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Recent Advances in Pediatrics (Special Volume 26): Infectious Diseases I
Suraj Gupte
PART 1: SPOTLIGHT: INFLUENZA
1:
Pediatric Influenza: Overview
INTRODUCTION
PECULIARITIES
HIGH-RISK CHILDREN
ETIOLOGIC ASPECTS1,6-8
EPIDEMIOLOGIC CHARACTERISTICS9,10
PATHOGENESIS
CLINICAL MANIFESTATIONS11-14
DIAGNOSIS1,15,16
Clinical
Routine
Specific
PREVENTION
Vaccines16-18
Nonpharmaceutical Measures
Chemoprophylaxis
MANAGEMENT1,5,19
Supportive Care
Antiviral Drugs
Special Considerations for Treatment of Avian Influenza
COMPLICATIONS19,20
PROGNOSIS/OUTCOME
SUMMARY AND CONCLUSION
2:
Seasonal Influenza: ABC and Beyond
INTRODUCTION
ETIOLOGIC CONSIDERATIONS
PATHOPHYSIOLOGY
EPIDEMIOLOGY
Agent Factors
Host Factors
Age
Mobility
Immunity
Environmental Factors
Seasonal Variations
TRANSMISSION AND SPREAD
VIRAL SHEDDING
CLINICAL MANIFESTATIONS7-10
COMPLICATIONS11-18
Acute Bronchitis
Acute Bronchiolitis
Pneumonia
Exacerbation of Chronic Pulmonary Disease
Croup
Failure of Recovery
Myositis
Cardiac Complications
Toxic Shock Syndrome (TSS)
Peripheral Neuropathy
Reye's Syndrome
Complications in HIV-infected Patients
DIAGNOSIS18-21
Rapid Influenza Diagnostic Test (RIDT)
Direct Fluorescent Antibody Stain (DFA)
Viral Culture
Molecular Testing/Real-time Polymerase Chain Reaction (RT-PCR)
Influenza A or B Antibody Tests
Interpretation of Diagnostic Tests
Recommended Approach for Diagnostic Tests10
TREATMENT19-21
PREVENTION3,19
PROGNOSIS
DIFFERENCES BETWEEN SEASONAL AND PANDEMIC INFLUENZA
SUMMARY AND CONCLUSION
3:
Influenza Pandemic 2009–10
INTRODUCTION
PANDEMIC 2009 IN A NUTSHELL
Special Features of the Pandemic
Case Definitions
TREATMENT
Asian Experience
Preventive Measures Adopted for the Pandemic
India's Response to the Pandemic
POSTPANDEMIC PHASE
SUMMARY AND CONCLUSION
4:
Antiviral Drugs in Influenza
INTRODUCTION
TWO MAJOR CLASSES
Amantadine1–6
Rimantadine1–6
Oseltamivir10–13
Zanamivir14–16
Peramivir17,18
SUMMARY AND CONCLUSION
5:
Influenza and Complementary and Alternative Medicine
INTRODUCTION
VARIOUS DEFINITIONS
HYPERTHERMIA AS TREATMENT FOR INFLUENZA4
AYURVEDIC MEDICINE AND INFLUENZA5,6
ADDITIONAL INFLUENZA THERAPIES
ROLE OF HOME REMEDIES IN INFLUENZA
AYURVEDIC MEDICINES FOR INFLUENZA
HERBAL MEDICINE FOR INFLUENZA
HOMEOPATHIC MEDICINES FOR INFLUENZA7–12
CONTEMPORARY STATUS OF CAM IN INFLUENZA
SUMMARY AND CONCLUSION
6:
Influenza Vaccines
INTRODUCTION
INFLUENZA VACCINES: ISSUES AND CONCERNS1-5,11-14
Inactivated (Killed) Influenza Vaccines
Live Attenuated Influenza Vaccines
Live Attenuated Monovalent Novel H1N1 2009
Prepandemic Influenza Vaccine
INFLUENZA VACCINE: UNIVERSAL RECOMMENDATIONS
Influenza Vaccines1-5
Trivalent Influenza Vaccine (TIV)
Live Attenuated Influenza Vaccine (LAIV)
INFLUENZA VIRUS VACCINES: RECOMMENDATIONS IN INDIA
SUMMARY AND CONCLUSION
7:
Influenza: Future Perspectives and Directions
INTRODUCTION
NEWER AND FUTURE DIAGNOSTIC TESTS
NEWER INFLUENZA VACCINES DEVELOPMENT
OBESITY AND INFLUENZA VACCINE
INFLUENZA AND CARDIOVASCULAR DISEASE
OVERCOMING THE PROBLEM OF ANTIVIRAL DRUG RESISTANCE
NEWER AND EXPERIMENTAL ANTIVIRAL DRUGS
TOWARDS NOVEL ANTI-INFLUENZA THERAPEUTICS6-8
SEROTHERAPY/ANTISERA IN INFLUENZA
ROLE OF STATINS24,25
HOPE FROM THE GENOME SEQUENCING PROJECT
INFLUENZA, PSYCHIATRIC MANIFESTATIONS AND SCHIZOPHRENIA26,27
CURBING INFLUENZA RESEARCH FOR BIOTERRORISM
AVIAN INFLUENZA AND FUTURE INFLUENZA PANDEMIC (FIGS 7.3 AND 7.4)30,31
NEXT INFLUENZA PANDEMIC: OTHER PROBABILITIES
HALTING THE ADVANCES OF FUTURE PANDEMIC
NEED FOR AN EFFECTIVE SURVEILLANCE AND RESPONSE
INVESTMENT IN FURTHER RESEARCH
SUMMARY AND CONCLUSION
PART 2: VECTOR-BORNE VIRAL INFECTION DISEASES
8:
Ebola Virus Disease
INTRODUCTION
EPIDEMIOLOGY*
Etiology
Geographic Distribution
Transmission (Fig. 8.3)
PATHOGENESIS
CLINICAL FEATURES
DIAGNOSIS
TREATMENT
VACCINES
MANAGEMENT DURING OUTBREAKS
SUMMARY AND CONCLUSION
9:
A–Z Dengue
INTRODUCTION
DISEASE BURDEN
HISTORICAL LANDMARKS
ETIOLOGIC VIRUSES
Transmission and Spread
PATHOPHYSIOLOGY AND PATHOGENESIS9-12
CLASSIFICATIONS
Old Classification
New Classification
CLINICAL ASPECTS
DIAGNOSIS
DIFFERENTIAL DIAGNOSIS
MANAGEMENT9-13
Supportive Treatment
COMPLICATIONS
PROGNOSIS
PREVENTION AND CONTROL
Dengue Vaccine Development13-24
Antivector Approach20
Antiviral Approaches
DENGUE AND BIOTERRORISM
SUMMARY AND CONCLUSIONS
10:
Chikungunya
INTRODUCTION1-4
DISEASE BURDEN4,5
HISTORICAL LANDMARKS6,7
ETIOLOGIC VIRUS
Transmission and Spread
PATHOPHYSIOLOGY AND PATHOGENESIS
CLINICAL MANIFESTATIONS11-15
DIAGNOSIS16
Virus Isolation
RT-PCR
Serology
MANAGEMENT
PREVENTION
Antimosquito Measures
TREATMENT
Vaccine Development10,16,17
Passive Immunity
PROGNOSIS
CHIKUNGUNYA AND BIOTERRORISM18
SUMMARY AND CONCLUSION
11:
Japanese Encephalitis: Issues and Concerns
INTRODUCTION
DISEASE BURDEN
Global
Indian
HISTORICAL LANDMARKS1-4
ETIOLOGIC VIRUS
TRANSMISSION AND SPREAD5,6
PATHOPHYSIOLOGY7-11
CLINICAL FEATURES
UNICEF/WHO CASE DEFINITION AND CLASSIFICATION
DIAGNOSIS12,13
MANAGEMENT
Supportive Measures (Box 11.2)
Specific Measures14
PREVENTION AND CONTROL15-19
General Measures
Vaccine(s)
Japanese Encephalitis Vaccine: Recommendations in India
PROGNOSIS AND SEQUELAE
SUMMARY AND CONCLUSION
PART 3: BACTERIAL INFECTIOUS DISEASES
12:
Typhoid: Is There Something New?
INTRODUCTION
ETIOLOGY
MODE OF TRANSMISSION
EPIDEMIOLOGY
PATHOGENESIS
CLINICAL FEATURES
DIAGNOSIS
LABORATORY DIAGNOSIS OF TYPHOID
DIFFERENTIAL DIAGNOSIS
TREATMENT
PROGNOSIS
PREVENTION
SUMMARY AND CONCLUSION
13:
Rickettsial Infections
INTRODUCTION
EPIDEMIOLOGY
ETIOLOGY
Vectors and Transmission
Host Factors
PATHOGENESIS
CLINICAL FEATURES
COMPLICATIONS
Challenges in Diagnosing Rickettsial Infections
INVESTIGATIONS
TREATMENT
SUMMARY AND CONCLUSION
14:
Leptospirosis
INTRODUCTION
EPIDEMIOLOGY
ETIOLOGY AND PATHOGENESIS
CLINICAL FEATURES
Anicteric Leptospirosis
Icteric Leptospirosis (Weil's Disease)
DIFFERENTIAL DIAGNOSIS
INVESTIGATIONS
TREATMENT
Supportive Therapy
Antibiotic Therapy
PREVENTION
PROGNOSIS
SUMMARY AND CONCLUSION
ACKNOWLEDGMENT
PART 4: GASTROINTESTINAL INFECTIONS
15:
Acute Infectious Diarrhea
INTRODUCTION
PREVALENCE
ETIOPATHOGENESIS
CLINICAL FEATURES
DIAGNOSIS
LABORATORY INVESTIGATIONS
TREATMENT
Assessment and Treatment of Dehydration31
Oral Rehydration Solution
Nutrition
Role of Zinc
Role of Antimicrobials
Role of Other Pharmacologic Agents
Role of Probiotics and Prebiotics
HIV and Diarrhea
PREVENTION
SUMMARY AND CONCLUSION
16:
Cholera
INTRODUCTION
DISEASE BURDEN3,4
HISTORICAL LANDMARKS
ETIOLOGIC AGENT
TRANSMISSION AND SPREAD
RISK FACTORS
ETIOPATHOLOGY3-5
COURSE OF INFECTION
CLINICAL ASPECTS
DIAGNOSIS
COMPLICATIONS
MANAGEMENT4-8
Rehydration
Pharmacotherapy
OUTBREAK RESPONSE
Travel
PREVENTION AND CONTROL
Cholera Vaccines9-13
Chemoprophylaxis
Health Education
PROGNOSIS
SUMMARY AND CONCLUSION
17:
Abdominal Tuberculosis
INTRODUCTION
CLASSIFICATION
PATHOPHYSIOLOGY
CLINICAL FEATURES
Tuberculosis of the Esophagus
Gastroduodenal Tuberculosis
Ileocecal Tuberculosis
Segmental Colonic Tuberculosis
Rectal and Anal Tuberculosis
Peritoneal Tuberculosis
Solid Organ Tuberculosis
DIAGNOSIS
INVESTIGATIONS
Blood Examination
Serum Biochemistry
PPD Skin Testing/Mantoux Test
Imaging Techniques
Barium Meal Follow-through
Barium Enema Studies
Ultrasound21
Computed Tomography (CT)22 (Figs 17.6 to 17.8)
Magnetic Resonance Imaging23
Endoscopy24 (Fig. 17.9)
LAPAROSCOPY25
Ascitic Tap (Paracentesis)
Serodiagnosis
Soft Tissue Biopsy and Culture
Diagnostic Algorithm28
MANAGEMENT
Medical Treatment
Surgical Treatment
HIV Co-existent Tuberculosis Treatment29
SUMMARY AND CONCLUSION
PART 5: PREVENTIVE PEDIATRICS
18:
Adverse Events Following Immunization: Issues and Concerns
INTRODUCTION
DEFINITION
TYPES OF AEFI
Local Reactions
General/Systemic Reactions
AEFI IN RELATION TO INDIVIDUAL VACCINES
ETIOLOGIC CONSIDERATIONS
REPORTING OF AEFI
VACCINE SAFETY AND AEFI MONITORING
INTERNATIONAL ACTIVITIES ON VACCINE SAFETY
Current Activities
Activities Currently in Development
Past Activities
GLOBAL STRATEGY ON SAFETY ISSUES OF VACCINES3,21-26
SUMMARY AND CONCLUSION
19:
Immunization in India: 2015 and Beyond and the Need for Adopting ‘Health System’ Approach
INTRODUCTION
UIP IN INDIA: CHALLENGES AND CURRENT STATUS
UIP IN INDIA: WAY FORWARD FOR 2015 AND ONWARDS
Governance and Stewardship
Improved Service Delivery
Resource Generation
Financing for Immunization Program
SUMMARY AND CONCLUSION
20:
Future Vaccines
INTRODUCTION
FUTURE VACCINES FOR INFECTIOUS DISEASES
HIV Vaccine2,3
New Tuberculosis Vaccine4-6
Hepatitis B Vaccine
Hepatitis C Vaccine
Dengue Vaccine9,10
Respiratory Syncytial Virus Vaccine11
Malaria Vaccine
Universal Influenza Vaccine15
Anthrax Vaccine16
Cytomegalovirus Vaccine17-19
Group B Streptococcus Vaccine
Staphylococcal Vaccine21
Shigella Vaccine
FUTURE VACCINES FOR NONCOMMUNICABLE DISEASES23,24
THERAPEUTIC VACCINES
FUTURE BREAKTHROUGHS IN VACCINE DELIVERY SYSTEM
Edible Vaccines25
Vaccination Micropatch26
Aerosol Vaccines27
SUMMARY AND CONCLUSION
PART 6: PEDIATRIC THERAPEUTICS
21:
Rational Antimicrobial Therapy
INTRODUCTION AND EXTENT OF ANTIMICROBIAL RESISTANCE
MODES OF ACTION OF ANTIMICROBIAL AGENTS AND MECHANISMS OF ANTIMICROBIAL RESISTANCE
Harmful Effects of Non-Judicious/Irrational Antimicrobials Use
How to Choose an Antimicrobial Agent Rationally/Judiciously
PATTERNS OF USAGE OF ANTIMICROBIALS
PROPHYLACTIC ANTIMICROBIAL USE
ROLE OF LABORATORY INVESTIGATIONS AND ANTIMICROBIAL SUSCEPTIBILITY TESTS
ANTIMICROBIAL ROTATION
ANTIMICROBIAL STEWARDSHIP
What else can be done to prevent antimicrobial drug resistance? Strategies for the present and the future
SUMMARY AND CONCLUSION
ACKNOWLEDGMENT
22:
Antiviral Medications in Pediatric Practice
INTRODUCTION
OVERVIEW
ANTIHERPES VIRUS DRUGS
Acyclovir (Zovirax)
Ganciclovir (Cymevene)
ANTIRETROVIRAL DRUGS
Abacavir (Abamune)
Didanosine (Dinex)
Efavirenz (Efavir)
Lamivudine (Ladiwin, Lamnidac)
Lopinavir (Ritomax-L Forte)
Nelfinavir (Nelvir)
Nevirapine (Nevimune)
Stavudine (Stavir)
Zidovudine (Retrovir, AZT, ZDV)
ANTI-INFLUENZA VIRUS DRUGS
Amantadine (Amantrel)
Oseltamivir (Antiflu, Tamiflu)
Rimantadine (Flumadine)
Zanamivir (Relenza)
MISCELLANEOUS (NONSELECTIVE) ANTIVIRAL DRUGS
Interferon-alpha-2a (Roferon-A)
Ribavirin (Ribavin)
SUMMARY AND CONCLUSION
PART 7: MISCELLANEOUS
23:
Atypical Pneumonia
INTRODUCTION
EPIDEMIOLOGY
ETIOLOGY
RISK FACTORS
CLINICAL FEATURES
Mycoplasma pneumoniae
Chlamydia pneumoniae
Legionnaires' Disease
DIAGNOSIS
TREATMENT
Antimicrobial Chemotherapy
Combination Antibiotic Therapy
SUMMARY AND CONCLUSION
24:
Pediatric Tuberculosis: Current Trends
INTRODUCTION
EPIDEMIOLOGY
NOTIFICATION
NATIONAL CONSULTATION ON MANAGEMENT OF CHILDHOOD TB
KEY DEFINITIONS1-4
KEY DEFINITIONS FOR TREATMENT OUTCOMES FOR CHILDREN WITH TB4
DEFINITIONS FOR RESISTANT TB4
DIAGNOSIS OF TB IN CHILDREN
Sample Collection
Techniques for AFB Isolation
CATEGORIZATION OF CHILDREN WITH TB
DRUG DOSAGES IN CHILDREN3,8
INTERMITTENT VERSUS DAILY REGIMEN
DURATION OF ATT
Drug Formulations
LATENT TUBERCULOUS BACILLI INFECTION AND TB PREVENTIVE THERAPY
ANTITUBERCULAR THERAPY INDUCED HEPATITIS
MANAGEMENT OF ATT INDUCED HEPATOTOXICITY
CORTICOSTEROIDS IN TB
NEWER ANTITUBERCULAR DRUGS
VACCINES AGAINST TB
CHALLENGES IN PEDIATRIC RNTCP
SPECIFIC ISSUES WITH PEDIATRIC RNTCP20,21
DRUG-RESISTANCE IN CHILDHOOD TB
PUBLIC-PRIVATE MIX IN RNTCP
SUMMARY AND CONCLUSION
25:
Cerebral Malaria: Current Perspectives
INTRODUCTION
PATHOGENESIS
Cytokines, Chemokines and Excitotoxic Effects
CLINICAL FEATURES
Coma
Seizures
Brainstem Signs
Retinopathy in Malaria
Concomitant Complication
PROGNOSIS
SEQUELAE
DIAGNOSIS
Peripheral Blood Film
Rapid Diagnostic Tests
Other Laboratory Tests
TREATMENT
General Management of Severe Malaria
Management of Anemia
SUMMARY AND CONCLUSION
26:
Pediatric HIV Infection/AIDS: Current Perspectives and New Guidelines
INTRODUCTION
HIV/AIDS IN INDIA: A BRIEF
PREVENTION OF MOTHER-TO-CHILD TRANSMISSION FRAMEWORK
EXISTING GUIDELINES
Reducing Antenatal Transmission Risk
Reducing Transmission Risk during Delivery
Mode of Delivery Recommendation
Postnatal Recommendations
To Breastfeed or Not Breastfeed
NEW (2014) GUIDELINES11-13
Major Changes
Monitoring of Pediatric HIV Infection
Time of Starting ATT
What Drugs to Start: Initial Combination Therapy for Antiretroviral Treatment-Naïve Children
Regimens Not Recommended for Initial Therapy of Antiretroviral—Naïve Children
Management of Children Receiving cART
Role of Therapeutic Drug Monitoring
Antiretroviral Drug Resistance Testing
Pediatric Antiretroviral Drug Information
Nucleoside and Nucleotide Analog Reverse Transcriptase Inhibitors
Non-Nucleoside Analog Reverse Transcriptase Inhibitors
Protease Inhibitors
Integrase Strand Transfer Inhibitors
SUMMARY AND CONCLUSION
INDEX
TOC
Index
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