to IPV primed children and incorporated into the vaccination regimen. OBJECTIVES We aimed to determine the extent and timeframe of fecal and salivary polio vaccine virus (Sabin strains) shedding following bOPV vaccination among IPV primed children. METHODS Fecal samples were collected from a convenience sample of infants and toddlers attending 11 Israeli daycare centers. Salivary samples were collected from infants and toddlers following bOPV vaccination. RESULTS 398 fecal samples were collected from 251 children (ages: 6-32 months), 168 received bOPV vaccination 4-55 days prior to sample collection. Fecal excretion continued among 80 %, 50 %, and 20 %, 2, 3, and 7 weeks following vaccination. There were no significant differences in the rate and duration of positive samples among children immunized with 3 or 4 IPV doses. Boys were 2.3-fold more likely to excrete the virus (p = 0.006). Salivary shedding of Sabin strains occurred in 1/47 (2 %) and 1/49 (2 %) samples 4, and 6 days following vaccination respectively. CONCLUSIONS Fecal detection of Sabin strains among IPV-primed children continues for 7 weeks; additional doses of IPV do not augment intestinal immunity; limited salivary shedding occurs for up to a week. This data can enhance understanding of intestinal immunity achieved by different vaccination schedules and guide recommendations for contact precautions of children following bOPV vaccination.
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Affiliation(s)
- Odelia Chorin
- The Institute for Rare Diseases, Edmond and Lily Safra Children's Hospital, Sheba Medical Center, Tel-Hashomer, Israel; Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel; The Danek Gertner Institute of Human Genetics, Sheba Medical Center, Tel-Hashomer, Israel.
| | | | | | - Sarit Rahmani
- Tel Aviv Department of Health, Ministry of Health, Tel Aviv, Israel
| | - Danit Sofer
- Central Virology Laboratory, Public Health Services, Ministry of Health, Chaim Sheba Medical Center, Ramat Gan, Israel
| | - Merav Weil
- Central Virology Laboratory, Public Health Services, Ministry of Health, Chaim Sheba Medical Center, Ramat Gan, Israel
| | - Tamy Shohat
- Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel
| | - Ehud Chorin
- Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel; Department of Cardiology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
| | - Diana Tasher
- Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel; Pediatric Department and Infectious Disease Unit, Wolfson Medical Center, Holon, Israel
| | - Eli Somekh
- Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel; Mayanei Hayeshuah Medical Center, Bnei Brak, Israel
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4
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Cohen R, Pettoello-Mantovani M, Giardino I, Carrasco-Sanz A, Somekh E, Levy C. The Shortage of Amoxicillin: An Escalating Public Health Crisis in Pediatrics Faced by Several Western Countries. J Pediatr 2023:S0022-3476(23)00017-3. [PMID: 36669589 DOI: 10.1016/j.jpeds.2023.01.001] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/10/2023] [Accepted: 01/10/2023] [Indexed: 01/19/2023]
Affiliation(s)
- Robert Cohen
- Pediatric Infectious Disease Group (GPIP), Créteil, France; Association Clinique et Thérapeutique Infantile du Val de Marne (ACTIV), Créteil, France; Association Française de Pédiatrie Ambulatoire (AFPA), Paris, France
| | - Massimo Pettoello-Mantovani
- Paris Est University, Geminy, Créteil, France; European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Association pour l'Activité et la Recherche Scìentifiques, Neuchatel, Switzerland; Italian Academy of Pediatrics, Milan, Italy.
| | - Ida Giardino
- European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Department of Pediatrics, University of Foggia, "Casa Sollievo" Scientific Institute, San Giovanni Rotondo, Italy
| | | | - Eli Somekh
- European Confederation of Primary Care Pediatricians, Lyon, France; Department of Pediatrics, Mayanei Hayeshuah Medical Center, Bnei Brak, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel; Israel Pediatric Society, Tel Aviv, Israel
| | - Corinne Levy
- Pediatric Infectious Disease Group (GPIP), Créteil, France; Association Clinique et Thérapeutique Infantile du Val de Marne (ACTIV), Créteil, France; Association Française de Pédiatrie Ambulatoire (AFPA), Paris, France
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5
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Pettoello-Mantovani M, Pop TL, Giardino I, Vural M, Ferrara P, Somekh E. Epidemiologic Changes Caused by the Preventive Measures for the Coronavirus Disease 2019 Pandemic: An Additional Challenge for Pediatricians. J Pediatr 2023; 252:225-226.e1. [PMID: 36228682 PMCID: PMC9550291 DOI: 10.1016/j.jpeds.2022.10.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/04/2022] [Accepted: 10/04/2022] [Indexed: 11/06/2022]
Affiliation(s)
- Massimo Pettoello-Mantovani
- European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Association pour l'Activité et la Recherche Scìentifiques, Nouchatel, Switzerland; Italian Academy of Pediatrics, Milan, Italy.
| | - Tudor Lucian Pop
- European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany,Association pour l'Activité et la Recherche Scìentifiques, Nouchatel, Switzerland,Romania Society of Social Pediatrics, Cluj, Romania
| | - Ida Giardino
- Association pour l'Activité et la Recherche Scìentifiques, Nouchatel, Switzerland,Department of Biomedical Sciences, University of Foggia, Foggia, Italy
| | - Mehmet Vural
- European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany,Association pour l'Activité et la Recherche Scìentifiques, Nouchatel, Switzerland,Turkish Pediatric Association, Istanbul, Turkey
| | | | - Eli Somekh
- European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany,Association pour l'Activité et la Recherche Scìentifiques, Nouchatel, Switzerland,Department of Pediatrics, Mayanei Hayeshuah Medical Center, Bnei Brak, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel,Israel Pediatric Society, Tel Aviv, Israel
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6
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Pettoello-Mantovani M, Pop TL, Giardino I, Vural M, Ferrara P, Somekh E. Corrigendum to Epidemiologic changes caused by the preventive measures for the coronavirus disease 2019 pandemic: An additional challenge for pediatricians. The Journal of Pediatrics (2022):225-227. J Pediatr 2022; 255:263. [PMID: 36586742 PMCID: PMC9800212 DOI: 10.1016/j.jpeds.2022.11.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Affiliation(s)
- Massimo Pettoello-Mantovani
- European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Association pour l'Activité et la Recherche Scìentifiques, Nouchatel, Switzerland; Italian Academy of Pediatrics, Milan, Italy.
| | - Tudor Lucian Pop
- European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany,Association pour l'Activité et la Recherche Scìentifiques, Nouchatel, Switzerland,Romania Society of Social Pediatrics, Cluj, Romania
| | - Ida Giardino
- Association pour l'Activité et la Recherche Scìentifiques, Nouchatel, Switzerland,Department of Biomedical Sciences, University of Foggia, Foggia, Italy
| | - Mehmet Vural
- European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany,Association pour l'Activité et la Recherche Scìentifiques, Nouchatel, Switzerland,Turkish Pediatric Association, Istanbul, Turkey
| | | | - Eli Somekh
- European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany,Association pour l'Activité et la Recherche Scìentifiques, Nouchatel, Switzerland,Department of Pediatrics, Mayanei Hayeshuah Medical Center, Bnei Brak, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel,Israel Pediatric Society, Tel Aviv, Israel
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7
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Pettoello-Mantovani M, Namazova-Baranova L, Carrasco-Sanz A, Lucian Pop T, Vural M, Hoey H, Somekh E. Advocating for Children Trapped in the Midst of Armed Conflicts. J Pediatr 2022; 246:290-291.e2. [PMID: 35413296 DOI: 10.1016/j.jpeds.2022.04.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/06/2022] [Accepted: 04/06/2022] [Indexed: 10/18/2022]
Affiliation(s)
- Massimo Pettoello-Mantovani
- European Pediatric Association/Union of National European Pediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany.
| | - Leyla Namazova-Baranova
- European Pediatric Association/Union of National European Pediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany
| | - Angel Carrasco-Sanz
- European Pediatric Association/Union of National European Pediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany
| | - Tudor Lucian Pop
- European Pediatric Association/Union of National European Pediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany
| | - Mehmet Vural
- European Pediatric Association/Union of National European Pediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany
| | - Hilary Hoey
- European Pediatric Association/Union of National European Pediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany
| | - Eli Somekh
- European Pediatric Association/Union of National European Pediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany
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8
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Pettoello-Mantovani M, Cardemil C, Cohen R, Levy C, Giardino I, Indrio F, Somekh E. Importance of Coronavirus Disease 2019 Vaccination in Children: Viewpoint and Recommendations of the Union of European National Societies of Pediatrics. J Pediatr 2022; 243:242-245. [PMID: 34973285 PMCID: PMC8716156 DOI: 10.1016/j.jpeds.2021.12.066] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/28/2021] [Accepted: 12/28/2021] [Indexed: 12/19/2022]
Affiliation(s)
- Massimo Pettoello-Mantovani
- European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Association pour l'Activité et la Recherche Scìentifiques, ARS, Nouchatel, Switzerland; Italian Academy of Pediatrics, Milan, Italy; Department of Pediatrics, University of Foggia, "Casa Sollievo" Scientific Institute, San Giovanni Rotondo, Italy
| | - Cristina Cardemil
- Division of Microbiology and Infectious Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health (NIH), Rockville, MD
| | - Robert Cohen
- Pediatric Infectious Disease Group (GPIP), Créteil, France; Association Clinique et thérapeutique Infantile du Val de Marne, Créteil, France; Paris Est University, IMRB-GRC GEMINI, Créteil, France
| | - Corinne Levy
- Pediatric Infectious Disease Group (GPIP), Créteil, France; Association Clinique et thérapeutique Infantile du Val de Marne, Créteil, France; Paris Est University, IMRB-GRC GEMINI, Créteil, France
| | - Ida Giardino
- Department of Biomedical Sciences, University of Foggia, Foggia, Italy
| | - Flavia Indrio
- Department of Pediatrics, University of Foggia, "Casa Sollievo" Scientific Institute, San Giovanni Rotondo, Italy
| | - Eli Somekh
- European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Association pour l'Activité et la Recherche Scìentifiques, ARS, Nouchatel, Switzerland; Department of Pediatrics, Mayanei Hayeshuah Medical Center, Bnei Brak, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel; Israel Pediatric Society, Tel Aviv, Israel
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9
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Cohen R, Pettoello-Mantovani M, Somekh E, Levy C. European Pediatric Societies Call for an Implementation of Regular Vaccination Programs to Contrast the Immunity Debt Associated to Coronavirus Disease-2019 Pandemic in Children. J Pediatr 2022; 242:260-261.e3. [PMID: 34848191 PMCID: PMC8626874 DOI: 10.1016/j.jpeds.2021.11.061] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/24/2021] [Accepted: 11/24/2021] [Indexed: 12/16/2022]
Affiliation(s)
- Robert Cohen
- Pediatric Infectious Disease Group (GPIP), Créteil, France,Association Clinique et thérapeutique Infantile du Val de Marne, Créteil, France,Paris Est University, IMRB-GRC GEMINI, Créteil, France
| | - Massimo Pettoello-Mantovani
- Department of Pediatrics, Scientific Institute "Casa Sollievo della Sofferenza", University of Foggia, Foggia, Italy; European Pediatric Association, Union of National European Pediatric Societies and Associations, Berlin, Germany.
| | - Eli Somekh
- European Pediatric Association, Union of National European Pediatric Societies and Associations, Berlin, Germany,Department of Pediatrics, Mayanei Hayeshuah Medical Center, Bnei Brak, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel,Israel Pediatric Society, Tel Aviv, Israel
| | - Corinne Levy
- Pediatric Infectious Disease Group (GPIP), Créteil, France,Association Clinique et thérapeutique Infantile du Val de Marne, Créteil, France,Paris Est University, IMRB-GRC GEMINI, Créteil, France
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10
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Nesselroth D, Yakub Hana H, Gleyzer A, Simoes EAF, Abu Atta M, Ben Yehuda Y, Bibi H, Somekh I, Somekh E. Comparison of the medical burden of COVID-19 with seasonal influenza and measles outbreaks. Acta Paediatr 2022; 111:595-601. [PMID: 34874581 DOI: 10.1111/apa.16210] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/24/2021] [Revised: 11/02/2021] [Accepted: 12/06/2021] [Indexed: 11/28/2022]
Abstract
AIM To examine and compare the medical burden of measles, influenza and COVID-19 outbreaks in the city of Bnei Brak, Israel. METHODS The study was conducted during 2018-2021. The numbers of hospitalisations for these infections and their complications were recorded. Hospitalisation rates were determined by using the number of children residing in Bnei Brak and hospitalised with these infections during the study period as the numerators. The denominators were the estimated paediatric cases of measles, influenza and COVID-19 in Bnei Brak and were calculated under both pragmatic and conservative assumptions. RESULTS A total of 247, 65 and 32 children were hospitalised with influenza, COVID-19 and measles respectively. Complication rates were higher following measles than after influenza and SARS-CoV-2 infections. Hospitalisation rates were 10% for measles, 0.6%-1.2% for influenza and 0.15% - 0.25% for COVID-19 infections. Relative risks (RR) with 95% confidence intervals (CI) for hospitalisation following measles compared with COVID-19 ranged from 42 (26.3-67.3) to 70.1 (43.8-112.1), while the relative risks for influenza hospitalisation ranged from 2.5 (1.83-3.41) to 8.2 (6.0-11.2), compared with COVID-19 infection. CONCLUSION Hospitalisation rates and direct medical burdens of measles and influenza were significantly higher than those of COVID-19 infection in children.
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Affiliation(s)
- Dafna Nesselroth
- Department of Pediatrics Mayanei Hayeshuah Medical Center Bnei Brak Israel
- Affiliated with Sackler Faculty of Medicine Tel Aviv University Tel Aviv Israel
| | - Hussam Yakub Hana
- Department of Pediatrics Mayanei Hayeshuah Medical Center Bnei Brak Israel
- Affiliated with Sackler Faculty of Medicine Tel Aviv University Tel Aviv Israel
| | - Alexandra Gleyzer
- Department of Pediatrics Mayanei Hayeshuah Medical Center Bnei Brak Israel
- Affiliated with Sackler Faculty of Medicine Tel Aviv University Tel Aviv Israel
| | | | - Mahdi Abu Atta
- Department of Pediatrics Mayanei Hayeshuah Medical Center Bnei Brak Israel
- Affiliated with Sackler Faculty of Medicine Tel Aviv University Tel Aviv Israel
| | - Yoram Ben Yehuda
- Department of Pediatrics Mayanei Hayeshuah Medical Center Bnei Brak Israel
- Affiliated with Sackler Faculty of Medicine Tel Aviv University Tel Aviv Israel
| | - Haim Bibi
- Department of Pediatrics Mayanei Hayeshuah Medical Center Bnei Brak Israel
- Affiliated with Sackler Faculty of Medicine Tel Aviv University Tel Aviv Israel
| | - Ido Somekh
- Department of Pediatric Hematology Oncology Schneider Children's Medical Center Affiliated with Sackler Faculty of Medicine Tel Aviv University Tel Aviv Israel
| | - Eli Somekh
- Department of Pediatrics Mayanei Hayeshuah Medical Center Bnei Brak Israel
- Affiliated with Sackler Faculty of Medicine Tel Aviv University Tel Aviv Israel
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11
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Somekh I, KhudaBukhsh WR, Root ED, Boker LK, Rempala G, Simões EAF, Somekh E. Quantifying the Population-level Effect of the COVID-19 Mass Vaccination Campaign in Israel: a Modeling Study. Open Forum Infect Dis 2022; 9:ofac087. [PMID: 35493128 PMCID: PMC9043004 DOI: 10.1093/ofid/ofac087] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2021] [Accepted: 02/16/2022] [Indexed: 11/28/2022] Open
Abstract
Background Estimating real-world vaccine effectiveness is challenging as a variety of population factors can impact vaccine effectiveness. We aimed to assess the population-level reduction in cumulative severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) cases, hospitalizations, and mortality due to the BNT162b2 mRNA coronavirus disease 2019 (COVID-19) vaccination campaign in Israel during January–February 2021. Methods A susceptible-infected-recovered/removed (SIR) model and a Dynamic Survival Analysis (DSA) statistical approach were used. Daily counts of individuals who tested positive and of vaccine doses administered, obtained from the Israeli Ministry of Health, were used to calibrate the model. The model was parameterized using values derived from a previous phase of the pandemic during which similar lockdown and other preventive measures were implemented in order to take into account the effect of these prevention measures on COVID-19 spread. Results Our model predicted for the total population a reduction of 648 585 SARS-CoV-2 cases (75% confidence interval [CI], 25 877–1 396 963) during the first 2 months of the vaccination campaign. The number of averted hospitalizations for moderate to severe conditions was 16 101 (75% CI, 2010–33 035), and reduction of death was estimated at 5123 (75% CI, 388–10 815) fatalities. Among children aged 0–19 years, we estimated a reduction of 163 436 (75% CI, 0–433 233) SARS-CoV-2 cases, which we consider to be an indirect effect of the vaccine. Conclusions Our results suggest that the rapid vaccination campaign prevented hundreds of thousands of new cases as well as thousands of hospitalizations and fatalities and has probably averted a major health care crisis.
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Affiliation(s)
- Ido Somekh
- Department of Pediatric Hematology Oncology, Schneider Children’s Medical Center of Israel, Petah Tikva, Israel
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Wasiur R KhudaBukhsh
- School of Mathematical Sciences, University of Nottingham, Nottingham, United Kingdom
| | - Elisabeth Dowling Root
- Department of Geography and Division of Epidemiology, The Ohio State University, and Translational Data Analytics Institute Columbus, Columbus, OH, USA
| | - Lital Keinan Boker
- Israel Center for Disease Control, Israel Ministry of Health, Israel
- School of Public Health, University of Haifa, Haifa, Israel
| | - Grzegorz Rempala
- Department of Mathematics, The Ohio State University, Columbus, OH, USA
| | | | - Eli Somekh
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
- Department of Pediatrics, Mayanei Hayeshuah Medical Center, Bnei Brak, Israel
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12
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Pettoello-Mantovani M, Carrasco-Sanz A, Huss G, Mestrovic J, Vural M, Pop TL, Ferrara P, Somekh E, Mujkic A, Hoey H, Namazova-Baranova L. Reply. J Pediatr 2022; 241:263-265. [PMID: 34673088 PMCID: PMC8522654 DOI: 10.1016/j.jpeds.2021.10.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/04/2021] [Accepted: 10/13/2021] [Indexed: 02/05/2023]
Affiliation(s)
- Massimo Pettoello-Mantovani
- European Pediatric Association/Union of National European Pediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany
| | - Angel Carrasco-Sanz
- European Pediatric Association/Union of National European Pediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; European Confederation of Primary Care Pediatrics, Lyon, France
| | - Gottfried Huss
- European Confederation of Primary Care Pediatrics, Lyon, France
| | - Julije Mestrovic
- European Pediatric Association/Union of National European Pediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Pediatric Association of the Balkans, Istanbul, Turkey; Croatian Society of Pediatrics, Zagreb, Croatia
| | - Mehmet Vural
- European Pediatric Association/Union of National European Pediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Turkish Pediatric Association, Istanbul, Turkey
| | - Tudor Lucian Pop
- European Pediatric Association/Union of National European Pediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Pediatric Association of the Balkans, Istanbul, Turkey; Romanian Society of Social Pediatrics, Cluj-Napoca, Romania
| | - Pietro Ferrara
- European Pediatric Association/Union of National European Pediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Italian Society of Pediatrics, Rome, Italy
| | - Eli Somekh
- European Pediatric Association/Union of National European Pediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Israel Pediatric Association, Tel Aviv, Israel
| | - Aida Mujkic
- European Pediatric Association/Union of National European Pediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Pediatric Association of the Balkans, Istanbul, Turkey; Croatian Society of Pediatrics, Zagreb, Croatia
| | - Hilary Hoey
- European Pediatric Association/Union of National European Pediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Faculty of Pediatrics, Royal College of Physicians of Ireland, Dublin, Ireland
| | - Leyla Namazova-Baranova
- European Pediatric Association/Union of National European Pediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Russian Academy of Pediatrics, Moscow, Russia
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13
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Merzon E, Green I, Somekh E, Vinker S, Golan-Cohen A, Israel A, Gorohovski A, Frenkel-Morgenstern M, Stein M. The Association of Previous Vaccination with Live-Attenuated Varicella Zoster Vaccine and COVID-19 Positivity: An Israeli Population-Based Study. Vaccines (Basel) 2022; 10:vaccines10010074. [PMID: 35062735 PMCID: PMC8777897 DOI: 10.3390/vaccines10010074] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2021] [Revised: 11/19/2021] [Accepted: 12/25/2021] [Indexed: 12/12/2022] Open
Abstract
The Bacillus Calmette–Guérin (BCG) vaccine affords indirect protection against COVID-19, which is presumably due to priming of the innate immune system. It was hypothesized that the live attenuated Varicella Zoster (LAVZ) vaccine, recommended for the elderly population, would also protect against COVID-19 infection. A retrospective population-based cross-sectional study was conducted using the Leumit Health Services (LHS) database. LAVZ-vaccinated patients were matched with controls based on a propensity score model using 1:9 nearest-neighbor matching. Matching was based on age, gender, and the presence of some chronic disorders, which were selected according to their association with COVID-19 infection. Multivariate logistic regression analyses, adjusted for sex, age, smoking status, comorbidities, and chronic medications associated with COVID-19 risk, were used to estimate the association between LAVZ vaccination and COVID-19 RT-PCR results. Subjects (625) vaccinated with LAVZ and RT-PCR-tested for COVID-19 were identified. After 1:9 matching of subjects who received the LAVZ vaccine, 6250 subjects were included in the study. Multivariate logistic regression analysis demonstrated a significant and independent negative association between having received the LAVZ vaccine and the likelihood of COVID-19 infection (adjusted OR = 0.47 (95% CI 0.33–0.69, p < 0.001)). This association was further strengthened after separate analysis based on the time of LAVZ vaccination before COVID-19 RT-PCR testing. Individuals aged ≥50 years vaccinated with LAVZ had a decreased likelihood of being tested positive for COVID-19.
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Affiliation(s)
- Eugene Merzon
- Leumit Health Services, Tel Aviv 6473817, Israel; (E.M.); (I.G.); (S.V.); (A.G.-C.); (A.I.)
- Adelson School of Medicine, Ariel University, Ariel 4076414, Israel
| | - Ilan Green
- Leumit Health Services, Tel Aviv 6473817, Israel; (E.M.); (I.G.); (S.V.); (A.G.-C.); (A.I.)
- Department of Family Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 69978, Israel
| | - Eli Somekh
- Department of Paediatrics, Mayanei Hayeshuah Medical Centre, Bnei Brak 5154475, Israel;
| | - Shlomo Vinker
- Leumit Health Services, Tel Aviv 6473817, Israel; (E.M.); (I.G.); (S.V.); (A.G.-C.); (A.I.)
- Department of Family Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 69978, Israel
| | - Avivit Golan-Cohen
- Leumit Health Services, Tel Aviv 6473817, Israel; (E.M.); (I.G.); (S.V.); (A.G.-C.); (A.I.)
- Department of Family Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 69978, Israel
| | - Ariel Israel
- Leumit Health Services, Tel Aviv 6473817, Israel; (E.M.); (I.G.); (S.V.); (A.G.-C.); (A.I.)
| | | | | | - Michal Stein
- Infectious Disease and Infection Control Unit, Hillel Yaffe Medical Center, Hadera 38100, Israel;
- Rappaport Faculty of Medicine, Technion, Israel Institute of Technology, Haifa 3525433, Israel
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14
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Abstract
The relative increase in coronavirus disease incidence during summer 2020 in Israel was most prominent in young children. This finding contrasts with the lower increase in incidence observed in children than in adults during the school attendance period. School closure without lockdown conditions might not be independently effective at reducing spread.
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Affiliation(s)
- Ido Somekh
- Schneider Children’s Medical Center of Israel, Petah Tiqwa, Israel (I. Somekh)
- Tel Aviv University, Tel Aviv, Israel (I. Somekh, E. Somekh)
- University of Colorado School of Medicine, Aurora, Colorado, USA (E.A.F. Simões)
- Mayanei Hayeshuah Medical Center, Bnei Brak, Israel (E. Somekh)
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15
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Pettoello-Mantovani M, Carrasco-Sanz A, Huss G, Mestrovic J, Vural M, Pop TL, Ferrara P, Somekh E, Mujkic A, Hoey H, Namazova-Baranova L. Viewpoint of the European Pediatric Societies over Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Vaccination in Children Younger Than Age 12 Years Amid Return to School and the Surging Virus Variants. J Pediatr 2021; 239:250-251.e2. [PMID: 34536493 PMCID: PMC8442301 DOI: 10.1016/j.jpeds.2021.09.013] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/09/2021] [Accepted: 09/09/2021] [Indexed: 02/05/2023]
Affiliation(s)
- Massimo Pettoello-Mantovani
- European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany.
| | - Angel Carrasco-Sanz
- European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; European Confederation of Primary Care Paediatrics, Lyon, France
| | - Gottfried Huss
- European Confederation of Primary Care Paediatrics, Lyon, France
| | - Julije Mestrovic
- European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Paediatric Association of the Balkans, Istanbul, Turkey; Croatian Society of Paediatrics, Zagreb, Croatia
| | - Mehmet Vural
- European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Turkish Paediatric Association, Istanbul, Turkey
| | - Tudor Lucian Pop
- European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Paediatric Association of the Balkans, Istanbul, Turkey; Romanian Society of Social Paediatrics, Cluj-Napoca, Romania
| | - Pietro Ferrara
- European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Italian Society of Paediatrics, Rome, Italy
| | - Eli Somekh
- European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Israel Paediatric Association, Tel Aviv, Israel
| | - Aida Mujkic
- European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Paediatric Association of the Balkans, Istanbul, Turkey; Croatian Society of Paediatrics, Zagreb, Croatia
| | - Hilary Hoey
- European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Faculty of Paediatrics, Royal College of Physicians of Ireland, Dublin, Ireland
| | - Leyla Namazova-Baranova
- European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Russian Academy of Paediatrics, Moscow, Russia
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16
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Ferrara P, Franceschini G, Corsello G, Mestrovic J, Giardino I, Vural M, Pop TL, Namazova-Baranova L, Somekh E, Indrio F, Pettoello-Mantovani M. Effects of Coronavirus Disease 2019 (COVID-19) on Family Functioning. J Pediatr 2021; 237:322-323.e2. [PMID: 34224744 PMCID: PMC8253665 DOI: 10.1016/j.jpeds.2021.06.082] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/30/2021] [Accepted: 06/30/2021] [Indexed: 02/05/2023]
Affiliation(s)
- Pietro Ferrara
- European Paediatric Association/Union of National European Paediatric Societies and Associations, Berlin, Germany; Italian Society of Pediatrics, Rome, Italy; Division of Pediatrics, University Campus BioMedico, Rome, Italy
| | | | - Giovanni Corsello
- European Paediatric Association/Union of National European Paediatric Societies and Associations, Berlin, Germany; Italian Society of Pediatrics, Rome, Italy
| | - Julije Mestrovic
- European Paediatric Association/Union of National European Paediatric Societies and Associations, Berlin, Germany; Division of Pediatrics, Medical School of Split, University Hospital of Split, Split, Croatia
| | - Ida Giardino
- Department of Biomedical Sciences, University of Foggia, Foggia, Italy
| | - Mehmet Vural
- European Paediatric Association/Union of National European Paediatric Societies and Associations, Berlin, Germany; Division of Pediatrics, Medical Faculty, University of Istanbul, Istanbul University Cerrahpaşa, Istanbul, Turkey
| | - Tudor Lucian Pop
- European Paediatric Association/Union of National European Paediatric Societies and Associations, Berlin, Germany; Division of Pediatrics, University of Medicine and Pharmacy Iuliu Haţieganu, Cluj-Napoca, Romania
| | - Leyla Namazova-Baranova
- European Paediatric Association/Union of National European Paediatric Societies and Associations, Berlin, Germany; Russian Academy of Pediatrics, Moscow, Russia
| | - Eli Somekh
- European Paediatric Association/Union of National European Paediatric Societies and Associations, Berlin, Germany; Department of Pediatrics, Mayanei Hayeshuah Medical Center, Bnei Brak, Israel
| | - Flavia Indrio
- European Paediatric Association/Union of National European Paediatric Societies and Associations, Berlin, Germany; Department of Pediatrics, Scientific Institute "Casa Sollievo della Sofferenza", Foggia, Italy
| | - Massimo Pettoello-Mantovani
- European Paediatric Association/Union of National European Paediatric Societies and Associations, Berlin, Germany; Department of Pediatrics, Scientific Institute "Casa Sollievo della Sofferenza", Foggia, Italy.
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17
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Abstract
This cohort study compares the characteristics of infections from SARS-CoV-2 variants spreading during August to October 2020 vs the variants spreading during December 2020 to February 2021 among children in Israel.
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Affiliation(s)
- Ido Somekh
- Department of Pediatric Hematology Oncology, Schneider Children’s Medical Center of Israel, Petah Tikva
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Michal Stein
- Infectious Disease and Infection Control Unit, Hillel Yaffe Medical Center, Hadera, Israel
- Rappaport Faculty of Medicine, Technion – Israel Institute of Technology, Haifa, Israel
| | - Isabella Karakis
- Epidemiology Division, Environmental Epidemiology Department, Public Health Services, Ministry of Health, Jerusalem, Ben-Gurion University in the Negev, Beer-Sheba, Israel
| | | | - Eli Somekh
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
- Department of Pediatrics, Mayanei Hayeshuah Medical Center, Bnei Brak, Israel
- European Pediatric Association (EPA-UNEPSA), Union of National European Pediatric Societies and Associations, Berlin, Germany
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18
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Kahan Y, Lugassy-Akian E, Ovadia A, Dalal I, Somekh E, Tasher D. Safety and Tolerability of Mebendazole in Infants Under 1 Year of Age. J Pediatric Infect Dis Soc 2021:piab077. [PMID: 34468731 DOI: 10.1093/jpids/piab077] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/04/2021] [Accepted: 08/06/2021] [Indexed: 11/14/2022]
Abstract
This paper presents the largest cohort to date of infants under 1 year of age treated with mebendazole. We evaluated the occurrence of mebendazole-associated clinical and laboratory toxicity as safety data in this age group are currently lacking.
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Affiliation(s)
- Yaara Kahan
- Pediatric Infectious Diseases Unit, Edith Wolfson Medical Center, Holon, Israel
- Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel
| | - Eve Lugassy-Akian
- Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel
- Department of Pediatrics, Edith Wolfson Medical Center, Holon, Israel
| | - Adi Ovadia
- Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel
- Department of Pediatrics, Edith Wolfson Medical Center, Holon, Israel
| | - Ilan Dalal
- Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel
- Department of Pediatrics, Edith Wolfson Medical Center, Holon, Israel
| | - Eli Somekh
- Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel
- Department of Pediatrics, Mayanei HaYeshua Medical Center, Bnei-Brak, Israel
| | - Diana Tasher
- Pediatric Infectious Diseases Unit, Edith Wolfson Medical Center, Holon, Israel
- Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel
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19
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Somekh I, Sharabi A, Dory Y, Simões EAF, Somekh E. Intrafamilial Spread and Altered Symptomatology of SARS-CoV-2, During Predominant Circulation of Lineage B.1.1.7 Variant in Israel. Pediatr Infect Dis J 2021; 40:e310-e311. [PMID: 34117202 DOI: 10.1097/inf.0000000000003167] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
The dynamics of intrafamilial spread of SARS-CoV-2 during January-February 2021 when variant B.1.1.7 predominated were compared with data from April to May 2020, when other circulating variants prevailed. Much higher intrafamilial transmission rates among all age groups, in particular in young children, and lower rates of sensory impairment were demonstrated during January-February 2021.
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Affiliation(s)
- Ido Somekh
- From the Department of Pediatric Hematology Oncology, Schneider Children's Medical Center of Israel, Petah Tikva, Israel
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Assaf Sharabi
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
- Department of Emergency Medicine, Schneider Children's Medical Center of Israel, Petah Tikva, Israel
| | - Yahav Dory
- From the Department of Pediatric Hematology Oncology, Schneider Children's Medical Center of Israel, Petah Tikva, Israel
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | | | - Eli Somekh
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
- Department of Pediatrics, Mayanei Hayeshuah Medical Center, Bnei Brak, Israel
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20
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Guen CGL, Hentgen V, Dubos F, Kochert F, Balençon M, Levy C, Somekh I, Somekh E, Ferrara P, Pettoello-Mantovani M, Cohen R. French Pediatric Societies Call for School to Stay Open amid the Coronavirus Disease 2019 Pandemic. J Pediatr 2021; 234:293-295.e2. [PMID: 33823187 PMCID: PMC8019244 DOI: 10.1016/j.jpeds.2021.04.001] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/01/2021] [Accepted: 04/01/2021] [Indexed: 12/15/2022]
Affiliation(s)
- Christèle Gras-Le Guen
- Obstetrical, Perinatal and Pediatric Epidemiology Research Team, Epidemiology and Statistics Research Center, Université de Paris, INSERM, Paris, France,INSERM CIC 1413, Nantes University Hospital, Nantes, France,Department of Pediatric Emergency Care, Nantes University Hospital, Nantes, France,French Pediatric Society (SFP) and General pediatric Group, Nantes, France,Pediatric Infectious Disease Group (GPIP), Créteil, France
| | - Véronique Hentgen
- Pediatric Infectious Disease Group (GPIP), Créteil, France,Department General Pediatrics, Centre Hospitalier de Versailles, Le Chesnay, France
| | - François Dubos
- Pediatric Infectious Disease Group (GPIP), Créteil, France,Pediatric Emergency and Infectious Diseases Unit, Université de Lille, CHU Lille, France
| | - Fabienne Kochert
- Association of French Primary Care Paediatrians (AFPA), Orleans, France
| | | | - Corinne Levy
- Pediatric Infectious Disease Group (GPIP), Créteil, France; Association of French Primary Care Paediatrians (AFPA), Orleans, France; Association Clinique et Thérapeutique Infantile du Val de Marne, Créteil, France; Paris Est University, IMRB-GRC GEMINI, Créteil, France.
| | - Ido Somekh
- Department of Pediatric Hematology and Oncology, Schneider Children's Medical Center, Affiliated with Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Eli Somekh
- Department of Pediatrics, Mayanei Hayeshuah Medical Center, Bnei Brak, Affiliated with Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | | | - Massimo Pettoello-Mantovani
- European Paediatric Association, Union of National European Paediatric Societies and Associations, Berlin, Germany
| | - Robert Cohen
- Pediatric Infectious Disease Group (GPIP), Créteil, France,Association of French Primary Care Paediatrians (AFPA), Orleans, France,Association Clinique et Thérapeutique Infantile du Val de Marne, Créteil, France,Paris Est University, IMRB-GRC GEMINI, Créteil, France
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21
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Ben-Shimol S, Livni G, Megged O, Greenberg D, Danino D, Youngster I, Shachor-Meyouhas Y, Dabaja-Younis H, Scheuerman O, Mor M, Somekh E, Yakub Hanna H, Givon-Lavi N, Guri A, Leibovitz E, Alkan Y, Grupel D, Rubinstein U, Steinberg Ben Zeev Z, Bamberger E, Asher Kuperman A, Grisaru-Soen G, Tasher D, Gottesman G, Glikman D, Stein M. COVID-19 in a Subset of Hospitalized Children in Israel. J Pediatric Infect Dis Soc 2021; 10:757-765. [PMID: 34129032 PMCID: PMC8344587 DOI: 10.1093/jpids/piab035] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/31/2021] [Accepted: 05/06/2021] [Indexed: 02/07/2023]
Abstract
BACKGROUND Most pediatric coronavirus disease 2019 (COVID-19) is mild. We assessed nationally severe COVID-19, including pediatric inflammatory multisystem syndrome (PIMS), in hospitalized children. METHODS An ongoing, prospective, national surveillance was conducted from March 2020 through March 2021, at 20 hospitals treating children <18 years across Israel (~75% of Israeli hospitals). RESULTS Overall, 1007 cases (439 outpatients and 568 hospitalized) identified represent 0.35% of pediatric COVID-19 nationwide (n = 291 628). Of hospitalized cases, 464 (82%), 48 (8%), and 56 (10%) had mild, moderate/severe, and PIMS disease, respectively. The mean ± SD age was 5.6 ± 6.4 years. In mild, moderate/severe, and PIMS disease, 55%, 23%, and 4% of patients were <1 year old, respectively. Obesity was reported in 1%, 4%, and 13% of patients, respectively (P < .001). The most common symptom was fever in 67%, 60%, and 100%, respectively, whereas respiratory symptoms were documented in 33%, 41%, and 38% of patients, respectively. Lymphopenia was recorded in 25%, 60%, and 86% of cases, respectively. PIMS diagnosis was mainly serology-based (in 59%). Gastrointestinal symptoms, cardiovascular involvement, rash, and conjunctivitis were noted in 82%, 61%, 57%, and 34% of PIMS episodes, respectively. Elevated C-reactive protein (100%), ferritin, troponin, D-dimer, low albumin, and thrombocytopenia were common in PIMS. Echocardiography revealed pathological findings in 33% of patients. PIMS mainstay treatment included corticosteroids (77%) and intravenous immunoglobulin (53%). No mortality was recorded. CONCLUSIONS At a national level, pediatric COVID-19 is mild, even in hospitalized cases, with only a third presenting with respiratory involvement. PIMS is rare, but necessitates a high index of suspicion, and with suitable treatment prognosis is favorable.
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Affiliation(s)
- Shalom Ben-Shimol
- The Pediatric Infectious Disease Unit, Soroka University Medical Center, Beer-Sheva, Israel,Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel,Corresponding Author: Shalom Ben-Shimol, MD, Pediatric Infectious Disease Unit, Soroka University Medical Center, Beer-Sheva 84101, Israel. E-mail:
| | - Gilat Livni
- Department of Pediatrics A, Schneider Children’s Medical Center, Petah Tikva, Israel
| | - Orli Megged
- Pediatric Department and Pediatric Infectious Diseases Unit, Shaare Zedek Medical Center, Jerusalem, Israel
| | - David Greenberg
- The Pediatric Infectious Disease Unit, Soroka University Medical Center, Beer-Sheva, Israel,Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
| | - Dana Danino
- The Pediatric Infectious Disease Unit, Soroka University Medical Center, Beer-Sheva, Israel,Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
| | - Ilan Youngster
- Pediatric Infectious Diseases Unit, Shamir Medical Center, Zerifin, Israel,Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Yael Shachor-Meyouhas
- Pediatric Infectious Disease Unit, Ruth Rappaport Children’s Hospital, Rambam Health Care Campus, Haifa, Israel
| | - Halima Dabaja-Younis
- Pediatric Infectious Disease Unit, Ruth Rappaport Children’s Hospital, Rambam Health Care Campus, Haifa, Israel
| | - Oded Scheuerman
- Department of Pediatrics B, Schneider Children’s Medical Center, Petah Tikva, Israel
| | - Meirav Mor
- Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel,Infection Control Unit and Emergency Department, Schneider Children’s Medical Center, Petach Tikva, Israel
| | - Eli Somekh
- Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel,Department of Pediatrics, Mayanei Hayeshua Medical Center, Bnei Brak, Israel
| | - Husam Yakub Hanna
- Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel,Department of Pediatrics, Mayanei Hayeshua Medical Center, Bnei Brak, Israel
| | - Noga Givon-Lavi
- The Pediatric Infectious Disease Unit, Soroka University Medical Center, Beer-Sheva, Israel,Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
| | - Alex Guri
- Department of Pediatrics, Kaplan Medical Center, Rehovot, Israel,School of Medicine, Hadassah-Hebrew University, Jerusalem, Israel
| | - Eugene Leibovitz
- The Pediatric Infectious Disease Unit, Soroka University Medical Center, Beer-Sheva, Israel,Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
| | - Yoav Alkan
- Clalit Health Services, Sharon Shomron District, Israel
| | - Daniel Grupel
- Infectious Diseases Unit, Assuta Ashdod University Hospital, Ashdod, Israel
| | - Uri Rubinstein
- Department of Pediatrics, Laniado Medical Center, Netanya, Israel
| | | | - Ellen Bamberger
- Department of Pediatrics, Bnai Zion Medical Center, Haifa, Israel
| | - Amir Asher Kuperman
- Azrieli Faculty of Medicine, Bar-Ilan University, Safed, Israel,Blood Coagulation Service and Pediatric Hematology Clinic, Galilee Medical Center, Nahariya, Israel
| | - Galia Grisaru-Soen
- Pediatric Infectious Disease Unit, Dana Children’s Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
| | - Diana Tasher
- Department of Pediatrics, Edith Wolfson Medical Center, Holon, Israel
| | - Giora Gottesman
- Pediatric Infectious Disease Unit, Meir Medical Center, Kfar Saba, Israel
| | - Daniel Glikman
- Infectious Diseases Unit, The Baruch Padeh Medical Center, Poriya, Israel,Azrieli Faculty of Medicine in the Galilee, Bar-Ilan University, Safed, Israel
| | - Michal Stein
- Infectious Disease and Infection Control Unit, Hillel Yaffe Medical Center, Hadera, Israel,Rappaport Faculty of Medicine, Technion Institute, Haifa, Israel
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22
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Nigri P, Corsello G, Nigri L, Bali D, Kuli-Lito G, Plesca D, Pop TL, Carrasco-Sanz A, Namazova-Baranova L, Mestrovic J, Vural M, Giardino I, Losonczi L, Somekh E, Balducci MT, Pettoello-Mantovani M, Ferrara P. Prevention and contrast of child abuse and neglect in the practice of European paediatricians: a multi-national pilot study. Ital J Pediatr 2021; 47:105. [PMID: 33941234 PMCID: PMC8094489 DOI: 10.1186/s13052-021-01055-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/02/2021] [Accepted: 04/26/2021] [Indexed: 02/08/2023] Open
Abstract
Background Child abuse and neglect, or maltreatment, is a serious public health problem, which may cause long-term effects on children’s health and wellbeing and expose them to further adulthood vulnerabilities. Studies on child maltreatment performed in Europe are scarce, and the number of participants enrolled relatively small. The aim of this multi-national European pilot study, was to evaluate the level of understanding and perception of the concepts of child abuse and neglect by European paediatricians working in different medical settings, and the attitude toward these forms of maltreatment in their practice. Methods The study was performed by a cross-sectional, descriptive, online survey, made available online to European paediatricians members of 50 national paediatric, who belonged to four different medical settings: hospital, family care, university centres and private practice. The questionnaire, designed as a multiple choice questions survey, with a single answer option consisted of 22 questions/statements. Frequency analyses were applied. Most of the data were described using univariate analysis and Chi-squared tests were used to compare the respondents and answers and a significance level of p ≤ 0.05 applied. Results Findings show that European paediatricians consider the training on child maltreatment currently provided by medical school curricula and paediatric residency courses to be largely insufficient and continuing education courses were considered of great importance to cover educational gaps. Physical violence was recognized by paediatricians mostly during occasional visits with a significant correlation between detecting abuse during an occasional visit and being a primary care paediatrician. Results also showed a reluctance by paediatricians to report cases of maltreatment to the competent judicial authorities. Conclusions Data of this study may provide useful contribution to the current limited knowledge about the familiarity of European paediatricians with child maltreatment and their skills to recognize, manage and contrast abusive childhood experiences in their practice. Finally, they could provide local legislators and health authorities with information useful to further improve public health approaches and rules able to effectively address shared risk and protective factors, which could prevent child abuse and neglect from ever occurring.
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Affiliation(s)
- Paola Nigri
- Campus Bio-Medico University Medical School, Rome, Italy
| | - Giovanni Corsello
- Italian Society of Pediatrics, Rome, Italy.,Institute of Pediatrics, University of Palermo, Palermo, Italy
| | - Luigi Nigri
- Italian Federation of Pediatricians, Rome, Italy
| | | | | | - Doina Plesca
- Romanian Society of Paediatrics, Bucharest, Romania
| | | | | | | | | | | | - Ida Giardino
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
| | - Laszlo Losonczi
- Association of Hungarian Primary Care Paediatrician, Budapest, Hungary
| | - Eli Somekh
- Department of Pediatrics, Mayanei Hayeshuah Medical Center, Bnei Brak, Israel
| | | | - Massimo Pettoello-Mantovani
- European Paediatric Association, Union of National European Pediatric Societies and Associations, Berlin, Germany.
| | - Pietro Ferrara
- Campus Bio-Medico University Medical School, Rome, Italy.,Italian Society of Pediatrics, Rome, Italy
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23
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Pettoello-Mantovani M, Carrasco-Sanz A, Pop TL, Mestrovic J, Somekh E, Giardino I, Namazova-Baranova L, Hoey H, Vural M. Plan for the Worst, but Hope for the Best: Investing in Pediatric Services. J Pediatr 2021; 232:314-315.e1. [PMID: 33548263 DOI: 10.1016/j.jpeds.2021.02.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/01/2021] [Accepted: 02/01/2021] [Indexed: 02/05/2023]
Affiliation(s)
- Massimo Pettoello-Mantovani
- European Paediatric Association/Union of National European Paediatric Societies and Associations, Berlin, Germany; Department of Medicine and Surgical Science, University of Foggia, Foggia, Italy.
| | - Angel Carrasco-Sanz
- European Paediatric Association/Union of National European Paediatric Societies and Associations, Berlin, Germany; European Confederation of Primary Care Pediatricians, Lyon, France
| | - Tudor Lucian Pop
- European Paediatric Association/Union of National European Paediatric Societies and Associations, Berlin, Germany; Second Pediatric Clinic, University of Medicine and Pharmacy, Iuliu Hatieganu, Cluj-Napoca, Romania
| | - Julije Mestrovic
- European Paediatric Association/Union of National European Paediatric Societies and Associations, Berlin, Germany; Department of Pediatrics, Medical School of Split, University Hospital of Split, Split, Croatia
| | - Eli Somekh
- European Paediatric Association/Union of National European Paediatric Societies and Associations, Berlin, Germany; Department of Pediatrics, Bnei Brak and The Sackler School of Medicine, Tel Aviv University, Tel Aviv-Ramat Aviv, Israel
| | - Ida Giardino
- Department of Medicine and Surgical Science, University of Foggia, Foggia, Italy
| | - Leyla Namazova-Baranova
- European Paediatric Association/Union of National European Paediatric Societies and Associations, Berlin, Germany; Department of Pediatrics, Russian Medical Research and Scientific University of Moscow, Moscow, Russia
| | - Hilary Hoey
- European Paediatric Association/Union of National European Paediatric Societies and Associations, Berlin, Germany; Department of Paediatrics, Trinity College Dublin, Dublin, Ireland
| | - Mehmet Vural
- European Paediatric Association/Union of National European Paediatric Societies and Associations, Berlin, Germany; Department of Pediatrics, Istanbul University Cerrahpaşa, Medical Faculty, Istanbul, Turkey
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Abstract
This cohort study examines COVID-19 incidence rates in youths aged 0 to 19 before and after reopening schools in Israel.
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Affiliation(s)
- Ido Somekh
- Department of Pediatric Hematology Oncology, Schneider Children’s Medical Center of Israel, Petah Tikva, Israel
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Lital Keinan Boker
- Israel Center for Disease Control, Israel Ministry of Health, Ramat Gan, Israel
- University of Haifa School of Public Health, Haifa, Israel
| | - Tamy Shohat
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Massimo Pettoello-Mantovani
- Department of Pediatrics, Scientific Institute Casa Sollievo della Sofferenza, University of Foggia, Foggia, Italy
- European Pediatric Association (EPA-UNEPSA), Union of National European, Pediatric Societies and Associations, Berlin, Germany
| | | | - Eli Somekh
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
- European Pediatric Association (EPA-UNEPSA), Union of National European, Pediatric Societies and Associations, Berlin, Germany
- Department of Pediatrics, Mayanei Hayeshuah Medical Center, Bnei Brak, Israel
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25
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Pettoello-Mantovani M, Mestrovic J, Namazova-Baranova Md PhD L, Giardino I, Somekh E, Vural M. Ensuring Safe Food for Infants: The Importance of an Integrated Approach to Monitor and Reduce the Risks of Biological, Chemical, and Physical Hazards. J Pediatr 2021; 229:315-316.e2. [PMID: 33152369 DOI: 10.1016/j.jpeds.2020.10.074] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/29/2020] [Accepted: 10/29/2020] [Indexed: 11/18/2022]
Affiliation(s)
- Massimo Pettoello-Mantovani
- European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Department of Pediatrics, Scientific Institute "Casa Sollievo della Sofferenza", University of Foggia, Foggia, Italy.
| | - Julije Mestrovic
- European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Department of Pediatrics, Medical School of Split, University Hospital of Split, Split, Croatia
| | - Leyla Namazova-Baranova Md PhD
- European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Russian Academy of Pediatrics, Department of Pediatrics, University of Moscow, Moscow, Russia
| | - Ida Giardino
- Department of Biomedical Sciences, University of Foggia, Foggia, Italy
| | - Eli Somekh
- European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Department of Pediatrics, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Mehmet Vural
- European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Department of Pediatrics, Cerrahpasa Medical Faculty, University of Istanbul, Istanbul, Turkey
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26
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Somekh I, Shohat T, Boker LK, Simões EAF, Somekh E. Reopening Schools and the Dynamics of SARS-CoV-2 Infections in Israel: A Nationwide Study. Clin Infect Dis 2021; 73:2265-2275. [PMID: 33460434 PMCID: PMC7929073 DOI: 10.1093/cid/ciab035] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2020] [Accepted: 01/14/2021] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND The benefits of school reopening must be weighed against the morbidity and mortality risks and the impact of enhancing spread of COVID-19. We investigated the effects of school reopening and easing of social distancing restrictions on the dynamics of SARS-CoV-2 infections in Israel, between March-July 2020. METHODS We examined the nationwide agewise weekly incidence, prevalence, SARS-CoV-2 PCR tests, their positivity, COVID-19 hospitalizations and associated mortality. Temporal differences in these parameters following school reopening, school ending, and following easing of restrictions such as permission of large scale gatherings, were examined. RESULTS The incidence of SARS-CoV-2 infections gradually increased following school reopening in all age groups, with a significantly higher increase in adults compared to children. Higher relative ratios (RRs) of sample positivity rates 21-27 days following school reopening relative to positivity rates prior to openings were found for the age groups 40-59 (RR: 4.72, 95% CI: 3.26 - 6.83) and 20-39 years (RR: 3.37 [2.51 - 4.53]), but not for children aged 0-9 (RR: 1.46 [0.85 - 2.51]) and 10-19 years (RR: 0.93 [0.65 - 1.34]).No increase was observed in COVID-19 associated hospitalizations and deaths following school reopening. In contrast, permission of large-scale gatherings was accompanied by increases in incidence and positivity rates of samples for all age groups, and increased hospitalizations and mortality. CONCLUSIONS This analysis does not support a major role of school reopening in the resurgence of the COVID-19 curve in Israel. Easing restrictions on large scale gatherings was the major influence on this resurgence.
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Affiliation(s)
- Ido Somekh
- Department of Pediatric Hematology Oncology, Schneider Children's Medical Center of Israel, Petach Tikva.,Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Tamy Shohat
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Lital Keinan Boker
- Israel Center for Disease Control, Israel Ministry of Health.,School of Public Health, University of Haifa, Haifa, Israel
| | | | - Eli Somekh
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.,Department of Pediatrics, Mayanei Hayeshuah Medical Center, Bnei Brak, Israel
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27
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Kashani-Ligumsky L, Lopian M, Cohen R, Senderovich H, Czeiger S, Halperin A, Chaim AB, Kremer I, Lessing JB, Somekh E, Neiger R. Titers of SARS CoV-2 antibodies in cord blood of neonates whose mothers contracted SARS CoV-2 (COVID-19) during pregnancy and in those whose mothers were vaccinated with mRNA to SARS CoV-2 during pregnancy. J Perinatol 2021; 41:2621-2624. [PMID: 34564695 PMCID: PMC8475451 DOI: 10.1038/s41372-021-01216-1] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/05/2021] [Revised: 08/25/2021] [Accepted: 09/10/2021] [Indexed: 12/01/2022]
Abstract
OBJECTIVE We compared neonatal immunity after vaccination against SARS-CoV-2 during pregnancy to that achieved after maternal infection. STUDY DESIGN We tested cord blood from women infected with SARS-CoV-2 during pregnancy (group 1, n = 29), women who were vaccinated during pregnancy (group 2, n = 29) and from women not infected and not vaccinated (Group 3, n = 21) for titers of antibodies to both SARS-CoV-2 spike and 'N' proteins. RESULTS Seventy-nine women were included: Antibodies against SARS-CoV-2 spike protein were detected in all samples from Group 1 and 2. Antibodies to the 'N' protein were detected in 25/29 samples in Group 1. None of the samples from Group 3 had antibodies to either protein. Mean titers of SARS-CoV-2 antibodies were significantly higher in Group 2 than in Group 1 (p < 0.05). CONCLUSIONS Neonates born to mothers vaccinated during pregnancy have higher antibody titers and may therefore have more prolonged protection than those born to women infected during pregnancy.
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Affiliation(s)
- Lior Kashani-Ligumsky
- Department of Obstetrics and Gynecology, Mayanei Hayeshua Medical Center, Bnei Brak, Israel. .,Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
| | - Miriam Lopian
- grid.477498.10000 0004 0454 4267Department of Obstetrics and Gynecology, Mayanei Hayeshua Medical Center, Bnei Brak, Israel ,grid.12136.370000 0004 1937 0546Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Ronnie Cohen
- grid.477498.10000 0004 0454 4267Department of Obstetrics and Gynecology, Mayanei Hayeshua Medical Center, Bnei Brak, Israel ,grid.12136.370000 0004 1937 0546Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Hila Senderovich
- grid.477498.10000 0004 0454 4267Department of Obstetrics and Gynecology, Mayanei Hayeshua Medical Center, Bnei Brak, Israel ,grid.12136.370000 0004 1937 0546Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Shelly Czeiger
- grid.477498.10000 0004 0454 4267Department of Obstetrics and Gynecology, Mayanei Hayeshua Medical Center, Bnei Brak, Israel ,grid.12136.370000 0004 1937 0546Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Ariel Halperin
- grid.12136.370000 0004 1937 0546Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel ,grid.477498.10000 0004 0454 4267Department of Pediatrics, Mayanei Hayeshua Medical Center, Bnei Brak, Israel
| | - Adina Bar Chaim
- grid.477498.10000 0004 0454 4267Laboratory of Molecular biology, Mayanei Hayeshua Medical Center, Bnei Brak, Israel
| | - Irit Kremer
- grid.477498.10000 0004 0454 4267Laboratory of Molecular biology, Mayanei Hayeshua Medical Center, Bnei Brak, Israel
| | - Joseph B. Lessing
- grid.477498.10000 0004 0454 4267Department of Obstetrics and Gynecology, Mayanei Hayeshua Medical Center, Bnei Brak, Israel ,grid.12136.370000 0004 1937 0546Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Eli Somekh
- grid.12136.370000 0004 1937 0546Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel ,grid.477498.10000 0004 0454 4267Department of Pediatrics, Mayanei Hayeshua Medical Center, Bnei Brak, Israel
| | - Ran Neiger
- grid.254567.70000 0000 9075 106XDepartment of Ob/Gyn University of South Carolina, Columbia, SC USA
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28
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Lopian M, Kashani-Ligumsky L, Czeiger S, Cohen R, Schindler Y, Lubin D, Olteanu I, Neiger R, Lessing JB, Somekh E. Safety of vaginal delivery in women infected with COVID-19. Pediatr Neonatol 2021; 62:90-96. [PMID: 33218936 PMCID: PMC7605754 DOI: 10.1016/j.pedneo.2020.10.010] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/19/2020] [Revised: 09/08/2020] [Accepted: 10/30/2020] [Indexed: 01/17/2023] Open
Abstract
BACKGROUND There is limited data regarding the safety of vaginal delivery in women infected with COVID-19. Our goal was to assess the safety of vaginal delivery in women infected with COVID-19 and the risk of neonatal infection. METHODS This was a single medical center cohort study. Data were collected about the outcome of twenty-one women with laboratory-confirmed COVID-19 infection who delivered between March 23, 2020, and May 8, 2020. RESULTS Twenty-one gravidas were diagnosed with COVID-19 infection. None required admission to the intensive care unit (ICU) and there were no fatalities. Seventeen delivered vaginally and four by caesareans. Apgar scores of all neonates were 9 at 1 min and 10 at 5 min. One neonate was diagnosed with COVID-19 infection 24 h after birth. CONCLUSIONS Vaginal delivery in women infected with COVID-19 is not associated with a significant risk of neonatal infection.
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Affiliation(s)
- Miriam Lopian
- Department of Obstetrics and Gynecology, Mayanei Hayeshua Medical Center, Bnei Brak, Israel; Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
| | - Lior Kashani-Ligumsky
- Department of Obstetrics and Gynecology, Mayanei Hayeshua Medical Center, Bnei Brak, Israel,Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Shelly Czeiger
- Department of Obstetrics and Gynecology, Mayanei Hayeshua Medical Center, Bnei Brak, Israel,Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Ronnie Cohen
- Department of Obstetrics and Gynecology, Mayanei Hayeshua Medical Center, Bnei Brak, Israel,Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Yehudit Schindler
- Laboratory of Microbiology, Mayanei Hayeshua Medical Center, Bnei Brak, Israel
| | - Daniel Lubin
- Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel,Department of Pediatrics, Mayanei Hayeshua Medical Center, Bnei Brak, Israel
| | - Ioanna Olteanu
- Department of Obstetrics and Gynecology, Mayanei Hayeshua Medical Center, Bnei Brak, Israel,Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Ran Neiger
- Department of Ob/Gyn, University of South Carolina Columbia, SC, USA
| | - Joseph B. Lessing
- Department of Obstetrics and Gynecology, Mayanei Hayeshua Medical Center, Bnei Brak, Israel,Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Eli Somekh
- Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel,Department of Pediatrics, Mayanei Hayeshua Medical Center, Bnei Brak, Israel
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29
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Kashani-Ligumsky L, Lopian M, Cohen R, Senderovich H, Czeiger S, Halperin A, Chaim AB, Kremer I, Lessing JB, Somekh E, Neiger R. Correction to: Titers of SARS CoV-2 antibodies in cord blood of neonates whose mothers contracted SARS CoV-2 (COVID-19) during pregnancy and in those whose mothers were vaccinated with mRNA to SARS CoV-2 during pregnancy. J Perinatol 2021; 41:2696. [PMID: 34876672 PMCID: PMC8649987 DOI: 10.1038/s41372-021-01272-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- Lior Kashani-Ligumsky
- Department of Obstetrics and Gynecology, Mayanei Hayeshua Medical Center, Bnei Brak, Israel. .,Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
| | - Miriam Lopian
- grid.477498.10000 0004 0454 4267Department of Obstetrics and Gynecology, Mayanei Hayeshua Medical Center, Bnei Brak, Israel ,grid.12136.370000 0004 1937 0546Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Ronnie Cohen
- grid.477498.10000 0004 0454 4267Department of Obstetrics and Gynecology, Mayanei Hayeshua Medical Center, Bnei Brak, Israel ,grid.12136.370000 0004 1937 0546Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Hila Senderovich
- grid.477498.10000 0004 0454 4267Department of Obstetrics and Gynecology, Mayanei Hayeshua Medical Center, Bnei Brak, Israel ,grid.12136.370000 0004 1937 0546Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Shelly Czeiger
- grid.477498.10000 0004 0454 4267Department of Obstetrics and Gynecology, Mayanei Hayeshua Medical Center, Bnei Brak, Israel ,grid.12136.370000 0004 1937 0546Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Ariel Halperin
- grid.12136.370000 0004 1937 0546Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel ,grid.477498.10000 0004 0454 4267Department of Pediatrics, Mayanei Hayeshua Medical Center, Bnei Brak, Israel
| | - Adina Bar Chaim
- grid.477498.10000 0004 0454 4267Laboratory of Molecular biology, Mayanei Hayeshua Medical Center, Bnei Brak, Israel
| | - Irit Kremer
- grid.477498.10000 0004 0454 4267Laboratory of Molecular biology, Mayanei Hayeshua Medical Center, Bnei Brak, Israel
| | - Joseph B. Lessing
- grid.477498.10000 0004 0454 4267Department of Obstetrics and Gynecology, Mayanei Hayeshua Medical Center, Bnei Brak, Israel ,grid.12136.370000 0004 1937 0546Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Eli Somekh
- grid.12136.370000 0004 1937 0546Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel ,grid.477498.10000 0004 0454 4267Department of Pediatrics, Mayanei Hayeshua Medical Center, Bnei Brak, Israel
| | - Ran Neiger
- grid.254567.70000 0000 9075 106XDepartment of Ob/Gyn University of South Carolina, Columbia, SC USA
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30
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Affiliation(s)
| | - FuYong Jiao
- Children's Hospital, Shananxi Provincial People's Hospital of Xian, Jiatong University, Xian, P.R. China
| | - Eli Somekh
- European Pediatric Association (EPA-UNEPSA), Union of National European Pediatric Societies and Associations, Berlin, Germany; Department of Pediatrics, Mayaney Hayeshuah Medical Center, Bnei Brak and the Sackler School of Medicine, Tel Aviv University, Israel
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31
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Jiao WY, Wang LN, Liu J, Fang SF, Jiao FY, Pettoello-Mantovani M, Somekh E. Behavioral and Emotional Disorders in Children during the COVID-19 Epidemic. J Pediatr 2020; 221:264-266.e1. [PMID: 32248989 PMCID: PMC7127630 DOI: 10.1016/j.jpeds.2020.03.013] [Citation(s) in RCA: 608] [Impact Index Per Article: 152.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/09/2020] [Accepted: 03/09/2020] [Indexed: 02/07/2023]
Affiliation(s)
- Wen Yan Jiao
- Department of Psychology, Shaanxi Provincial People's Hospital of Xi'an, Jiatong University, Jiatong, China
| | - Lin Na Wang
- Department of Clinical Medicine, Xi'an Medical University, Jiatong, China
| | - Juan Liu
- Department of Child Health Care, Shenmu City Hospital, Shemnu City, China
| | - Shuan Feng Fang
- Child Health Care Department, Zhengzhou University, Zhengzhou, Henan, China
| | - Fu Yong Jiao
- Children's Hospital, Shaanxi Provincial People's Hospital of Xi'an, Jiatong University, Jiatong, China
| | - Massimo Pettoello-Mantovani
- Department of Pediatrics, Scientific Institute "Casa Sollievo della Sofferenza," University of Foggia, Foggia, Italy; European Pediatric Association-Union of National European Pediatric Societies and Associations, Berlin, Germany
| | - Eli Somekh
- European Pediatric Association-Union of National European Pediatric Societies and Associations, Berlin, Germany; Department of Pediatrics, Mayaney Hayeshuah Medical Center, Bnei Brak and the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
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32
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Jiao W, Li R, Guo H, Chen J, Jiao F, Wang J, Abubakari AA, Somekh E. Current and Future Perspectives of Child's Health Care in China. J Pediatr 2020; 216:252-254.e1. [PMID: 31708156 DOI: 10.1016/j.jpeds.2019.10.041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/15/2019] [Accepted: 10/15/2019] [Indexed: 11/13/2022]
Affiliation(s)
- Wenyan Jiao
- Department of Psychology, Shaanxi Provincial People's Hospital, Xian Jiaotong University, Xian, China
| | - Rui Li
- Children's Hospital of Shaanxi Provincial People's Hospital, Xian, China
| | - Hua Guo
- Department of Clinical Laboratory, Shaanxi Provincial People's Hospital, Xian, China
| | - Jianping Chen
- Children's Hospital of Shaanxi Provincial People's Hospital, Xian, China
| | - Fuyong Jiao
- Children's Hospital of Shaanxi Provincial People's Hospital, Xian, China
| | - Jieming Wang
- Pucheng Tianyou Children's Hospital, Pucheng Shaanxi, China
| | - Alhaji Adam Abubakari
- School of Medicine and Health Sciences, University for Development Studies, Tamale, Ghana; Feng Tian Hospital affiliated to Shenyang Medical College, Shenyang, China
| | - Eli Somekh
- Department of Pediatrics, Mayaney Hayeshuah Medical Center, Bnei Brak and the Sackler School of Medicine, Tel Aviv University, Israel; European Pediatric Association, Union of National European Pediatric Societies and Associations, Berlin, Germany.
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33
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Glikman D, Curiel N, Glatman‐Freedman A, Megged O, Youngster I, Marom R, Lavie K, Smolkin T, Troitzky M, Stein M, Stein M, Glikman D, Curiel N, Glatman‐Freedman A, Megged O, Eventov‐Fiedman S, Keller N, Kriger O, Somekh E, Tasher D, Gottesman G, Guri A, Ashkenazi‐Hoffnung L, Ben‐Zvi H, Youngster I, Herzlich J, Schindler Y, Marom R, Rubinstein U, Midlij E, Miron D, Damouni R, Kassis I, Nimri‐Atrash N, Freiman S, Lavie K, Smolkin T, Melamed R, Troitzky M, Sayag A. Nationwide epidemiology of early-onset sepsis in Israel 2010-2015, time to re-evaluate empiric treatment. Acta Paediatr 2019; 108:2192-2198. [PMID: 31168848 DOI: 10.1111/apa.14889] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/13/2019] [Revised: 05/27/2019] [Accepted: 06/04/2019] [Indexed: 01/25/2023]
Abstract
AIM Early-onset neonatal sepsis (EOS) may lead to significant morbidity and mortality, yet the recommended antimicrobials have not changed for many years. We aimed to optimise EOS treatment by examining EOS pathogens, resistance rates and resistance risk factors. METHODS A retrospective, nationwide cohort study analysing 2010-2015 EOS data in Israel. RESULTS The 21 participating centres constitute 92% of the total birth cohort (around 180 000 live births/year). Of 549 EOS neonates (0.57/1000 live births), 306 (56%) and 243 (44%) were full-term and preterm, respectively (0.35 vs. 2.94 per/1000 live births). Gram-negative pathogens predominated, especially in preterms. Escherichia coli and Streptococcus agalactiae were most common pathogens (0.2 and 0.19 per 1000 live births, respectively). In 277 Gram-negatives, 16%, 14%, 8% and 3% were gentamicin-resistant, extended-spectrum beta-lactamase (ESBL)-positive, gentamicin-resistant and ESBL-positive, and amikacin-resistant, respectively; preterms had higher resistance rates. No risk factors for antimicrobial resistance were identified. Mortality was reported in 21% of Gram-negative EOS versus 7% of Gram-positive EOS [OR 3.4 (95% CI 1.8-6.2), p < 0.01]. CONCLUSION In this nationwide study, EOS was caused predominantly by Gram-negatives, with high gentamicin resistance and ESBL phenotype rates, without identifiable resistance risk factors. As EOS is life-threatening, modification of empiric therapy for amikacin-based regimens should be considered, mainly in preterms.
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Affiliation(s)
- Daniel Glikman
- The Azrieli Faculty of Medicine in the Galilee Bar‐Ilan University Safed Israel
| | - Nitzan Curiel
- The Azrieli Faculty of Medicine in the Galilee Bar‐Ilan University Safed Israel
| | - Aharona Glatman‐Freedman
- Israel Centre for Disease Control Tel Hashomer Ramat Gan Israel
- Sackler School of Medicine Tel Aviv University Tel‐Aviv Israel
| | - Orli Megged
- Paediatrics Shaare Zedek Medical Center Jerusalem Israel
- The School of Medicine The Hebrew University and Hadassah Medical Centre Jerusalem Israel
| | - Ilan Youngster
- Sackler School of Medicine Tel Aviv University Tel‐Aviv Israel
- Paediatrics, Centre for Microbiome Research Assaf Harofeh Medical Centre Zerifin Israel
| | - Ronella Marom
- Sackler School of Medicine Tel Aviv University Tel‐Aviv Israel
- Neonatology Tel Aviv Medical Centre Tel Aviv Israel
| | - Karen Lavie
- Neonatology Carmel Medical Centre Haifa Israel
- Rappaport Faculty of Medicine Technion – Israel Institute of Technology Haifa Israel
| | - Tatiana Smolkin
- The Azrieli Faculty of Medicine in the Galilee Bar‐Ilan University Safed Israel
- Neonatology Baruch Padeh Medical Centre Poria Israel
| | - Mara Troitzky
- Neonatology Barzilai Medical Centre Ashkelon Israel
- Ben‐Gurion University of the Negev Be'er Sheva Israel
| | - Michal Stein
- Rappaport Faculty of Medicine Technion – Israel Institute of Technology Haifa Israel
- Infectious disease and infection control unit Hillel Yaffe Medical Centre Hadera Israel
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Abstract
To monitor parental vaccine attitudes, a survey was conducted in 2008 and in 2016. In both years (90%-89%) reported full immunization of their children, and a stable majority (71%-66%) supported documentation of vaccination before entering kindergarten. However, a declining confidence in official recommendations from 87% to 72% (P < 0.0001) in 2008 and 2016, respectively, was documented, requiring effort to rebuild it.
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Affiliation(s)
| | - Adamos Hadjipanayis
- Department of Paediatrics, Larnaca General Hospital, Inomenon polition, Larnaca, Cyprus
- Medical School, European University of Cyprus, Nicosia, Cyprus
| | | | - Eli Somekh
- Wolfson Medical center, Holon, Israel
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
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Affiliation(s)
- Eli Somekh
- Department of Pediatrics, Mayaney Hayeshuah Medical Center, Bnei Brak and The Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
| | - Manuel Katz
- Maternal and Child Health Department, Israeli Ministry of Health and Goshen Foundation, Jerusalem, Israel
| | - Zachi Grossman
- Maccabi Healthcare Services, Tel Aviv, Jerusalem, Israel
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Ginsberg GM, Somekh E, Schlesinger Y. Should we use Palivizumab immunoprophylaxis for infants against respiratory syncytial virus? - a cost-utility analysis. Isr J Health Policy Res 2018; 7:63. [PMID: 30554570 PMCID: PMC6296113 DOI: 10.1186/s13584-018-0258-4] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2018] [Accepted: 09/18/2018] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND Passive immunization against RSV (Respiratory Syncytial Virus) is given in most western countries (including Israel) to infants of high risk groups such as premature babies, and infants with Congenital Heart Disease or Congenital Lung Disease. However, immunoprophylaxis costs are extremely high ($2800-$4200 per infant). Using cost-utility analysis criteria, we evaluate whether it is justified to expand, continue or restrict nationwide immunoprophylaxis using palivizumab of high risk infants against RSV. METHODS Epidemiological, demographic, health service utilisation and economic data were integrated from primary (National Hospitalization Data, etc.) and secondary data sources (ie: from published articles) into a spread-sheet to calculate the cost per averted disability-adjusted life year (DALY) of vaccinating various infant risk groups. Costs of intervention included antibody plus administration costs. Treatment savings and DALYs averted were estimated from applying vaccine efficacy data to relative risks of being hospitalised and treated for RSV, including possible long-term sequelae like asthma and wheezing. RESULTS For all the groups RSV immunoprophylaxis is clearly not cost effective as its cost per averted DALY exceeds the $105,986 guideline representing thrice the per capita Gross Domestic Product. Vaccine price would have to fall by 48.1% in order to justify vaccinating Congenital Heart Disease or Congenital Lung Disease risk groups respectively on pure cost-effectiveness grounds. For premature babies of < 29 weeks, 29-32 and 33-36 weeks gestation, decreases of 36.8%, 54.5% and 83.3% respectively in vaccine price are required. CONCLUSIONS Based solely on cost-utility analysis, at current price levels it is difficult to justify the current indications for passive vaccination with Palivizumab against RSV. However, if the manufacturers would reduce the price by 54.5% then it would be cost-effective to vaccinate the Congenital Heart Disease or Congenital Lung Disease risk groups as well as premature babies born before the 33rd week of gestation.
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Affiliation(s)
- Gary M. Ginsberg
- Department of Technology Assessment, Public Health Service, Ministry of Health, Jerusalem, Israel
| | - Eli Somekh
- Department of Pediatrics, Wolfson Hospital, Holon, and Sackler School of Medicine, Tel Aviv University, Tel Aviv-Yafo, Israel
- European Paediatric Association/Union of National European Paediatric Societies and Associations, Berlin, Germany
| | - Yechiel Schlesinger
- Department of Pediatrics, Shaarae Zedek Medical Center, Affiliated to the Hadassah-Hebrew University Medical School, Jerusalem, Israel
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Ehrich J, Burla L, Sanz AC, Crushell E, Cullu F, Fruth J, Gerber-Grote A, Hoey H, Illy K, Janda J, Jansen D, Kerbl R, Mestrovic J, Mujkic A, Namazova-Baranova L, Nicholson A, Pettoello-Mantovani M, Pilossoff V, Sargsyans S, Somekh E, Trošelj M, Vural M, Werner A. As Few Pediatricians as Possible and as Many Pediatricians as Necessary? J Pediatr 2018; 202:338-339.e1. [PMID: 30360877 DOI: 10.1016/j.jpeds.2018.07.074] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/23/2018] [Accepted: 07/23/2018] [Indexed: 10/28/2022]
Affiliation(s)
- Jochen Ehrich
- European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Children's Hospital, Hannover Medical School, Hannover, Germany.
| | - Laila Burla
- Swiss Health Observatory (Obsan), Neuchâtel, Switzerland
| | - Angel Carrasco Sanz
- European Confederation of Primary Care Paediatricians (ECPCP), Rheinfelden, Germany; Primary Care Pediatrician, Primary Care Health Centre Potosi, Madrid, Spain
| | - Ellen Crushell
- Children's Hospital, Hannover Medical School, Hannover, Germany; School of Medicine Our Lady's Children's Hospital Crumlin, Dublin, Ireland
| | - Fügen Cullu
- Children's Hospital, Hannover Medical School, Hannover, Germany; University of Istanbul, Istanbul University Cerrahpaşa, Medical Faculty, Neonatology, Istanbul, Turkey
| | | | - Andreas Gerber-Grote
- European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; School of Health Professions, Zurich University of Applied Sciences, Winterthur, Switzerland
| | - Hilary Hoey
- Children's Hospital, Hannover Medical School, Hannover, Germany; Royal College of Physicians of Ireland, The University of Dublin Trinity College, Dublin, Ireland
| | - Karoly Illy
- Dutch Pediatric Association, Utrecht, the Netherlands; Ziekenhuis Rivierenland, Tiel, the Netherlands
| | - Jan Janda
- Children's Hospital, Hannover Medical School, Hannover, Germany; Second Medical School, Charles University, Prague, Czech Republic
| | - Danielle Jansen
- University Medical Center Groningen, Department of Health Sciences, University of Groningen, Groningen, the Netherlands; University of Groningen, Department of Sociology and Interuniversity for Social Science Theory and Methodology, University of Groningen, Groningen, the Netherlands; Section Child and Adolescent Public Health, European Public Health Association, Utrecht, the Netherlands
| | - Reinhold Kerbl
- Department of Pediatrics and Adolescent Medicine, General Hospital Leoben, Leoben, Austria
| | - Julije Mestrovic
- Children's Hospital, Hannover Medical School, Hannover, Germany; Medical School of Split, University Hospital of Split, Split, Croatia
| | - Aida Mujkic
- School of Medicine, Andrija Stampar School of Public Health, University of Zagreb, Zagreb, Croatia
| | - Leyla Namazova-Baranova
- Children's Hospital, Hannover Medical School, Hannover, Germany; Federal State Budgetary Institution "Scientific Center of Children's Health" Moscow, Moscow, Russian Federation
| | - Alf Nicholson
- Temple Street Children's University Hospital, Dublin, Ireland
| | - Massimo Pettoello-Mantovani
- Children's Hospital, Hannover Medical School, Hannover, Germany; Department of Pediatrics, Scientific Institute "Casa Sollievo della Sofferenza", University of Foggia, Foggia, Italy
| | | | - Sergey Sargsyans
- Institute of Child and Adolescent Health at "Arabkir" Medical Centre, Yerevan State Medical University, Yerevan, Armenia
| | - Eli Somekh
- European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Maynei Hayeshuah Medical Center, Bnei Brak, Israel; The Sackler School of Medicine, Tel Aviv, Israel
| | - Mario Trošelj
- Croatian Institute of Public Health, Zagreb, Croatia
| | - Mehmet Vural
- AFPA, French Association of Ambulatory Pediatricians, Saint-Germain-en-Laye, France
| | - Andreas Werner
- AFPA, French Association of Ambulatory Pediatricians, Saint-Germain-en-Laye, France
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Machtey E, Ehrich J, Somekh E. Regulations of Night Shifts of Pediatric Residents: Review of Responses to a European Survey. J Pediatr 2018; 201:302-303.e1. [PMID: 30122367 DOI: 10.1016/j.jpeds.2018.06.058] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/19/2018] [Accepted: 06/19/2018] [Indexed: 11/24/2022]
Affiliation(s)
- Elad Machtey
- Department of Pediatrics, Wolfson Medical Center, Holon, Israel; The Sackler School of Medicine, Tel Aviv, Israel
| | - Jochen Ehrich
- Children's Hospital, Hannover Medical School, Hannover, Germany; European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany
| | - Eli Somekh
- The Sackler School of Medicine, Tel Aviv, Israel; European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Department of Pediatrics, Mayanei Hayeshuah Medical Center, Bnei Brak, Israel.
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Tasher D, Raucher-Sternfeld A, Tamir A, Giladi M, Somekh E. Bartonella quintana, an Unrecognized Cause of Infective Endocarditis in Children in Ethiopia. Emerg Infect Dis 2018; 23. [PMID: 28730981 PMCID: PMC5547792 DOI: 10.3201/eid2308.161037] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
Bartonella quintana endocarditis, a common cause of culture-negative endocarditis in adults, has rarely been reported in children. We describe 5 patients 7-16 years of age from Ethiopia with heart defects and endocarditis; 4 cases were caused by infection with B. quintana and 1 by Bartonella of undetermined species. All 5 patients were afebrile and oligosymptomatic, although 3 had heart failure. C-reactive protein was normal or slightly elevated, and erythrocyte sedimentation rate was high. The diagnosis was confirmed by echocardiographic demonstration of vegetations, the presence of high Bartonella IgG titers, and identification of B. quintana DNA in excised vegetations. Embolic events were diagnosed in 2 patients. Our data suggest that B. quintana is not an uncommon cause of native valve endocarditis in children in Ethiopia with heart defects and that possible B. quintana infection should be suspected and pursued among residents of and immigrants from East Africa, including Ethiopia, with culture-negative endocarditis.
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Ehrich J, Somekh E, Pettoello-Mantovani M. The Importance of Expert Opinion-Based Data: Lessons from the European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA) Research on European Child Healthcare Services. J Pediatr 2018; 195:310-311.e1. [PMID: 29643017 DOI: 10.1016/j.jpeds.2017.12.064] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/19/2017] [Accepted: 12/19/2017] [Indexed: 11/29/2022]
Affiliation(s)
- Jochen Ehrich
- European Paediatric Association/Union of National Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Children's Hospital, Hannover Medical School, Hannover, Germany.
| | - Eli Somekh
- European Paediatric Association/Union of National Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Wolfson Medical Center, Holon Israel, and The Sackler School of Medicine, Tel Aviv, Israel
| | - Massimo Pettoello-Mantovani
- European Paediatric Association/Union of National Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Department of Pediatrics, Scientific Institute "Casa Sollievo della Sofferenza," University of Foggia, Foggia, Italy
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41
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Bar-Meir M, Kalisky I, Schwartz A, Somekh E, Tasher D. Prediction of Resistance to Intravenous Immunoglobulin in Children With Kawasaki Disease. J Pediatric Infect Dis Soc 2018; 7:25-29. [PMID: 28062554 DOI: 10.1093/jpids/piw075] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/31/2016] [Accepted: 11/19/2016] [Indexed: 11/13/2022]
Abstract
BACKGROUND Approximately 10%-20% of patients with Kawasaki disease (KD) are refractory to initial intravenous immunoglobulin (IVIg) therapy, and these "nonresponders" are at higher risk of coronary artery abnormalities. Early identification of these patients, who may benefit from additional therapy, is challenging. The aim of the present study is to identify predictors for IVIg resistance. METHODS We reviewed clinical records of 312 consecutive KD patients from 9 medical centers in Israel (development dataset) and 186 patients from additional 5 centers (validation dataset). Using multivariate analysis, we identified predictors of IVIg resistance. A third small prospective cohort of consecutive KD patients from a single medical center was used to test the accuracy of the predictors. RESULTS Coronary artery abnormalities in the initial echocardiogram and presenting before day 5 of fever were independent predictors of IVIg nonresponse. Using either of these variables generated an area under the receiver-operating-characteristics curve of 0.7 (95% confidence interval [CI], 0.6-0.8). Sensitivity to predict nonresponse was 81% (95% CI, 67-90) and specificity was 50% (95% CI, 44-56). Similar results were found in the validation dataset and in the small prospective cohort. CONCLUSIONS Coronary artery abnormalities in the initial echocardiogram and presenting before day 5 of fever show high sensitivity in identifying IVIg nonresponders among our KD patients.
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Affiliation(s)
- Maskit Bar-Meir
- Pediatrics and Infectious Diseases Division, Shaare-Zedek Medical Center, Jerusalem, Israel.,Faculty of Medicine, Hebrew University, Jerusalem, Israel
| | - Itai Kalisky
- Pediatrics and Infectious Diseases Division, Shaare-Zedek Medical Center, Jerusalem, Israel
| | - Andrei Schwartz
- Pediatrics and Pediatric Infectious Diseases, Wolfson Medical Center, Holon, Israel
| | - Eli Somekh
- Pediatrics and Pediatric Infectious Diseases, Wolfson Medical Center, Holon, Israel.,Sackler School of Medicine, Tel-Aviv University, Israel
| | - Diana Tasher
- Pediatrics and Pediatric Infectious Diseases, Wolfson Medical Center, Holon, Israel.,Sackler School of Medicine, Tel-Aviv University, Israel
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Rubin L, Belmaker I, Somekh E, Rudolf M, Grossman Z. Deaths of children and women in Gaza hostilities - Authors' reply. Lancet 2018; 391:540. [PMID: 29617245 DOI: 10.1016/s0140-6736(18)30186-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/20/2017] [Accepted: 01/11/2018] [Indexed: 11/16/2022]
Affiliation(s)
- Lisa Rubin
- Department of Maternal and Child Health, Public Health Service, Ministry of Health, 9446724, Jerusalem, Israel; School of Public Health, University of Haifa, Haifa, Israel.
| | - Ilana Belmaker
- Division of Health in the Community, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Tel Aviv, Israel
| | - Eli Somekh
- University School of Medicine, Tel Aviv, Israel; Israel Pediatric Association, Tel Aviv, Israel; European Paediatric Association-Union of National European Paediatric Societies and Associations, Berlin, Germany; Tel Aviv University School of Medicine, Tel Aviv, Israel; Israel Pediatric Association, Tel Aviv, Israel; European Paediatric Association-Union of National European Paediatric Societies and Associations, Berlin, Germany
| | - Mary Rudolf
- Department of Population Health, Faculty of Medicine in the Galilee, Bar Ilan University, Safed, Israel; Department of Paediatrics and Child Health, University of Leeds, Leeds, UK
| | - Zachi Grossman
- Maccabi Health Services, Tel Aviv, Israel; Israel Pediatric Association, Tel Aviv, Israel; Israel Pediatric Research in Office Setting Network, Tel Aviv, Israel
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Gerber-Grote A, Namazova-Baranova L, Hoey H, Pettoello-Mantovani M, Vural M, Mestrovic J, Somekh E, Ehrich J. European Paediatric Association, the Union of National European Paediatric Societies and Associations Turns 40 Years: What This European Platform Offers to Pediatricians. J Pediatr 2017; 186:217-218.e2. [PMID: 28455117 DOI: 10.1016/j.jpeds.2017.03.060] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Andreas Gerber-Grote
- School of Health Professions, Zurich University of Applied Sciences, Winterthur, Switzerland.
| | - Leyla Namazova-Baranova
- Federal State Budgetary Institution, "Scientific Centre of Children's Health," Moscow, Russia
| | - Hilary Hoey
- Royal College of Physicians of Ireland, The University of Dublin Trinity College, Dublin, Ireland
| | - Massimo Pettoello-Mantovani
- Department of Pediatrics, Scientific Institute "Casa Sollievo della Sofferenza," University of Foggia, Foggia, Italy
| | - Mehmet Vural
- Istanbul University Cerrahpaşa, Medical Faculty, Neonatology, University of Istanbul, Istanbul, Turkey
| | - Julije Mestrovic
- Medical School of Split, University Hospital of Split, Split, Croatia
| | - Eli Somekh
- Wolfson Medical Center, Holon Israel, The Sackler School of Medicine, Tel Aviv, Israel
| | - Jochen Ehrich
- Children's Hospital, Hannover Medical School, Hannover, Germany
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Rubin L, Belmaker I, Somekh E, Urkin J, Rudolf M, Honovich M, Bilenko N, Grossman Z. Maternal and child health in Israel: building lives. Lancet 2017; 389:2514-2530. [PMID: 28495101 DOI: 10.1016/s0140-6736(17)30929-7] [Citation(s) in RCA: 45] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/14/2016] [Revised: 01/30/2017] [Accepted: 02/02/2017] [Indexed: 01/12/2023]
Abstract
Israel is home to a child-oriented society that values strong family ties, universal child benefits, and free education for all children from 3 years of age to school grade 12. Alongside the universal health-care services that are guaranteed by the National Health Insurance Law and strong, community-based primary and preventive care services, these values have resulted in good maternal and child health. In 2015, infant and maternal mortality (3·1 deaths per 1000 livebirths and 2·0 deaths per 100 000 livebirths, respectively) were lower than the mean infant and maternal mortality of countries within the Organisation for Economic Co-operation and Development. Israel has already exceeded the developed regions' Sustainable Development Goal 2030 targets for maternal mortality, neonatal mortality, and mortality in children younger than 5 years in all population groups. Yet these accomplishments are marred by Israel's high prevalence of child poverty (more than 30%), particularly among Arabs (63%) and ultra-Orthodox Jews (67%). Although infant mortality has improved in all subpopulations since Israel was founded in 1948, infant mortality among Arabs is still more than twice as high as among Jews. To address these disparities in health, the Israeli Ministry of Health has created a special division and has funded an intervention programme to reduce the infant mortality among Bedouin Arabs. Other interventions include targeted and culturally appropriate health-care programmes and services for communities with a high number of at-risk children and young adults, dental health service for all children up to 15 years, and improved collaboration between health, education, and welfare services. The challenges faced by the Israeli health-care system include a growing trend towards medicalisation of prenatal care, ensuring staff are trained to treat developmental, behavioural, and psychosocial issues in children and their families, securing sustainable funding for health promotion and injury prevention programmes, expanding and improving the coordination of services for children with special needs or who are at risk, and programme assessment. Ensuring adequate funding for dedicated, preventive paediatric care and taking action on a nationwide scale to reduce child poverty are essential for maintaining health gains in children. In this Series paper, we describe the health indices, highlight disparities, and discuss the challenges in delivering and maintaining maternal and child health care in Israel.
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Affiliation(s)
- Lisa Rubin
- Department of Maternal and Child Health, Public Health Service, Ministry of Health, Jerusalem, Israel; School of Public Health, University of Haifa, Haifa, Israel.
| | - Ilana Belmaker
- Division of Health in the Community, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel
| | - Eli Somekh
- Wolfson Medical Center, Holon, Israel; Tel Aviv University School of Medicine, Tel Aviv, Israel; Israel Pediatric Association, Tel Aviv, Israel; European Paediatric Association-Union of National European Paediatric Societies and Associations, Berlin, Germany
| | - Jacob Urkin
- Division of Health in the Community, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel; Clalit Health Services, Tel Aviv, Israel; Department of Pediatrics, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel
| | - Mary Rudolf
- Department of Population Health, Faculty of Medicine in the Galilee, Bar Ilan University, Safed, Israel; Department of Paediatrics and Child Health, University of Leeds, Leeds, UK
| | - Mira Honovich
- Department of Maternal and Child Health, Public Health Service, Ministry of Health, Jerusalem, Israel
| | - Natalya Bilenko
- Sub District Health Office, Ashkelon District, Ministry of Health, Ashkelon, Israel; Department of Public Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel
| | - Zachi Grossman
- Maccabi Health Services, Tel Aviv, Israel; Israel Pediatric Association, Tel Aviv, Israel; Israel Pediatric Research in Office Setting Network, Tel Aviv, Israel
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Rinawi F, Ashkenazi S, Wilschanski M, Somekh E, Shamir R. [RECOMMENDATIONS FOR THE DIAGNOSIS AND MANAGEMENT OF PEDIATRIC ACUTE GASTROENTERITIS IN ISRAEL - UPDATE 2017]. Harefuah 2017; 156:189-193. [PMID: 28551933] [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: 06/07/2023]
Abstract
AIMS The aim of these guidelines is to update and extend evidence-based recommendations for the diagnosis and management of children with acute gastroenteritis (AGE) in Israel, based on new data and the recently published European update. METHODS The recommendations, which are based on a systematic review of the literature, were graded by the level of evidence. The guidelines were endorsed by the Israeli societies for Pediatric Gastroenterology, Pediatric Infectious Diseases and the Israeli Association of Pediatrics. RESULTS Gastroenteritis severity is mainly linked to etiology, and rotavirus is most frequently associated with dehydration. Dehydration reflects severity and should be monitored by established score systems. Laboratory tests are generally not needed. Oral rehydration with hypo-osmolar solution is the major treatment and should start as soon as possible. Breast-feeding should not be interrupted; regular feeding should usually be continued with no dietary changes including milk. Data suggest that in the hospital setting, in non-breast-fed infants and young children, lactose-free feeds can be considered in the management of gastroenteritis. Antimicrobial therapy should be given in exceptional cases. Hospitalization should generally be reserved for children requiring enteral/parenteral rehydration, and most cases may be managed in an outpatients setting. Enteral rehydration is superior to intravenous rehydration. CONCLUSIONS Implementation of the scientifically-based guidelines in clinical practice may improve the standard of care of pediatric AGE in Israel.
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Affiliation(s)
- Firas Rinawi
- Institute of Gastroenterology, Nutrition and Liver Diseases, Schneider Children's Medical Center
| | - Shai Ashkenazi
- Department of Pediatrics A and Unit of Infectious Diseases, Schneider Children's Medical Center
- Sackler Faculty of Medicine, Tel-Aviv University, Israel
| | - Michael Wilschanski
- Gastroenterology Unit, Hadassah Hebrew University Hospitals, Jerusalem Israel
| | - Eli Somekh
- Sackler Faculty of Medicine, Tel-Aviv University, Israel
- Pediatric Infectious Diseases Unit, Wolfson Medical Center, Holon, Israel
| | - Raanan Shamir
- Institute of Gastroenterology, Nutrition and Liver Diseases, Schneider Children's Medical Center
- Sackler Faculty of Medicine, Tel-Aviv University, Israel
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Klivitsky A, Tasher D, Stein M, Gavron E, Somekh E. Hospitalizations for dental infections: optimally versus nonoptimally fluoridated areas in Israel. J Am Dent Assoc 2016; 146:179-83. [PMID: 25726345 DOI: 10.1016/j.adaj.2014.12.011] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2014] [Revised: 12/03/2014] [Accepted: 12/11/2014] [Indexed: 11/25/2022]
Abstract
BACKGROUND Odontogenic infections may result in local, systemic, and even potentially life-threatening complications. The authors investigated whether water fluoridation was associated with reduction in rates of hospitalizations due to odontogenic infections. METHODS The authors included cities in Israel that had fluoride concentrations of either 0.7 milligrams per liter or more (optimally fluoridated) or 0.5 mg/L or less (nonoptimally fluoridated) and that had a public water fluoride concentration consistent for the last decade. The authors compared hospitalization rates (per 10,000 children) for odontogenic infections in children younger than 18 years in each socioeconomic group between optimally and nonoptimally fluoridated cities. RESULTS The authors included 1,413 hospitalizations between January 2005 and December 2011 of children residing in the 38 studied municipalities. The cities with the higher fluoride concentration reported a lower hospitalization rate (2.0 versus 4.3 for cities with a lower fluoride concentration; relative risk [RR]: 2.16; P < .001). When the authors divided cities into 3 socioeconomic groups, a large difference in hospitalization rates was seen in the lowest socioeconomic group (10.1 versus 2.6; RR: 3.79; P < .001) and the middle socioeconomic group (3.6 versus 1.9; RR: 2.35; P < .001) in optimally and nonoptimally fluoridated cities, respectively. No significant difference in hospitalization rates was apparent between the 2 fluoridation groups in the higher socioeconomic level. CONCLUSIONS These results clearly indicate that there is an association between adequacy of water fluoridation and hospitalization due to dental infections among children and adolescents. This effect is more prominent in populations of lower socioeconomic status. PRACTICAL IMPLICATIONS Water fluoridation is associated with reduction in dental health disparity.
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Pettoello-Mantovani M, Namazova-Baranova L, Mestrovic J, Somekh E, Ehrich J. Working with the Union of National European Pediatric Societies and Associations in "Building Bridges Across Europe": The Eighth EUROPAEDIATRICS, Bucharest, Romania, June 7-10, 2017. J Pediatr 2016; 178:311-312.e1. [PMID: 27574997 DOI: 10.1016/j.jpeds.2016.08.029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- Massimo Pettoello-Mantovani
- European Paediatric Association-Union of National European Paediatric Societies and Associations, Berlin, Germany; Clinic of Pediatrics, Scientific Institute for Research and Health Care "Casa Sollievo", University of Foggia, Foggia, Italy.
| | - Leyla Namazova-Baranova
- European Paediatric Association-Union of National European Paediatric Societies and Associations, Berlin, Germany; Federal State Budgetary Institution, Scientific Centre of Children's Health, Moscow, Russia
| | - Julije Mestrovic
- European Paediatric Association-Union of National European Paediatric Societies and Associations, Berlin, Germany; Pediatric Intensive Care Unit, Department of Pediatrics, University Hospital of Split, Medical School of Split, Split, Croatia
| | - Eli Somekh
- European Paediatric Association-Union of National European Paediatric Societies and Associations, Berlin, Germany; Pediatric Infectious Diseases Unit, Wolfson Medical Center, Holon and Sackler School of Medicine, Tel Aviv University, Israel
| | - Jochen Ehrich
- European Paediatric Association-Union of National European Paediatric Societies and Associations, Berlin, Germany; Children's Hospital, Hannover Medical School, Hannover, Germany
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Somekh E. Pediatric Practice in Israel 2016: Combining the Art of Medicine and Science. Isr Med Assoc J 2016; 18:643-644. [PMID: 28466609] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Affiliation(s)
- Eli Somekh
- Israeli Association of Pediatrics Division of Pediatrics, Wolfson Medical Center, Holon, Israel Sackler School of Medicine, Tel Aviv University, Israel
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Abstract
Israel is a relatively rapidly growing country with a high fertility rate and a young population. These data emphasize the importance of an efficient and appropriate pediatric service for its population. Although the pediatric service in Israel has attained several achievements, such as a relatively low infant mortality, high vaccination rates, and a primary care service that is mainly based on licensed pediatricians, several challenges, such as overcoming inequalities in health care and health indices between different regions and different populations within the country and the provision of a more organized mental and dental health care service to children, need to be addressed.
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Affiliation(s)
- Diana Tasher
- Pediatric Infectious Diseases Unit, Wolfson Medical Center, Holon and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Lisa Rubin
- Mother and Child Department, Ministry of Health, Jerusalem, Israel
| | | | - Itamar Grotto
- Public Health Services, Ministry of Health, Jerusalem, Israel
| | - Dikla Dahan
- Public Health Services, Ministry of Health, Jerusalem, Israel
| | | | - Eli Somekh
- Pediatric Infectious Diseases Unit, Wolfson Medical Center, Holon and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
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Tasher D, Kopel E, Anis E, Grossman Z, Somekh E. Causality Assessment of Serious Neurologic Adverse Events Following bOPV National Vaccination Campaign in Israel. Isr Med Assoc J 2016; 18:590-593. [PMID: 28471617] [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: 06/07/2023]
Abstract
BACKGROUND During 2013-2014 Israel experienced a continuous circulation of wild poliovirus type 1 (WPV1) but with no clinical cases. WPV1 circulation was gradually terminated following a national vaccination campaign of bivalent oral poliovirus vaccine (bOPV) for 943,587 children < 10 years. Four cases of children with neurological manifestations that appeared following bOPV vaccinations were reported during the campaign: three of Guillain-Barré syndrome (GBS) and one of acute disseminated encephalomyelitis (ADEM). OBJECTIVES To present an analysis of these cases, the rapid response and the transparent publication of the results of this analysis. METHODS The clinical, laboratory and epidemiological data of these four patients were available during the analysis. In addition, data regarding the incidence of GBS and ADEM during previous years, and reported cases of acute flaccid paralysis (AFP) and the incidence of Campylobacter jejuni enteritis were collected from the Epidemiology Department of the Israel Ministry of Health. RESULTS The incidence of GBS among bOPV-vaccinated children was not higher than among bOPV-unvaccinated children. For all the cases reviewed the "incubation period" from vaccination to the event was longer than expected and other more plausible causes for the neurologic manifestations were found. There is no evidence in the literature of a causal relationship between bOPV and ADEM. CONCLUSIONS There was no association between the bOPV vaccine and the reported neurological manifestations. We believe that our experience may assist other public health professionals when confronting a similar problem of alleged side effects during a mass medical intervention.
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Affiliation(s)
- Diana Tasher
- Pediatric Infectious Diseases Unit, Wolfson Medical Center, Holon, Israel
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
- Israeli National Polio Accreditation Committee, Ministry of Health, Jerusalem, Israel
| | - Eran Kopel
- Division of Epidemiology, Public Health Services, Ministry of Health, Jerusalem, Israel
- Public Health Services, Ministry of Health, Jerusalem, Israel
- Hebrew University-Hadassah Braun School of Public Health and Community Medicine, Jerusalem, Israel
| | - Emilia Anis
- Division of Epidemiology, Public Health Services, Ministry of Health, Jerusalem, Israel
- Public Health Services, Ministry of Health, Jerusalem, Israel
- Hebrew University-Hadassah Braun School of Public Health and Community Medicine, Jerusalem, Israel
- Israeli National Polio Accreditation Committee, Ministry of Health, Jerusalem, Israel
| | - Zachi Grossman
- Israel Pediatric Association, Wolfson Medical Center, Holon, Israel
- Maccabi Health Services, Tel Aviv, Israel
| | - Eli Somekh
- Pediatric Infectious Diseases Unit, and Israel Pediatric Association Wolfson Medical Center, Holon, Israel
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
- Israeli National Polio Accreditation Committee, Ministry of Health, Jerusalem, Israel
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