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1. Inter-society consensus for the use of inhaled corticosteroids in infants, children and adolescents with airway diseases (vol 47, pg 1, 2021)

Author

Duse, M, Santamaria, F, Verga, M, Bergamini, M, Simeone, G, Leonardi, L, Tezza, G, Bianchi, A, Capuano, A, Cardinale, F, Cerimoniale, G, Landi, M, Malventano, M, Tosca, M, Varricchio, A, Zicari, A, Alfaro, C, Barberi, S, Becherucci, P, Bernardini, R, Biasci, P, Caffarelli, C, Caldarelli, V, Capristo, C, Castronuovo, S, Chiappini, E, Cutrera, R, De Castro, G, De Franciscis, L, Decimo, F, Iacono, I, Diaferio, L, Di Cicco, M, Di Mauro, C, Di Mauro, D, Di Mauro, F, Di Mauro, G, Doria, M, Falsaperla, R, Ferraro, V, Fanos, V, Galli, E, Ghiglioni, D, Indinnimeo, L, Kantar, A, Lamborghini, A, Licari, A, Lubrano, R, Luciani, S, Macri, F, Marseglia, G, Martelli, A, Masini, L, Midulla, F, Minasi, D, Miniello, V, Del Giudice, M, Morandini, S, Nardini, G, Nocerino, A, Novembre, E, Pajno, G, Paravati, F, Piacentini, G, Piersantelli, C, Pozzobon, G, Ricci, G, Spanevello, V, Turra, R, Zanconato, S, Borrelli, M, Villani, A, Corsello, G, and Peroni, D

Subjects
Settore MED/38
Published
2022

4. Consensus statement of the Italian society of pediatric allergy and immunology for the pragmatic management of children and adolescents with allergic or immunological diseases during the COVID-19 pandemic

Author

Cardinale, F, Ciprandi, G, Barberi, S, Bernardini, R, Caffarelli, C, Calvani, M, Cavagni, G, Galli, E, Minasi, D, Del Giudice, M, Moschese, V, Novembre, E, Paravati, F, Peroni, D, Tosca, M, Traina, G, Tripodi, S, Marseglia, G, Amato, D, Anania, C, Anastasio, E, Antignani, R, Arasi, S, Baldassarre, M, Baldo, E, Barbalace, A, Barni, S, Betti, F, Bianchi, A, Bolzacchini, E, Bonini, M, Bottau, P, Bozzetto, S, Brighetti, M, Caimmi, D, Caimmi, S, Calzone, L, Cancrini, C, Caminiti, L, Capata, G, Capra, L, Capristo, C, Carboni, E, Carella, F, Castagnoli, R, Chiappini, E, Chiera, F, Chinellato, I, Chini, L, Cipriani, F, Civitelli, F, Comberiati, P, Contini, D, Corrente, S, Cravidi, C, Crisafulli, G, Cuomo, B, D'Auria, E, D'Elios, S, Decimo, F, Giustina, A, Piane, R, De Filippo, M, De Vittori, V, Diaferio, L, Di Mauro, M, Duse, M, Federici, S, Felice, G, Fenu, G, Ferrante, G, Foti, T, Franceschini, F, Ghiglioni, D, Giardino, G, Giovannini, M, Indirli, G, Indolfi, C, Landi, M, La Torre, F, Leone, L, Licari, A, Liotti, L, Lougaris, V, Maiello, N, Mantecca, P, Manti, S, Mariani, M, Martelli, A, Mastrorilli, C, Mastrorilli, V, Montin, D, Mori, F, Olcese, R, Ottaviano, G, Paglialunga, C, Pajno, G, Parisi, G, Pattini, S, Pecoraro, L, Pelosi, U, Pignata, C, Ricci, G, Ricci, S, Rizzi, S, Rizzo, C, Rosati, S, Rosso, P, Sangerardi, M, Santoro, A, Saretta, F, Sarti, L, Sartorio, M, Sgruletti, M, Soresina, A, Sfika, I, Sgrulletti, M, Tesse, N, Tranchino, V, Travaglini, A, Velia, M, Verduci, E, Vernich, M, Veronelli, E, Volpi, S, Votto, M, Zicari, A, Cardinale, F, Ciprandi, G, Barberi, S, Bernardini, R, Caffarelli, C, Calvani, M, Cavagni, G, Galli, E, Minasi, D, Del Giudice, M, Moschese, V, Novembre, E, Paravati, F, Peroni, D, Tosca, M, Traina, G, Tripodi, S, Marseglia, G, Amato, D, Anania, C, Anastasio, E, Antignani, R, Arasi, S, Baldassarre, M, Baldo, E, Barbalace, A, Barni, S, Betti, F, Bianchi, A, Bolzacchini, E, Bonini, M, Bottau, P, Bozzetto, S, Brighetti, M, Caimmi, D, Caimmi, S, Calzone, L, Cancrini, C, Caminiti, L, Capata, G, Capra, L, Capristo, C, Carboni, E, Carella, F, Castagnoli, R, Chiappini, E, Chiera, F, Chinellato, I, Chini, L, Cipriani, F, Civitelli, F, Comberiati, P, Contini, D, Corrente, S, Cravidi, C, Crisafulli, G, Cuomo, B, D'Auria, E, D'Elios, S, Decimo, F, Giustina, A, Piane, R, De Filippo, M, De Vittori, V, Diaferio, L, Di Mauro, M, Duse, M, Federici, S, Felice, G, Fenu, G, Ferrante, G, Foti, T, Franceschini, F, Ghiglioni, D, Giardino, G, Giovannini, M, Indirli, G, Indolfi, C, Landi, M, La Torre, F, Leone, L, Licari, A, Liotti, L, Lougaris, V, Maiello, N, Mantecca, P, Manti, S, Mariani, M, Martelli, A, Mastrorilli, C, Mastrorilli, V, Montin, D, Mori, F, Olcese, R, Ottaviano, G, Paglialunga, C, Pajno, G, Parisi, G, Pattini, S, Pecoraro, L, Pelosi, U, Pignata, C, Ricci, G, Ricci, S, Rizzi, S, Rizzo, C, Rosati, S, Rosso, P, Sangerardi, M, Santoro, A, Saretta, F, Sarti, L, Sartorio, M, Sgruletti, M, Soresina, A, Sfika, I, Sgrulletti, M, Tesse, N, Tranchino, V, Travaglini, A, Velia, M, Verduci, E, Vernich, M, Veronelli, E, Volpi, S, Votto, M, and Zicari, A

Abstract

The COVID-19 pandemic has surprised the entire population. The world has had to face an unprecedented pandemic. Only, Spanish flu had similar disastrous consequences. As a result, drastic measures (lockdown) have been adopted worldwide. Healthcare service has been overwhelmed by the extraordinary influx of patients, often requiring high intensity of care. Mortality has been associated with severe comorbidities, including chronic diseases. Patients with frailty were, therefore, the victim of the SARS-COV-2 infection. Allergy and asthma are the most prevalent chronic disorders in children and adolescents, so they need careful attention and, if necessary, an adaptation of their regular treatment plans. Fortunately, at present, young people are less suffering from COVID-19, both as incidence and severity. However, any age, including infancy, could be affected by the pandemic. Based on this background, the Italian Society of Pediatric Allergy and Immunology has felt it necessary to provide a Consensus Statement. This expert panel consensus document offers a rationale to help guide decision-making in the management of children and adolescents with allergic or immunologic diseases.

Published
2020

6. Long-term effects of bronchopulmonary dysplasia on lung function: a pilot study in preschool children's cohort.

Author

Manti, S., Galdo, F., Parisi, G. F., Napolitano, M., Decimo, F., Leonardi, S., and Miraglia Del Giudice, M.

Subjects
BRONCHIOLITIS, PRESCHOOL children, BRONCHOPULMONARY dysplasia, SMALL for gestational age, ATOPY, ARTIFICIAL respiration, PREMATURE infants
Abstract

Although the long term negative effects of bronchopulmonary dysplasia (BPD) are well known, follow-up studies of preterm infants with BPD into childhood are lacking. Forty-two preschool children (age range 3–6 years) who were born before 32 weeks of gestational age and affected by BPD were enrolled. Pre-, peri-, and post-natal data were collected. During the follow up appointment complete physical examination and lung function (impulse oscillometry (IOS)) were recorded. The European Community Respiratory Health Survey (ECRHS) questionnaire was administered to all enrolled subjects. Thirty patients were included in the final analysis. The BPD group did not differ in comparison to the non-BPD group in terms of lung function (p > 0.05). By comparing all subjects enrolled, We detected extremely low-birth-weight (ELBW) infants with height-, weight-, and gender-related reference values and a significant trend of increasing resistance values (R5Hz, R5-20 Hz) and respiratory impedance (Z5Hz) (p < 0.05). No significant difference in bronchial reversibility test was observed among BPD non-BPD groups (p < 0.05). The frequency of gastroesophageal reflux disease was significantly higher in patients with BPD when compared to non-BPD group (p < 0.05). Significant differences in gestational age, oxygen supplementation (days), mechanical ventilation therapy (days), and sepsis between BPD and non-BPD groups were also observed (p < 0.05). There were no significant differences in the prevalence of family and personal history of atopy and/or allergic diseases, tobacco exposure, respiratory symptoms, respiratory syncytial virus bronchiolitis, exercise induced dyspnea, treatment with ß-2 bronchodilators and inhaled corticosteroids among the groups (p > 0.05). The respiratory function in preschool children born with ELBW is characterized by an increase in impedance and resistance of small airways. No statistically significant differences were found between ELBW children with BPD and without BPD. With regards to the smallest gestational age, the longer duration of O2 therapy during hospitalization, and sepsis significantly resulted in a worse respiratory function. [ABSTRACT FROM AUTHOR]

Published
2021
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7. The Uninvited Migrant, the 'Autochtoon' and the 'Allochtoon' in the Netherlands

Author

Doomernik, J., Decimo, F., Gribaldo, A., and Transnational Configurations, Conflict and Governance (AISSR, FMG)

Subjects
Member states, 05 social sciences, 0507 social and economic geography, Identity (social science), 0506 political science, Politics, Political economy, Scale (social sciences), Political science, European integration, 050602 political science & public administration, Nation-building, Meaning (existential), Asylum seeker, 050703 geography
Abstract

Political integration often comes with a process of nation building. With European integration, old borders between member states indeed lose their meaning and only Europe’s outside borders remain significant. Yet, nation building on an EU scale is not in evidence. Rather integration seems to produce uncertain identities. However, failing a European identity at least it can be underlined who the ‘others’ are.This might also hold inside member states’ fabric when formal members (citizens) might still be ‘the other’. Along which fold lines this happens might be explained by earlier political differentiations reflected in national statistical and policy category. This is illustrated by the Dutch government’s benevolent differentiation between allochtoon and autochtoon; terms coined to allow for a neutral monitoring of the effects of integration policies without taking recourse to terms like ‘migrant’ or ‘foreigner’ often used elsewhere. By inclusion of the immigrants’ children and a discursive disregard for differentiation, over time the meaning and scope of the word allochtoon has inflated to mean everyone who is not ‘us’. As will be amply demonstrated, e.g. by parliamentary minutes, using ‘objective’ figures populist rhetoric can thus voice concerns with a large and growing allochtoon population prone to crime and religious extremism; among Muslims in particular.

Published
2017

8. Spazi di confidenza: la regolazione della distanza sociale nella collaborazione domestica

Author

COLOMBO, ASHER DANIEL, Decimo F., CATANZARO R., COLOMBO A. D., Colombo A. D., and Decimo F

Subjects
LAVORO DI CURA, SOCIOLOGIA DELLA FAMIGLIA, SERVIZIO DOMESTICO, DISTANZA SOCIALE
Abstract

Nel contributo si cerca, innanzitutto, di considerare l’attuale dibattito sul lavoro domestico anche alla luce delle ricostruzioni che le discipline storiche ci offrono sul ruolo che la servitù e il servizio domestico hanno svolto nelle famiglie europee del passato, senza peraltro avere l’ambizione di ricostruire un quadro completo o esauriente nelle poche pagine a disposizione. Quindi, gli autori entrano nel vivo delle testimonianze raccolte proponendo una differenziazione dei modelli di relazione oggi prevalenti in Italia. Nelle conclusioni individuano alcune delle dimensioni di analisi che più in profondità identificano le principali differenze riscontrate tra tali modelli. Il capitolo si basa sull’analisi di due sezioni specifiche dell’intervista, relative alle relazioni con la famiglia per cui si lavora e alle forme di cortesia utilizzate nell’ambiente domestico. 2.503 citazioni tratte dalle 658 interviste sono state quindi analizzate allo scopo di classificare tutte le interviste sulla base delle dimensioni di analisi individuate.

Published
2009

9. Guidelines for the diagnosis and treatment of acute and subacute rhinosinusitis in children

Author

Esposito S, Principi N, Di Pietro P, Bona G, Longhi R, Navone C, De Luca G, Michelozzi C, Miniello V, Morelli M, Tel F, Traverso A, Tremolati E, de Martino M, Bosis S, Chiappini E, Galli L, Tovo P, Paravati F, Plebani A, Vierucci A, Barbato A, Marseglia G, Baldi F, Barberi S, Bellasio M, Boner A, Cuffari A, Decimo F, De Rosa M, Leo G, del Giudice MM, Piacentini G, Tripodi S, Di Mauro G, Brusoni G, Zuccotti GV, Passali D, Serra A, Pagnataro L, Belussi L, Marchisio P, Eandi M, Novelli A, Scaglione F, Nicoletti G, Speciale A.M. Pediatrics, Italian Society of Otorhinolaryngology, Italian Society of Chemotherapy, Italian Society of Microbiology, LONGO, GIORGIO, Esposito, S, Principi, N, DI PIETRO, P, Bona, G, Longhi, R, Navone, C, DE LUCA, G, Michelozzi, C, Miniello, V, Morelli, M, Tel, F, Traverso, A, Tremolati, E, DE MARTINO, M, Bosis, S, Chiappini, E, Galli, L, Tovo, P, Paravati, F, Plebani, A, Vierucci, A, Barbato, A, Marseglia, G, Baldi, F, Barberi, S, Bellasio, M, Boner, A, Cuffari, A, Decimo, Fabio, DE ROSA, M, Leo, G, Longo, G, MIRAGLIA DEL GIUDICE, Michele, Piacentini, G, Tripodi, S, DI MAURO, G, Brusoni, G, Zuccotti, Gv, Passali, D, Serra, A, Pagnataro, L, Belussi, L, Marchisio, P, Eandi, M, Novelli, A, Scaglione, F, Nicoletti, Giovanni Francesco, Speciale, Am, Di Pietro, P, De Luca, G, de Martino, M, Decimo, F, De Rosa, M, Longo, Giorgio, del Giudice, Mm, Di Mauro, G, Nicoletti, G, Pediatrics, Speciale A. M., Italian Society of, Otorhinolaryngology, Italian Society of, Chemotherapy, and Italian Society of, Microbiology

Subjects
medicine.medical_specialty, sinusitis, respiratory tract infection, Respiratory System Agents, MEDLINE, subacute rhinosinusiti, English language, Guidelines, Drug Administration Schedule, subacute rhinosinusitis, children, Terminology as Topic, medicine, Acute rhinosinusitis, Humans, Pharmacology (medical), rhinosinusitis, guidelines, Child, Sinusitis, Intensive care medicine, Rhinitis, Pharmacology, Settore MED/38 - Pediatria Generale e Specialistica, Human studies, business.industry, medicine.disease, Antibiotic treatment, Anti-Bacterial Agents, Surgery, Infectious Diseases, Oncology, El Niño, Settore BIO/14 - Farmacologia, business
Abstract

The importance of rhinosinusitis finally reached pediatricians' attention a few years ago, and it has now been demonstrated that it is medically important and has a considerable socioeconomic impact in childhood. These guidelines, which have been prepared with and approved by many Italian Scientific Societies, are based on the most recent findings in the fields of clinical symptoms, imaging and microbiology tests for the diagnosis of acute rhinosinusitis, and efficacy evidence concerning antibiotic treatment and non-antibiotic adjuvant treatment. A Pubmed search using the key words "sinusitis", "rhinosinusitis", "child" and "antibiotic treatment", and the limits "human studies" and "English language", led to the selection of more than 2,700 articles published between 1966 and 2007. These guidelines are based on the 125 that were considered truly relevant and reflect the most widely shared positions concerning the diagnosis and treatment of acute, subacute and recurrent rhinosinusitis in children.

Published
2008

11. Role of endothelin in the respiratory system

Author

ROSSI, Francesca, Gallelli, L., Marrocco, G., Capristo, C., Decimo, F., Brunese, F. P., Capristo, A. F., D'Agostino, B., MIRAGLIA DEL GIUDICE, Michele, Rossi, Francesca, Gallelli, L., Marrocco, G., Capristo, C., MIRAGLIA DEL GIUDICE, Michele, Decimo, F., Brunese, F. P., Capristo, A. F., and D'Agostino, B.

Published
2000

12. The allergic sensitization in infants with atopic eczema from different countries

Author

de Benedictis, F, Franceschini, F, Hill, D, Naspitz, C, Simons, F, Wahn, U, Warner, J, de Longueville, M, Gold, M, Quinn, P, Marshall, H, Kummerow, M, Heine, R, Bannister, D, Sly, P, Loh, R, Halbert, A, Douglas, T, Stick, S, van Asperen, P, Kakakios, A, Nightingale, W, Mckay, K, Zach, M, Pfleger, A, Varga, E, Emminger, W, Käfer, B, Stefanovic, D, Plank, V, de Moor, A, Desager, K, Hagendorens, M, de Raeve, L, Malfoort, A, Rybnícek, O, Chládková, J, Chyba, T, Kopriva, F, Skopková, O, Balcárek, V, Honomichlova, H, Honomichlová Houdkova, P, Honomichl, P, Petru, V, Carbolova, A, Kopecká, K, Pohunek, P, Svobodova, T, Spicák, V, Kopecka, K, Maltulka, M, Spicáková, M, Kynclova, S, Billard, E, Robert, M, Cartier, H, Castelain, M, Payot, F, Levy, J, Ruer, M, Cambazard, F, Perrot, J, Fond, L, Pétrus, M, Rancé, F, Le Manach, G, Robert, J, Friedrichs, F, Pfannenstiel, C, Jobst, S, Schatz, H, Niggemann, B, Grüber, C, Bresser, H, Landwehr, K, Schauer, U, Zimmermann, T, Hertl, M, Froehlich Krapf, T, Bulle, D, Rietschel, E, Lange, L, Müller, S, van Koningsbruggen, S, Abeck, D, Ring, J, Forer, I, Vogel, M, Fischer, S, Tichmann Schumann, I, Wörnle, R, Kiekens, H, Dolderer, R, von Berg, A, Albrecht, B, Bollrath, C, Pietroni, L, Bruschi, B, Armenio, L, Massagli, M, Brunetti, L, Fiermonte, P, Rana, M, Granieri, L, Lorè, M, Masi, M, Patriza, A, Specchia, F, Bigucci, B, Ricci, G, Miniachi, A, Duse, M, Porteri, V, Belotti, C, Barberio, G, Tiralongo, V, Vita, D, Feliciotto, R, Caminiti, L, Fiocchi, A, Sarratud, T, Terracciano, L, De Chiara, A, Capristo, A, Capristo, C, Maiello, N, Decimo, F, Rocco, A, Miraglia del Giudice, M, Marseglia, G, Lombardini, G, Ricci, A, Caimmi, S, Napoli, A, Tzialla, C, Ghiglione, V, Galli, E, Giampietro, P, Mancino, G, Arabito, E, Rossi, P, Chianca, M, Moschese, V, Chini, L, Swiatly, A, Szczawinska Popkonyl, A, Kulesza Kazecka, M, Cavagni, G, Spattini, A, Pastorelli, S, Messori, A, Boner, A, Fasoli, E, Romei, I, Alfonsi, L, Rijntjes, J, Sillevis Smitt, H, Van Nierop, J, Duiverman, E, Brouwer, M, Niewenhuis, A, Rottier, B, van der Heide, S, Oranje, A, Kemperman, P, Breedijk, T, de Waard van der Spek, F, Bruynzeel Komen, C, Pasmans, S, Meijer, Y, Flinterman, A, Kaczmarski, M, Cudowska, B, Wasilewska, J, Matuszfwska, E, Malaczynska, T, Klajna Kraluk, B, Sokalska, J, Masnica Wasylkowska, E, Biegun Awramineko, I, Chlon, M, Latos, T, Pomaranska, E, Gaszczyk, G, Makuch, B, Stanisz, J, Bokiej, J, Lis, G, Cichocka Jarosz, E, Glodzik, I, Szczerbinski, T, Chlebna Sokol, D, Stanczyk, A, Wlazlowski, J, Ligenza, I, Kamer, B, Pyziak, K, Pasowska, R, Zwaigzne Racynska, J, Emeryk, A, Milanowska, H, Zywicka, G, Bartkowiak Emeryk, M, Chojna, E, Alkiewicz, J, Breborowicz, A, Kurzawa, R, Wojcik, A, Jedrys Klucjasz, U, Urbanek Jozwik, E, Dymek, L, Dymek, A, Bozek, A, Chmielewska Szewczyk, D, Lange, J, Peradzynska, J, Kulus, M, Najberg, E, Nowicka, E, Chrupek, A, Boznanski, A, Willak Janc, E, Latkowska, A, Sikorska, E, Jarlinska, M, Eseverri Asin, J, Muñoz, E, Giner, M, Plaza, A, Piquer Gilbert, M, Díaz González, E, Martín, M, Sierra, J, Corzo, J, Rojas, E, Santos, R, Bosque Garcia, M, Valdesoiro, L, Asensio, O, Larramona, H, Nieto Garcia, A, Caballero, L, Pamies, R, Oliver, F, Evole, M, Mazón, A, Puterman, A, Morris, A, Vermeulen, J, Weber, H, Edson, R, Pollock, I, Postma, A, Minders, L, Jooma, O, Suleman, M, Vawda, Z, Mahomedy, S, Potter, P, Emmanuel, S, Marian, A, Hawarden, D, Motala, C, White, P, Reyneke, S, Havemann, W, Morison, A, Clarke, N, Clifford, R, Arshad, H, Pereira, D, Roberts, G, Hourihane, J, Foote, K, Sollis, M, De Benedictis F.M., Franceschini F., Hill D., Naspitz C., Simons F.E., Wahn U., Warner J.O., De Longueville M., Patrizi A., Masi M., Ricci G., Specchia F., Bigucci B., and Miniaci A.

Subjects
Male, Pediatrics, medicine.medical_specialty, Immunology, atopy, Immunoglobulin E, medicine.disease_cause, Global Health, sensitization, Dermatitis, Atopic, Allergic sensitization, Atopy, Cohort Studies, Allergen, medicine, otorhinolaryngologic diseases, Immunology and Allergy, Humans, Sensitization, Asthma, Settore MED/38 - Pediatria Generale e Specialistica, House dust mite, biology, business.industry, infants, Infant, Atopic dermatitis, Allergens, biology.organism_classification, medicine.disease, Dermatology, medicine.anatomical_structure, eczema, biology.protein, Female, business
Abstract

Background: No study has compared allergic sensitization patterns in infants with atopic eczema from different countries. The aim of this study was to investigate the patterns of allergic sensitization in a cohort of infants with atopic eczema participating in a multicentre, international study. Methods: Two thousand one hundred and eighty-four infants (mean age 17.6 months) with atopic eczema from allergic families were screened in 94 centres in 12 countries to participate in a randomized trial for the early prevention of asthma. Clinical history, Severity Scoring of Atopic Dermatitis Index, measurements for total serum IgE and specific IgE antibodies to eight food and inhalant allergens were entered into a database before randomization to treatment. A history of type of feeding in the first weeks of life and exposure to animals was recorded. Results: A total of 52.9% of the infants had raised total IgE, and 55.5% were sensitized to at least one allergen. There was a wide difference in the total IgE values and in the sensitization rates to foods and aeroallergens among infants from different countries. The highest prevalence rates of allergen-sensitized infants were found in Australia (83%), the UK (79%) and Italy (76%). Infants from Belgium and Poland consistently had the lowest sensitization rates. In each country, a characteristic pattern of sensitization was found for aeroallergens (house dust mite > cat > grass pollen > Alternaria), but not for food allergens. Conclusions: In infants with atopic eczema, there is a wide variation in the pattern of allergic sensitization between countries, and data from one country are not necessarily generalizable to other countries.

Published
2009

13. Guidelines for the diagnosis and treatment of acute and subacute rhinosinusitis in children

Author

Di Pietro, P, Bona, G, Longhi, R, Navone, C, De Luca, G, Michelozzi, C, Miniello, V, Morelli, M, Tel, F, Traverso, A, Tremolati, E, de Martino, M, Bosis, S, Chiappini, E, Galli, L, Tovo, P, Paravati, F, Plebani, A, Vierucci, A, Barbato, A, Marseglia, G, Baldi, F, Barberi, S, Bellasio, M, Boner, A, Cuffari, A, Decimo, F, De Rosa, M, Leo, G, Longo, G, del Giudice MM, Piacentini, G, Tripodi, S, Di Mauro, G, Brusoni, G, Zuccotti, Gv, Passali, D, Serra, Agostino, Pagnataro, L, Bellussi, L, Marchisio, P, Eandi, M, Novelli, A, Scaglione, F, Nicoletti, G, and Speciale, A. M.

Published
2008

22. Fractional Exhaled Nitric Oxide(FENO), Lung Function and Airway Hyperresponsiveness in Naïve Atopic Asthmatic Children.

Author

del Giudice, Michele Miraglia, Brunese, F. P., Piacentini, G. L., Pedullà, M., Capristo, C., Decimo, F., and Capristo, A. F.

Subjects
NITRIC oxide, ASTHMA in children, ASTHMATICS, PEDIATRIC respiratory diseases, BRONCHIAL spasm, ASTHMA
Abstract

Background. Measurement of fractional exhaled nitric oxide(FENO) is a noninvasive, simple, well-tolerated, and reproducible marker of airway inflammation. Asthmatic children with normal respiratory function could be affected by airway inflammation. The aim of this study was to assess the correlation between FENO and bronchial hyperesponsiveness(BHR) to methacholine, and between FENO and lung function in atopic children with intermittent asthma. METHODS: Thirty-seven children(21 male), aged 7.2–14.4 years(median: 10.9 years), suffering from mild intermittent atopic asthma with a physician-diagnosed history of wheezing and/or chest tightness were studied. None had taken anti-asthmatic therapy for at least three months before the study. No child had symptoms of respiratory tract infection in the month before the study. All subjects underwent FENO measurement, pulmonary function testing and the methacholine provocation tests. RESULTS: The mean percentages of FEV1 and FEF25–27 were 91.9 ± 10.5 and 88.3 ± 11.8, respectively. The mean FENO was 62.2 ± 39.2 ppb and PC20 methacholine was 0.93 mg/ml ± 0.54. Significant correlations were identified between FENO and FEV1(p < 0.0059, r = 0.468) and between FENO and FEF25–75(p < 0.0098, r = 0.439). There was no correlation between FENO and logPC20(p = 0.14). CONCLUSIONS: A single FENO measurement is probably of scarce prognostic and predictive value and it is not surprising to find discordance with BHR. We suggest that FENO measurement could represent a good marker of airway inflammation also in naïve atopic children with intermittent asthma. Repeated measurements over time are probably necessary to understand better the clinical implications of the data obtained in this study. [ABSTRACT FROM AUTHOR]

Published
2004
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23. Magnesium alginate in children with uncontrolled asthma

Author

Giudice, M. M. D., Indolfi, C., Ciprandi, G., Decimo, F., Campana, G., Umano, G. R., Giannetti, E., MARCO MAGLIONE, Miraglia Del Giudice, M, Indolfi, C, Ciprandi, G, Decimo, F, Campana, G, Umano, G R, Giannetti, E, and Maglione, M

Subjects
Alginates, proton pump inhibitor, gastroesophageal reflux disease, Alginate, Proton Pump Inhibitors, asthma, digestive system diseases, respiratory tract diseases, asthma control, magnesium alginate, children, Gastroesophageal Reflux, Humans, Magnesium, Child, Human
Abstract

Gastroesophageal reflux disease (GERD) may be frequently associated with asthma in children and may affect asthma control. Proton pump inhibitors (PPI) are commonly prescribed in asthmatic children, despite uncertain efficacy on respiratory symptoms and risk of relevant adverse effects.

26. Mannitol bronchial challenge test in asthmatic children

Author

Giudice, M. M., Caprtsto, C., Decimo, F., Coronella, A., Cristiana Indolfi, Parisi, G., Maiello, N., Miraglia Del Giudice, M, Capristo, Carlo, Decimo, Fabio, Coronella, A, Indolfi, C, Parisi, G, and Maiello, Nunzia

28. Airways allergic inflammation and L. reuterii treatment in asthmatic children

Author

Miraglia Del Giudice, M., Maiello, N., Decimo, F., Fusco, N., D'Agostino B, Sullo, N., Capasso, M., Salpietro, V., Gitto, E., Ciprandi, G., GIAN LUIGI MARSEGLIA, Perrone, L., MIRAGLIA DEL GIUDICE, Michele, Maiello, N, Decimo, Fabio, Fusco, N, D'Agostino, Bruno, Sullo, N, Capasso, M, Salpietro, V, Gitto, E, Ciprandi, G, Marseglia, Gl, and Perrone, Laura

Subjects
Male, Breath Tests, Forced Expiratory Volume, Probiotics, Cytokines, Humans, Infant, Female, Child, Nitric Oxide, Asthma
Abstract

Recently, it has been hypothesized that the oral administration of specific live probiotic strains may have therapeutic potential in the treatment of allergic inflammation. The aim of this study was to evaluate the effect of the oral L. reuteri DSM 17938 administration (1X108CFU), in airways allergic inflammation in mild persistent asthmatic children. In this DBPC randomized study we selected 50 children (6-14 years old), affected by mild persistent asthma (GINA step 2) and allergic to HDM. At the run-in period (T-2), the children were submitted to medical examination, prick tests for the main respiratory allergens, spirometry and children asthma control test (C-ACT). We selected only the children with well controlled asthma (C-ACT19 and FEV180%). After two weeks (T0) the children were allocated into two groups, the FeNO was measured and the breath condensate was collected. Group A children were treated with the placebo (5 drops per day) and Group B children with L. reuteri (108CFU =5 drops per day) for 60 days. After the treatment period (T1), all patients were evaluated by medical examination, C-ACT, spirometry, FeNO measurement and exaled breath condensate analysis. The FeNO values showed a significant reduction (p=0,045) in L. reuteri group but not in the placebo group at the end of the treatment (T1). Furthermore, the cytokines exam showed an increase in IL-10 levels (p less than 0.05) and a significant reduction in IL-2 levels (p less than 0.05) only in L. reuteri group at T1. No significant differences in FEV1 values and C-ACT score were found in both groups. In conclusion, these data showed that L. reuteri (108 CFU) was effective in reducing bronchial inflammation in asthmatic children. No significant effect was found on FEV1 values and C-ACT score, probably because we selected children with well controlled asthma.

30. Consensus statement of the Italian society of pediatric allergy and immunology for the pragmatic management of children and adolescents with allergic or immunological diseases during the COVID-19 pandemic

Author

Fabio Cardinale, Giorgio Ciprandi, Salvatore Barberi, Roberto Bernardini, Carlo Caffarelli, Mauro Calvani, Giovanni Cavagni, Elena Galli, Domenico Minasi, Michele Miraglia Del Giudice, Viviana Moschese, Elio Novembre, Francesco Paravati, Diego G Peroni, Maria Angela Tosca, Giovanni Traina, Salvatore Tripodi, Gian Luigi Marseglia, Doriana Amato, Caterina Anania, Elisa Anastasio, Rachele Antignani, Stefania Arasi, Martire Baldassarre, Ermanno Baldo, Andrea Barbalace, Simona Barni, Federica Betti, Annamaria Bianchi, Ezio Bolzacchini, Maira Bonini, Paolo Bottau, Sara Bozzetto, Maria Antonia Brighetti, Davide Caimmi, Silvia Caimmi, Luigi Calzone, Caterina Cancrini, Lucia Caminiti, Giulia Capata, Lucetta Capra, Carlo Capristo, Elena Carboni, Francesco Carella, Riccardo Castagnoli, Elena Chiappini, Fernanda Chiera, Iolanda Chinellato, Loredana Chini, Francesca Cipriani, Flavio Civitelli, Pasquale Comberiati, Daniele Contini, Stefania Corrente, Claudio Cravidi, Giuseppe Crisafulli, Barbara Cuomo, Enza D'Auria, Sofia D'Elios, Fabio Decimo, Auro Della Giustina, Rosa Maria Delle Piane, Maria De Filippo, Valentina De Vittori, Lucia Diaferio, Maria Elisa Di Cicco, Dora Di Mauro, Marzia Duse, Silvia Federici, Giuseppe Felice, Maria Grazia Fenu, Giuliana Ferrante, Tiziana Foti, Fabrizio Franceschini, Daniele Ghiglioni, Giuliana Giardino, Mattia Giovannini, Giovanni Cosimo Indirli, Cristiana Indolfi, Massimo Landi, Francesco La Torre, Lucia Maddalena Leone, Amelia Licari, Lucia Liotti, Vassilios Lougaris, Nunzia Maiello, Paride Mantecca, Sara Manti, Marco Maria Mariani, Alberto Martelli, Carla Mastrorilli, Violetta Mastrorilli, Davide Montin, Francesca Mori, Roberta Olcese, Giorgio Ottaviano, Claudia Paglialunga, Giovanni Pajno, Giuseppe Parisi, Stefano Pattini, Luca Pecoraro, Umberto Pelosi, Claudio Pignata, Giampaolo Ricci, Silvia Ricci, Stefano Rizzi, Caterina Rizzo, Sara Rosati, Paolo Rosso, Maria Sangerardi, Angelica Santoro, Francesca Saretta, Lucrezia Sarti, Marco Sartorio, Majla Sgruletti, Annarosa Soresina, Ifigenia Sfika, Mayla Sgrulletti, Nuccia Tesse, Valentina Tranchino, Alessandro Travaglini, Malizia Velia, Elvira Verduci, Mario Vernich, Elisabetta Veronelli, Stefano Volpi, Martina Votto, Anna Maria Zicari, Cardinale, F., Ciprandi, G., Barberi, S., Bernardini, R., Caffarelli, C., Calvani, M., Cavagni, G., Galli, E., Minasi, D., Del Giudice, M. M., Moschese, V., Novembre, E., Paravati, F., Peroni, D. G., Tosca, M. A., Traina, G., Tripodi, S., Marseglia, G. L., Amato, D., Anania, C., Anastasio, E., Antignani, R., Arasi, S., Baldassarre, M., Baldo, E., Barbalace, A., Barni, S., Betti, F., Bianchi, A., Bolzacchini, E., Bonini, M., Bottau, P., Bozzetto, S., Brighetti, M. A., Caimmi, D., Caimmi, S., Calzone, L., Cancrini, C., Caminiti, L., Capata, G., Capra, L., Capristo, C., Carboni, E., Carella, F., Castagnoli, R., Chiappini, E., Chiera, F., Chinellato, I., Chini, L., Cipriani, F., Civitelli, F., Comberiati, P., Contini, D., Corrente, S., Cravidi, C., Crisafulli, G., Cuomo, B., D'Auria, E., D'Elios, S., Decimo, F., Giustina, A. D., Piane, R. M. D., De Filippo, M., De Vittori, V., Diaferio, L., Di Mauro, M. E., Duse, M., Federici, S., Felice, G., Fenu, G., Ferrante, G., Foti, T., Franceschini, F., Ghiglioni, D., Giardino, G., Giovannini, M., Indirli, G. C., Indolfi, C., Landi, M., La Torre, F., Leone, L. M., Licari, A., Liotti, L., Lougaris, V., Maiello, N., Mantecca, P., Manti, S., Mariani, M. M., Martelli, A., Mastrorilli, C., Mastrorilli, V., Montin, D., Mori, F., Olcese, R., Ottaviano, G., Paglialunga, C., Pajno, G., Parisi, G., Pattini, S., Pecoraro, L., Pelosi, U., Pignata, C., Ricci, G., Ricci, S., Rizzi, S., Rizzo, C., Rosati, S., Rosso, P., Sangerardi, M., Santoro, A., Saretta, F., Sarti, L., Sartorio, M., Sgruletti, M., Soresina, A., Sfika, I., Sgrulletti, M., Tesse, N., Tranchino, V., Travaglini, A., Velia, M., Verduci, E., Vernich, M., Veronelli, E., Volpi, S., Votto, M., Zicari, A. M., Cardinale, Fabio, Ciprandi, Giorgio, Barberi, Salvatore, Bernardini, Roberto, Caffarelli, Carlo, Calvani, Mauro, Cavagni, Giovanni, Galli, Elena, Minasi, Domenico, Del Giudice, Michele Miraglia, Moschese, Viviana, Novembre, Elio, Paravati, Francesco, Peroni, Diego G, Tosca, Maria Angela, Traina, Giovanni, Tripodi, Salvatore, Marseglia, Gian Luigi, SIAIP task force Pignata, Claudio, Cardinale, F, Ciprandi, G, Barberi, S, Bernardini, R, Caffarelli, C, Calvani, M, Cavagni, G, Galli, E, Minasi, D, Del Giudice, M, Moschese, V, Novembre, E, Paravati, F, Peroni, D, Tosca, M, Traina, G, Tripodi, S, Marseglia, G, Amato, D, Anania, C, Anastasio, E, Antignani, R, Arasi, S, Baldassarre, M, Baldo, E, Barbalace, A, Barni, S, Betti, F, Bianchi, A, Bolzacchini, E, Bonini, M, Bottau, P, Bozzetto, S, Brighetti, M, Caimmi, D, Caimmi, S, Calzone, L, Cancrini, C, Caminiti, L, Capata, G, Capra, L, Capristo, C, Carboni, E, Carella, F, Castagnoli, R, Chiappini, E, Chiera, F, Chinellato, I, Chini, L, Cipriani, F, Civitelli, F, Comberiati, P, Contini, D, Corrente, S, Cravidi, C, Crisafulli, G, Cuomo, B, D'Auria, E, D'Elios, S, Decimo, F, Giustina, A, Piane, R, De Filippo, M, De Vittori, V, Diaferio, L, Di Mauro, M, Duse, M, Federici, S, Felice, G, Fenu, G, Ferrante, G, Foti, T, Franceschini, F, Ghiglioni, D, Giardino, G, Giovannini, M, Indirli, G, Indolfi, C, Landi, M, La Torre, F, Leone, L, Licari, A, Liotti, L, Lougaris, V, Maiello, N, Mantecca, P, Manti, S, Mariani, M, Martelli, A, Mastrorilli, C, Mastrorilli, V, Montin, D, Mori, F, Olcese, R, Ottaviano, G, Paglialunga, C, Pajno, G, Parisi, G, Pattini, S, Pecoraro, L, Pelosi, U, Pignata, C, Ricci, G, Ricci, S, Rizzi, S, Rizzo, C, Rosati, S, Rosso, P, Sangerardi, M, Santoro, A, Saretta, F, Sarti, L, Sartorio, M, Sgruletti, M, Soresina, A, Sfika, I, Sgrulletti, M, Tesse, N, Tranchino, V, Travaglini, A, Velia, M, Verduci, E, Vernich, M, Veronelli, E, Volpi, S, Votto, M, Zicari, A, and Fabio Cardinale, Giorgio Ciprandi, Salvatore Barberi, Roberto Bernardini, Carlo Caffarelli, Mauro Calvani, Giovanni Cavagni, Elena Galli, Domenico Minasi, Michele Miraglia Del Giudice, Viviana Moschese, Elio Novembre, Francesco Paravati, Diego G Peroni, Maria Angela Tosca, Giovanni Traina, Salvatore Tripodi, Gian Luigi Marseglia, Doriana Amato, Caterina Anania, Elisa Anastasio, Rachele Antignani, Stefania Arasi, Martire Baldassarre, Ermanno Baldo, Andrea Barbalace, Simona Barni, Federica Betti, Annamaria Bianchi, Ezio Bolzacchini, Maira Bonini, Paolo Bottau, Sara Bozzetto, Maria Antonia Brighetti, Davide Caimmi, Silvia Caimmi, Luigi Calzone, Caterina Cancrini, Lucia Caminiti, Giulia Capata, Lucetta Capra, Carlo Capristo, Elena Carboni, Francesco Carella, Riccardo Castagnoli, Elena Chiappini, Fernanda Chiera, Iolanda Chinellato, Loredana Chini, Francesca Cipriani, Flavio Civitelli, Pasquale Comberiati, Daniele Contini, Stefania Corrente, Claudio Cravidi, Giuseppe Crisafulli, Barbara Cuomo, Enza D'Auria, Sofia D'Elios, Fabio Decimo, Auro Della Giustina, Rosa Maria Delle Piane, Maria De Filippo, Valentina De Vittori, Lucia Diaferio, Maria Elisa Di Cicco, Dora Di Mauro, Marzia Duse, Silvia Federici, Giuseppe Felice, Maria Grazia Fenu, Giuliana Ferrante, Tiziana Foti, Fabrizio Franceschini, Daniele Ghiglioni, Giuliana Giardino, Mattia Giovannini, Giovanni Cosimo Indirli, Cristiana Indolfi, Massimo Landi, Francesco La Torre, Lucia Maddalena Leone, Amelia Licari, Lucia Liotti, Vassilios Lougaris, Nunzia Maiello, Paride Mantecca, Sara Manti, Marco Maria Mariani, Alberto Martelli, Carla Mastrorilli, Violetta Mastrorilli, Davide Montin, Francesca Mori, Roberta Olcese, Giorgio Ottaviano, Claudia Paglialunga, Giovanni Pajno, Giuseppe Parisi, Stefano Pattini, Luca Pecoraro, Umberto Pelosi, Claudio Pignata, Giampaolo Ricci, Silvia Ricci, Stefano Rizzi, Caterina Rizzo, Sara Rosati, Paolo Rosso, Maria Sangerardi, Angelica Santoro, Francesca Saretta, Lucrezia Sarti, Marco Sartorio, Majla Sgruletti, Annarosa Soresina, Ifigenia Sfika, Mayla Sgrulletti, Nuccia Tesse, Valentina Tranchino, Alessandro Travaglini, Malizia Velia, Elvira Verduci, Mario Vernich, Elisabetta Veronelli, Stefano Volpi, Martina Votto, Anna Maria Zicari

Subjects
Allergy, Review, 030207 dermatology & venereal diseases, Settore MED/38 - Pediatria Generale E Specialistica, 0302 clinical medicine, COVID-19, Child, Pandemic, Immunologic disease, Asthma, Adolescent, Viral, 030212 general & internal medicine, Disease management (health), Societies, Medical, pandemic, child, adolescent, allergy, asthma, immunologic disease, Incidence (epidemiology), lcsh:RJ1-570, Disease Management, General Medicine, Atopic dermatitis, Settore MED/38, Coronavirus Infections, Decision Making, Humans, Italy, Pneumonia, Viral, Pragmatic Clinical Trials as Topic, SARS-CoV-2, Allergy and Immunology, Betacoronavirus, Consensus, Pandemics, Latex allergy, Human, Telemedicine, Consensu, 03 medical and health sciences, Medical, medicine, Risk factor, Betacoronaviru, business.industry, Coronavirus Infection, lcsh:Pediatrics, Pneumonia, medicine.disease, Immunology, Societies, business, Rare disease
Abstract

The COVID-19 pandemic has surprised the entire population. The world has had to face an unprecedented pandemic. Only, Spanish flu had similar disastrous consequences. As a result, drastic measures (lockdown) have been adopted worldwide. Healthcare service has been overwhelmed by the extraordinary influx of patients, often requiring high intensity of care. Mortality has been associated with severe comorbidities, including chronic diseases. Patients with frailty were, therefore, the victim of the SARS-COV-2 infection. Allergy and asthma are the most prevalent chronic disorders in children and adolescents, so they need careful attention and, if necessary, an adaptation of their regular treatment plans. Fortunately, at present, young people are less suffering from COVID-19, both as incidence and severity. However, any age, including infancy, could be affected by the pandemic.Based on this background, the Italian Society of Pediatric Allergy and Immunology has felt it necessary to provide a Consensus Statement. This expert panel consensus document offers a rationale to help guide decision-making in the management of children and adolescents with allergic or immunologic diseases.

Published
2020

31. Covid-19 and spirometry in this age

Author

Angela Klain, Cristiana Indolfi, Giulio Dinardo, Fabio Decimo, Michele Miraglia Del Giudice, Klain, A., Indolfi, C., Dinardo, G., Decimo, F., and Miraglia Del Giudice, M.

Subjects
Adult, Societies, Scientific, Respiratory Aerosols and Droplet, SARS-CoV-2, Pulmonary function test, COVID-19, Respiratory Aerosols and Droplets, Review, Appointments and Schedule, Pediatrics, Risk Assessment, RJ1-570, Respiratory Function Tests, Appointments and Schedules, Spirometry, Communicable Disease Control, Humans, Triage, Safety, Child, Children, Human, Respiratory Function Test
Abstract

In the last year, many countries adopted a plan to contain hospital infections by Sars-Cov-2 also limiting pulmonary function tests (PFTs), exclusively to indispensable cases. All the recommendations of the major scientific societies regarding the use of PFTs, in particular spirometry, in the Covid era were formulated in the initial period of the pandemic. Currently, the new scientific knowledge about Sars-Cov-2 and the vaccination among healthcare workers, shown new insight to start doing PFTs again to help the investigation and monitoring of patients with respiratory pathology. In this article, we sum up the recommendations of major International Respiratory Societies, and we shared our experience about PFTs in a Pediatric Respiratory Disease Unit during the pandemic.

Published
2022
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32. Exercise-Induced Bronchoconstriction in Children

Author

Angela Klain, Cristiana Indolfi, Giulio Dinardo, Marcella Contieri, Fabio Decimo, Michele Miraglia Del Giudice, Klain, A., Indolfi, C., Dinardo, G., Contieri, M., Decimo, F., and Miraglia Del Giudice, M.

Subjects
Medicine (General), R5-920, children, Mini Review, exercise-induced bronchoconstriction, atopy, Medicine, exercise induced asthma, General Medicine, asthma, human activities
Abstract

Exercise-induced bronchoconstriction (EIB) is a transient airflow obstruction, typically 5–15 min after physical activity. The pathophysiology of EIB is related to the thermal and osmotic changes of the bronchial mucosa, which cause the release of mediators and the development of bronchoconstriction in the airways. EIB in children often causes an important limitation to physical activities and sports. However, by taking appropriate precautions and through adequate pharmacological control of the condition, routine exercise is extremely safe in children. This review aims to raise awareness of EIB by proposing an update, based on the latest studies, on pathological mechanisms, diagnosis, and therapeutic approaches in children.

Published
2022
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33. Effect of COVID-19 Lockdown on Children’s Eating Behaviours: A Longitudinal Study

Author

Giuseppina Rosaria Umano, Giulia Rondinelli, Giulio Rivetti, Angela Klain, Francesca Aiello, Michele Miraglia del Giudice, Fabio Decimo, Alfonso Papparella, Emanuele Miraglia del Giudice, Umano, G. R., Rondinelli, G., Rivetti, G., Klain, A., Aiello, F., Miraglia del Giudice, M., Decimo, F., Papparella, A., and Miraglia del Giudice, E.

Subjects
eating behaviour, lifestyle, questionnaire, Pediatrics, Perinatology and Child Health, pediatric obesity, COVID-19
Abstract

The COVID-19 pandemic has had a huge impact on children’s lifestyle and eating behaviour, resulting in an increase of obesity prevalence. The CEBQ (Children’s Eating Behaviour Questionnaire) is a validate questionnaire that investigates children’s eating behaviour. Knowing the psychological consequences of daily routine disruption during lockdown, we evaluated the changes in eating behaviours in a paediatric cohort before and during the lockdown period through the evaluation of the Italian version of the CEBQ. We prospectively enrolled children attending the pediatric clinic of the University of Campania ‘Luigi Vanvitelli’. All parents answered the parent-report version of the CEBQ before lockdown containment. During lockdown, the second survey was carried out by telephone call. The study sample included 69 children. Food responsiveness and emotional overeating subscales showed higher scores during lockdown compared to data before lockdown (p = 0.009 and p = 0.001, respectively). Conversely, desire to drink and satiety responsiveness showed lower scores at follow-up (p = 0.04 and p = 0.0001, respectively). No differences were observed for slowness in eating and enjoyment of food. Delta changes were higher in normal-weight children compared to children with obesity (p = 0.02). Our results confirm that containment measures during the COVID-19 pandemic have acted as triggers on certain eating behaviors that mostly predispose to an obesogenic manner.

Published
2022

34. Long-term effects of bronchopulmonary dysplasia on lung function: a pilot study in preschool children’s cohort

Author

M. Miraglia Del Giudice, F. Decimo, M Napolitano, Francesca Galdo, Sara Manti, Salvatore Leonardi, Giuseppe Fabio Parisi, Manti, S., Galdo, F., Parisi, G. F., Napolitano, M., Decimo, F., Leonardi, S., and Miraglia Del Giudice, M.

Subjects
Male, Pediatrics, Pilot Projects, Cohort Studies, 0302 clinical medicine, Extremely Low Birth Weight, Long term outcomes, Electric Impedance, Immunology and Allergy, Child, Lung, Lung function, Bronchopulmonary Dysplasia, Respiration, Respiratory Function Tests, Impulse Oscillometry, Infant, Extremely Low Birth Weight, Child, Preschool, Cohort, Artificial, Female, long-term outcomes, Infant, Premature, Pulmonary and Respiratory Medicine, long-term outcome, medicine.medical_specialty, preschool children, behavioral disciplines and activities, 03 medical and health sciences, 030225 pediatrics, Oscillometry, Sepsis, mental disorders, medicine, Humans, impulse oscillometry, Preschool, Premature, Asthma, business.industry, Airway Resistance, prematurity, Infant, Newborn, Infant, medicine.disease, Newborn, Health Surveys, Respiration, Artificial, Term (time), Oxygen, 030228 respiratory system, Bronchopulmonary dysplasia, Pediatrics, Perinatology and Child Health, business
Abstract

Introduction: Although the long term negative effects of bronchopulmonary dysplasia (BPD) are well known, follow-up studies of preterm infants with BPD into childhood are lacking. Methods: Forty-two preschool children (age range 3–6 years) who were born before 32 weeks of gestational age and affected by BPD were enrolled. Pre-, peri-, and post-natal data were collected. During the follow up appointment complete physical examination and lung function (impulse oscillometry (IOS)) were recorded. The European Community Respiratory Health Survey (ECRHS) questionnaire was administered to all enrolled subjects. Results: Thirty patients were included in the final analysis. The BPD group did not differ in comparison to the non-BPD group in terms of lung function (p > 0.05). By comparing all subjects enrolled, We detected extremely low-birth-weight (ELBW) infants with height-, weight-, and gender-related reference values and a significant trend of increasing resistance values (R5Hz, R5-20 Hz) and respiratory impedance (Z5Hz) (p < 0.05). No significant difference in bronchial reversibility test was observed among BPD non-BPD groups (p < 0.05). The frequency of gastroesophageal reflux disease was significantly higher in patients with BPD when compared to non-BPD group (p < 0.05). Significant differences in gestational age, oxygen supplementation (days), mechanical ventilation therapy (days), and sepsis between BPD and non-BPD groups were also observed (p < 0.05). There were no significant differences in the prevalence of family and personal history of atopy and/or allergic diseases, tobacco exposure, respiratory symptoms, respiratory syncytial virus bronchiolitis, exercise induced dyspnea, treatment with β-2 bronchodilators and inhaled corticosteroids among the groups (p > 0.05). Conclusions: The respiratory function in preschool children born with ELBW is characterized by an increase in impedance and resistance of small airways. No statistically significant differences were found between ELBW children with BPD and without BPD. With regards to the smallest gestational age, the longer duration of O2 therapy during hospitalization, and sepsis significantly resulted in a worse respiratory function.

Published
2021

35. Inter-society consensus for the use of inhaled corticosteroids in infants, children and adolescents with airway diseases

Author

Vassilios Fanos, Fabio Cardinale, Salvatore Barberi, Alberto Villani, Carlo Caffarelli, Giovanni Simeone, Elena Chiappini, Roberto Bernardini, Monica Malventano, Luca De Franciscis, Annalisa Capuano, Stefano Luciani, Renato Turra, Stefania Zanconato, Domenico Minasi, Paolo Becherucci, Annamaria Bianchi, Marzia Duse, Paolo Biasci, Marcello Bergamini, Francesca Santamaria, Giuseppe Di Mauro, Serenella Castronuovo, Adima Lamborghini, Gian Luigi Marseglia, Francesco Paravati, Giovanni Battista Pajno, Alberto Martelli, Elio Novembre, Gabriella Di Mauro, Francesco Macrì, Giorgio Piacentini, Maria Carmen Verga, Giovanna Tezza, Iride Dello Iacono, Lucia Leonardi, Mattia Doria, Michele Miraglia Del Giudice, Giovanna De Castro, Raffaele Falsaperla, Luciana Indinnimeo, Riccardo Lubrano, Valentina Ferraro, Renato Cutrera, Lucia Diaferio, Vito Leonardo Miniello, Giampaolo Ricci, Melissa Borrelli, Gabriella Pozzobon, Agostino Nocerino, Germana Nardini, Francesco Di Mauro, Fabio Decimo, Anna Maria Zicari, Diego Peroni, Mariangela Tosca, Maria Di Cicco, Fabio Midulla, Luigi Masini, Amelia Licari, Carlo Alfaro, Valeria Caldarelli, Caterina Di Mauro, Elena Galli, Carlo Capristo, Cristina Piersantelli, Sergio Renzo Morandini, Massimo Landi, Giovanni Cerimoniale, Valter Spanevello, Daniele Giovanni Ghiglioni, Ahmad Kantar, Dora Di Mauro, Cristina Di Mauro, Giovanni Corsello, Attilio Varricchio, Duse, M., Santamaria, F., Verga, M. C., Bergamini, M., Simeone, G., Leonardi, L., Tezza, G., Bianchi, A., Capuano, A., Cardinale, F., Cerimoniale, G., Landi, M., Malventano, M., Tosca, M., Varricchio, A., Zicari, A. M., Alfaro, C., Barberi, S., Becherucci, P., Bernardini, R., Biasci, P., Caffarelli, C., Caldarelli, V., Capristo, C., Castronuovo, S., Chiappini, E., Cutrera, R., De Castro, G., De Franciscis, L., Decimo, F., Iacono, I. D., Diaferio, L., Di Cicco, M. E., Di Mauro, C., Di Mauro, D., Di Mauro, F., Di Mauro, G., Doria, M., Falsaperla, R., Ferraro, V., Fanos, V., Galli, E., Ghiglioni, D. G., Indinnimeo, L., Kantar, A., Lamborghini, A., Licari, A., Lubrano, R., Luciani, S., Macri, F., Marseglia, G., Martelli, A. G., Masini, L., Midulla, F., Minasi, D., Miniello, V. L., del Giudice, M. M., Morandini, S. R., Nardini, G., Nocerino, A., Novembre, E., Pajno, G. B., Paravati, F., Piacentini, G., Piersantelli, C., Pozzobon, G., Ricci, G., Spanevello, V., Turra, R., Zanconato, S., Borrelli, M., Villani, A., Corsello, G., Peroni, D., Duse, Marzia, Santamaria, Francesca, Verga, Maria Carmen, Bergamini, Marcello, Simeone, Giovanni, Leonardi, Lucia, Tezza, Giovanna, Bianchi, Annamaria, Capuano, Annalisa, Cardinale, Fabio, Cerimoniale, Giovanni, Landi, Massimo, Malventano, Monica, Tosca, Mariangela, Varricchio, Attilio, Zicari, Anna Maria, Alfaro, Carlo, Barberi, Salvatore, Becherucci, Paolo, Bernardini, Roberto, Biasci, Paolo, Caffarelli, Carlo, Caldarelli, Valeria, Capristo, Carlo, Castronuovo, Serenella, Chiappini, Elena, Cutrera, Renato, De Castro, Giovanna, De Franciscis, Luca, Decimo, Fabio, Iacono, Iride Dello, Diaferio, Lucia, Di Cicco, Maria Elisa, Di Mauro, Caterina, Di Mauro, Cristina, Di Mauro, Dora, Di Mauro, Francesco, Di Mauro, Gabriella, Doria, Mattia, Falsaperla, Raffaele, Ferraro, Valentina, Fanos, Vassilio, Galli, Elena, Ghiglioni, Daniele Giovanni, Indinnimeo, Luciana, Kantar, Ahmad, Lamborghini, Adima, Licari, Amelia, Lubrano, Riccardo, Luciani, Stefano, Macrì, Francesco, Marseglia, Gianluigi, Martelli, Alberto Giuseppe, Masini, Luigi, Midulla, Fabio, Minasi, Domenico, Miniello, Vito Leonardo, Del Giudice, Michele Miraglia, Morandini, Sergio Renzo, Nardini, Germana, Nocerino, Agostino, Novembre, Elio, Pajno, Giovanni Battista, Paravati, Francesco, Piacentini, Giorgio, Piersantelli, Cristina, Pozzobon, Gabriella, Ricci, Giampaolo, Spanevello, Valter, Turra, Renato, Zanconato, Stefania, Borrelli, Melissa, Villani, Alberto, Corsello, Giovanni, Di Mauro, Giuseppe, Peroni, Diego, and Marzia Duse, Francesca Santamaria, Maria Carmen Verga, Marcello Bergamini, Giovanni Simeone, Lucia Leonardi, Giovanna Tezza, Annamaria Bianchi, Annalisa Capuano, Fabio Cardinale, Giovanni Cerimoniale, Massimo Landi, Monica Malventano, Mariangela Tosca, Attilio Varricchio, Anna Maria Zicari, Carlo Alfaro, Salvatore Barberi, Paolo Becherucci, Roberto Bernardini, Paolo Biasci, Carlo Caffarelli, Valeria Caldarelli, Carlo Capristo, Serenella Castronuovo, Elena Chiappini, Renato Cutrera, Giovanna De Castro, Luca De Franciscis, Fabio Decimo, Iride Dello Iacono, Lucia Diaferio, Maria Elisa Di Cicco, Caterina Di Mauro, Cristina Di Mauro, Dora Di Mauro, Francesco Di Mauro, Gabriella Di Mauro, Mattia Doria, Raffaele Falsaperla, Valentina Ferraro, Vassilios Fanos, Elena Galli, Daniele Giovanni Ghiglioni, Luciana Indinnimeo, Ahmad Kantar, Adima Lamborghini, Amelia Licari, Riccardo Lubrano, Stefano Luciani, Francesco Macrì, Gianluigi Marseglia, Alberto Giuseppe Martelli, Luigi Masini, Fabio Midulla, Domenico Minasi, Vito Leonardo Miniello, Michele Miraglia Del Giudice, Sergio Renzo Morandini, Germana Nardini, Agostino Nocerino, Elio Novembre, Giovanni Battista Pajno, Francesco Paravati, Giorgio Piacentini, Cristina Piersantelli, Gabriella Pozzobon, Giampaolo Ricci, Valter Spanevello, Renato Turra , Stefania Zanconato, Melissa Borrelli, Alberto Villani, Giovanni Corsello, Giuseppe Di Mauro, Diego Peroni

Subjects
Male, Delphi Technique, Rhinosinusitis, Respiratory Tract Diseases, Delphi method, Rhinosinusiti, Laryngitis, Adrenal Cortex Hormone, Pediatrics, 0302 clinical medicine, Adrenal Cortex Hormones, Multidisciplinary approach, Inhaled corticosteroid, 030212 general & internal medicine, Child, Respiratory Tract Disease, Rhiniti, Societies, Medical, Rhinitis, education.field_of_study, Inhaled corticosteroids, Wheezing, General Medicine, Settore MED/38, Systematic review, Italy, Laryngotracheitis, Child, Preschool, Laryngotracheiti, Female, medicine.symptom, Human, medicine.medical_specialty, Consensus, Adolescent, Population, Consensu, RJ1-570, 03 medical and health sciences, Intervention (counseling), Administration, Inhalation, medicine, Laryngospasm, Humans, Adenoid hypertrophy, education, Intensive care medicine, Asthma, business.industry, Research, Infant, medicine.disease, 030228 respiratory system, business
Abstract

Background In 2019, a multidisciplinary panel of experts from eight Italian scientific paediatric societies developed a consensus document for the use of inhaled corticosteroids in the management and prevention of the most common paediatric airways disorders. The aim is to provide healthcare providers with a multidisciplinary document including indications useful in the clinical practice. The consensus document was intended to be addressed to paediatricians who work in the Paediatric Divisions, the Primary Care Services and the Emergency Departments, as well as to Residents or PhD students, paediatric nurses and specialists or consultants in paediatric pulmonology, allergy, infectious diseases, and ear, nose, and throat medicine. Methods Clinical questions identifying Population, Intervention(s), Comparison and Outcome(s) were addressed by methodologists and a general agreement on the topics and the strength of the recommendations (according to the GRADE system) was obtained following the Delphi method. The literature selection included secondary sources such as evidence-based guidelines and systematic reviews and was integrated with primary studies subsequently published. Results The expert panel provided a number of recommendations on the use of inhaled corticosteroids in preschool wheezing, bronchial asthma, allergic and non-allergic rhinitis, acute and chronic rhinosinusitis, adenoid hypertrophy, laryngitis and laryngospasm. Conclusions We provided a multidisciplinary update on the current recommendations for the management and prevention of the most common paediatric airways disorders requiring inhaled corticosteroids, in order to share useful indications, identify gaps in knowledge and drive future research.

Published
2021

36. United airway disease

Author

Angela, Klain, Cristiana, Indolfi, Giulio, Dinardo, Amelia, Licari, Fabio, Cardinale, Carlo, Caffarelli, Sara, Manti, Giampaolo, Ricci, Giuseppe, Pingitore, Mariangela, Tosca, Fabio, Decimo, Michele, Miraglia Del Giudice, Klain, A., Indolfi, C., Dinardo, G., Licari, A., Cardinale, F., Caffarelli, C., Manti, S., Ricci, G., Pingitore, G., Tosca, M., Decimo, F., and Miraglia Del Giudice, M.

Subjects
Humans, Respiration Disorders, Lung, Rhinitis, Allergic, Asthma
Abstract

Nose and lungs are considered as anatomic and functional unit, as they share morphological, pathophysiological and immunological basis. Allergic rhinitis and asthma often coexist in the same individual, and the treatment of one also improves the symptoms of the other (one airway, one disease). The aim of this review is to discuss the interaction between upper and lower airways, based on recent scientific evidence and, critically, analyze the important implications the new findings have for the future therapy and prevention of these common diseases.

Published
2021

37. COVID-19 Pneumonia in Children: From Etiology to Management

Author

Cristiana Indolfi, F. Decimo, Giuseppe Fabio Parisi, Michele Miraglia Del Giudice, Salvatore Leonardi, Parisi, G. F., Indolfi, C., Decimo, F., Leonardi, S., and Miraglia del Giudice, M.

Subjects
ARDS, Pediatrics, medicine.medical_specialty, Coronavirus disease 2019 (COVID-19), Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), Acute respiratory distress, Review, 03 medical and health sciences, 0302 clinical medicine, children, 030225 pediatrics, Medicine, pneumonia, 030212 general & internal medicine, Respiratory system, Pathological, treatment, business.industry, lcsh:RJ1-570, COVID-19, lcsh:Pediatrics, medicine.disease, Pneumonia, Pediatrics, Perinatology and Child Health, SARS-CoV2, Etiology, business
Abstract

COVID-19 is less serious in children than in adults. However, respiratory management dominates the clinical picture of hospitalized COVID-19 even in children. In some case series, deterioration of the clinical picture wherein dyspnea, cyanosis, and the onset of acute respiratory distress syndrome (ARDS) emerged ~8–10 days after the onset of SARS-CoV-2 infection, which could rapidly progress to multiple organ failure and death. This review aimed to evaluate the characteristics of COVID-19 pneumonia in pediatric populations, beginning from its etiology and pathological mechanisms and closing with its clinical management.

Published
2020
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38. COVID-19 and food allergy in children

Author

D’Auria, Enza, Anania, Caterina, Cuomo, Barbara, Decimo, Fabio, Indirli, Giovanni Cosimo, Mastrorilli, Violetta, Santoro, Angelica, Sartorio, Marco U.A., Veronelli, Elisabetta, Caffarelli, Carlo, Marseglia, Gian Luigi, Calvani, Mauro, 'Food Allergy Study Group', the Italian Society of Pediatric Allergy and Immunology (SIAIP), D'Auria, E., Anania, C., Cuomo, B., Decimo, F., Cosimo Indirli, G., Mastrorilli, V., Santoro, A., Sartorio, M. U. A., Veronelli, E., Caffarelli, C., Luigi Marseglia, G., and Calvani, M.

Subjects
Reviews/Focus on, Betacoronaviru, Pandemic, SARS-CoV-2, Coronavirus Infection, Food challenge, Pneumonia, Viral, food and beverages, COVID-19, Administration, Oral, Oral immunotherapy, Betacoronavirus, Food allergy, Humans, Immunotherapy, Coronavirus Infections, Child, Pandemics, Children, Food Hypersensitivity, Human
Abstract

In children with food allergy the visits should be limited to those that are unequivocally needed on clinical basis. Food challenge can be performed in selected situations, taking a more detailed history to make sure that patients provide whatever information we need. The maintenance of a safe diet can be hampered by several factors. Nutritional supplementation may be necessary. (www.actabiomedica.it)

Published
2020

40. Resveratrol plus carboxymethyl-β-glucan for children with respiratory diseases.

Author

Indolfi C, Dinardo G, Klain A, Grella C, Marrapodi MM, Decimo F, Ciprandi G, and Giudice MMD

Subjects
Child, Humans, Randomized Controlled Trials as Topic, Respiratory Tract Infections drug therapy, Rhinitis, Allergic drug therapy, Stilbenes administration & dosage, Stilbenes adverse effects, Treatment Outcome, beta-Glucans administration & dosage, beta-Glucans adverse effects, Resveratrol administration & dosage, Resveratrol adverse effects
Abstract

Respiratory infections in children, ranging from mild to severe, are a leading cause of school absences and medical visits, creating significant socio-economic burdens for families. Recent interest has focused on resveratrol, a natural polyphenol known for its antioxidant, anti-inflammatory, and antiviral properties. When combined with carboxymethyl-β-glucan (CM-glucan), a modified polysaccharide with immunostimulatory effects, this formulation has shown potential benefits in managing respiratory diseases.Our research examines five randomized clinical trials investigating the efficacy of resveratrol and CM-glucan nasal solutions in children. The trials included children with recurrent respiratory infections (RRIs) and allergic rhinitis. The results demonstrate significant reductions in key respiratory symptoms, including nasal congestion, sneezing, coughing, and fever. In addition to symptomatic relief, the treatment was associated with fewer medical visits, decreased medication use, and reduced school absences. Importantly, the combination also showed efficacy in decreasing wheezing episodes in non-atopic children with RRIs and improving symptoms of allergic rhinitis. While these findings are promising, the studies are limited by small sample sizes and short-term follow-up periods, raising questions about the long-term efficacy and safety of the treatment. Mild and transient nasal irritation was the only reported side effect. Based on these concepts, the combination of resveratrol and carboxymethyl-β-glucan could be considered a valuable add-on strategy, complementing standard pharmacological treatments for pediatric respiratory infections and allergic conditions., Competing Interests: The authors declare no conflict of interest.

Published
2024
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41. Transplant-Acquired Food Allergy in Children.

Author

Indolfi C, Klain A, Dinardo G, Grella C, Perrotta A, Colosimo S, Decimo F, and Miraglia Del Giudice M

Subjects
Humans, Child, Organ Transplantation adverse effects, Immunosuppressive Agents adverse effects, Immunosuppressive Agents therapeutic use, Child, Preschool, Prevalence, Immunoglobulin E blood, Female, Male, Skin Tests, Adolescent, Allergens immunology, Transplant Recipients statistics & numerical data, Food Hypersensitivity epidemiology
Abstract

Background: Organ transplantation in children is a vital procedure for those with end-stage organ failure, but it has been linked to the development of post-transplant allergies, especially food allergies. This phenomenon, known as transplant-acquired food allergy (TAFA), is becoming increasingly recognized, though its mechanisms remain under investigation. Pediatric transplant recipients often require lifelong immunosuppressive therapy to prevent graft rejection, which can alter immune function and heighten the risk of allergic reactions. Our review aimed to gather the latest evidence on TAFA., Methods: We conducted a PubMed search from 25 June to 5 July 2024, using specific search terms, identifying 143 articles. After screening, 36 studies were included: 24 retrospective studies, 1 prospective study, 2 cross-sectional researches, and 9 case reports/series., Results: Most studies focused on liver transplants in children. The prevalence of food allergies ranged from 3.3% to 54.3%. Tacrolimus, alongside corticosteroids, was the most commonly used immunosuppressive therapy. In addition to food allergies, some patients developed atopic dermatitis, asthma, and rhinitis. Allergic symptoms typically emerged within a year post-transplant, with common allergens including milk, eggs, fish, nuts, soy, wheat, and shellfish. Both IgE-mediated and non-IgE-mediated reactions were observed, with treatment often involving the removal of offending foods and the use of adrenaline when necessary., Conclusions: Consistent immunological monitoring, such as skin prick tests and IgE level assessments, is essential for early detection and management of allergies in these patients. Understanding the link between transplantation and allergy development is crucial for improving long-term outcomes for pediatric transplant recipients.

Published
2024
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42. Treatment of Severe Asthma: Case Report of Fast Action of Mepolizumab in a Patient with Recent SARS-CoV-2 Infection.

Author

Indolfi C, Dinardo G, Klain A, Decimo F, and Miraglia Del Giudice M

Abstract

Asthma is one of the most common chronic inflammatory diseases of childhood with a heterogeneous impact on health and quality of life. Mepolizumab is an antagonist of interleukin-5, indicated as an adjunct therapy for severe refractory eosinophilic asthma in adolescents and children aged >6 years old. We present the case of a 9 year-old boy with severe asthma who experienced several asthmatic exacerbations following a SARS-CoV-2 infection, necessitating therapy with short-acting bronchodilators, oral corticosteroids, and hospitalization. We follow the patient using validated questionnaires for the evaluation of asthma control: Children Asthma Control Test, Asthma Control Questionnaire, respiratory function tests, and evaluation of exhaled nitric oxide fraction. After 12 weeks from the start of therapy with mepolizumab, we found significant improvements in lung function, a reduction in the degree of bronchial inflammation, and improvements in quality of life. No asthmatic exacerbations have been reported since the initiation of treatment with mepolizumab. Respiratory infections, such as those related to SARS-CoV-2, represent a significant risk factor for exacerbations in patients with moderate to severe forms of asthma. In our experience, following new episodes of exacerbation, the initiation of treatment with mepolizumab has allowed us to improve asthma control and enhance the quality of life of patients from the first doses. Although mepolizumab showed promise in this child with severe asthma during SARS-CoV-2 infection, the results from this single case cannot be generalized. Further studies are needed to confirm its safety and effectiveness.

Published
2024
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43. Artificial intelligence in the transition of allergy: a valuable tool from childhood to adulthood.

Author

Indolfi C, Klain A, Dinardo G, Decimo F, and Miraglia Del Giudice M

Abstract

Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The author(s) declared that they were an editorial board member of Frontiers, at the time of submission. This had no impact on the peer review process and the final decision.

Published
2024
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44. Exploring the Interplay between Asthma and Hemoglobinopathies: A Comprehensive Review.

Author

Indolfi C, Dinardo G, Grella C, Klain A, Perrotta A, Mondillo G, Marrapodi MM, Decimo F, and Miraglia Del Giudice M

Abstract

Asthma, a prevalent chronic respiratory condition characterized by inflammation of the airways and bronchoconstriction, has demonstrated a potential association with hemoglobinopathies such as thalassemia and sickle cell disease (SCD). Numerous studies have highlighted a higher prevalence of asthma among thalassemia patients compared to the general population, with rates ranging around 30%. Similarly, asthma frequently coexists with SCD, affecting approximately 20-48% of patients. Children with SCD often experience heightened lower airway obstruction and airway hyper-reactivity. Notably, the presence of asthma in SCD exacerbates respiratory symptoms and increases the risk of severe complications like acute chest syndrome, stroke, vaso-occlusive episodes, and early mortality. Several studies have noted a decrease in various cytokines such as IFN-γ and IL-10, along with higher levels of both IL-6 and IL-8, suggesting an overactivation of pro-inflammatory mechanisms in patients with hemoglobinopathies, which could trigger inflammatory conditions such as asthma. The exact mechanisms driving this association are better elucidated but may involve factors such as chronic inflammation, oxidative stress, and immune dysregulation associated with thalassemia-related complications like chronic hemolytic anemia and iron overload. This review aims to comprehensively analyze the relationship between asthma and hemoglobinopathies, with a focus on thalassemia and SCD. It emphasizes the importance of interdisciplinary collaboration among pulmonologists, hematologists, and other healthcare professionals to effectively manage this complex interplay. Understanding this link is crucial for improving care and outcomes in affected individuals., Competing Interests: The authors declare no conflicts of interest.

Published
2024
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45. COVID-19 Pediatric Follow-Up: Respiratory Long COVID-Associated Comorbidities and Lung Ultrasound Alterations in a Cohort of Italian Children.

Author

Indolfi C, Klain A, Dinardo G, D'Addio E, Ferrara S, Decimo F, Ciprandi G, Tosca MA, and Miraglia Del Giudice M

Abstract

In children, the factors that influence COVID-19 disease and its medium- and long-term effects are little known. Our investigation sought to evaluate the presence of comorbidity factors associated with respiratory long COVID manifestations in children and to study ultrasound abnormalities following SARS-CoV-2 infection. Children, who arrived at the 'Respiratory Diseases of Pediatric Interest Unit' at the Department of Woman, Child, and General and Specialized Surgery of the University of Campania 'Luigi Vanvitelli', were selected during the timeframe from September 2021 to October 2022. The children were diagnosed with a SARS-CoV-2 infection that occurred at least one month before the visit. All patients followed a COVID-19 follow-up protocol, developed by the Italian Society of Pediatric Respiratory Diseases (SIMRI), which included: collection of data regarding SARS-CoV-2 illness and history of known respiratory and allergic diseases; physical examination; BMI assessment; baseline spirometry and after bronchodilation test; six-minute walking test; and lung ultrasound (LUS). In a cohort of 104 participants with respiratory long COVID symptoms (64.7% male, average age 8.92 years), 46.1% had fever with other symptoms, and 1% required hospitalization. BMI analysis showed 58.4% of the cohort was overweight. The LUS was positive in 27.0% of cases. A significant BMI association was observed with COVID-19 symptoms and LUS score ( p -value < 0.05). No associations were found with asthma or atopy.

Published
2024
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46. Mini-Review on Vitamin D in Pediatric Population and its Role in Respiratory and Atopic Disorders.

Author

Indolfi C, Klain A, Dinardo G, Decimo F, Marrapodi MM, Licari A, and Giudice MMD

Subjects
Humans, Child, Dermatitis, Atopic drug therapy, Dermatitis, Atopic metabolism, Asthma drug therapy, Asthma metabolism, Receptors, Calcitriol metabolism, Vitamin D metabolism, Vitamin D therapeutic use, Vitamin D Deficiency drug therapy
Abstract

In recent years, our comprehension of the function of vitamin D has significantly evolved. The ubiquitous presence of the vitamin D receptor (Vitamin D Receptor- VDR) in the body has led to its redefinition from a steroidal hormone primarily involved in skeletal functions to a hormone with pleiotropic effects, exerting its influence on the circulatory, nervous, and immune systems. This has prompted investigations into its potential use in preventing and treating chronic metabolic disorders, cardiovascular diseases, infections, and allergic and autoimmune diseases. This comprehensive review explores the various aspects of vitamin D, including its sources, synthesis, functions, and its impact on different physiological systems. It delves into the epidemiology of vitamin D deficiency, highlighting its occurrence among various age demographics and geographic regions. The impact of vitamin D on the immune system is also explored, elucidating its immunomodulatory and anti-inflammatory properties, particularly in the context of respiratory infections. The review discusses emerging evidence concerning the potential advantages of vitamin D in respiratory diseases, pediatric asthma and atopic dermatitis. It also addresses vitamin D supplementation recommendations for various pediatric populations, including term and preterm infants. The growing concern regarding the global health impacts of insufficient vitamin D levels necessitates further research to bridge gaps in knowledge, particularly in enhancing screening, prevention, and approaches to address vitamin D deficiency from birth onwards. In summary, this comprehensive overview underscores the vital role of vitamin D, highlighting the significance of understanding its multifaceted functions and the need for tailored supplementation strategies, especially in vulnerable populations., (Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.net.)

Published
2024
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47. Anaphylaxis after Shrimp Intake in a European Pediatric Population: Role of Molecular Diagnostics and Implications for Novel Foods.

Author

Miraglia Del Giudice M, Dinardo G, Klain A, D'Addio E, Bencivenga CL, Decimo F, and Indolfi C

Abstract

(1) Background: Tropomyosin is a major cause of shellfish allergy and anaphylaxis triggered by food. It acts as a pan-allergen, inducing cross-reactivity in insects, dust mites, crustaceans, and mollusks. Our study investigates anaphylaxis in children with asthma or atopic diseases after consuming tropomyosin-containing food. (2) Methods: We analyzed the molecular sensitization profiles of pediatric patients at the University of Campania 'Luigi Vanvitelli' from 2017 to 2021, with conditions such as allergic rhinitis, asthma, atopic dermatitis, urticaria, and food allergies. (3) Results: Out of a total of 253 patients aged 1 to 18 years (167 males, 86 females), 21 patients (8.3%) experienced anaphylaxis after shrimp ingestion. All 21 (100%) were sensitized to various tropomyosins: Pen m 1 (100%), Der p 10 (90.5%), Ani s 3 (81%), and Bla g 7 (76.2%). Clinical symptoms included allergic asthma (76.2%), atopic dermatitis (61.9%), urticaria (38.1%), and allergic rhinitis (38.1%). (4) Conclusions: Crustaceans and mollusks are major allergens in Italy and Europe, requiring mandatory declaration on food labels. Italian pediatric patients demonstrated significant anaphylaxis after consuming shrimp, often accompanied by multiple atopic disorders such as asthma, rhinitis, and atopic dermatitis. Considering the cross-reactivity of tropomyosin among various invertebrates and the emergence of 'novel foods' containing insect flours in Europe, there is ongoing debate about introducing precautionary labeling for these products.

Published
2023
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48. The role of the atopy patch test in the diagnostic work-up of non-IgE gastrointestinal food allergy in children: a systematic review.

Author

Cuomo B, Anania C, D'Auria E, Decimo F, Indirli GC, Manca E, Marseglia GL, Mastrorilli V, Panetta V, Santoro A, Sartorio MUA, Veronelli E, and Calvani M

Subjects
Female, Animals, Cattle, Child, Humans, Patch Tests adverse effects, Sensitivity and Specificity, Allergens, Milk Hypersensitivity complications, Milk Hypersensitivity diagnosis, Food Hypersensitivity diagnosis, Hypersensitivity, Immediate, Gastrointestinal Diseases diagnosis, Gastrointestinal Diseases etiology
Abstract

The "Atopy Patch Test" (APT) has been proposed as a diagnostic tool for food allergies (FA), especially in children with FA-related gastrointestinal symptoms. However, its diagnostic accuracy is debated, and its usefulness is controversial. The aim of this systematic review was to evaluate the APT diagnostic accuracy compared with the diagnostic gold standard, i.e., the oral food challenge (OFC), in children affected by non-IgE mediated gastrointestinal food allergies, including the evaluation in milk allergic subgroup. Both classical non-IgE mediated clinical pictures and food induced motility disorders (FPIMD) were considered. The search was conducted in PubMed and Scopus from January 2000 to June 2022 by two independent researchers. The patient, intervention, comparators, outcome, and study design approach (PICOS) format was used for developing key questions, to address the APT diagnostic accuracy compared with the oral food challenge (OFC). The quality of the studies was assessed by the QUADAS-2 system. The meta-analysis was performed to calculate the pooled sensitivity, specificity, DOR (diagnostic odds ratio), PLR (positive likelihood ratio), and NLR (negative likelihood ratio) with their 95% confidence intervals (CI). Out of the 457 citations initially identified via the search (196 on PubMed and 261 on Scopus), 37 advanced to full-text screening, and 16 studies were identified to be included in the systematic review. Reference lists from relevant retrievals were searched, and one additional article was added. Finally, 17 studies were included in the systematic review. The analysis showed that APT has a high specificity of 94% (95%CI: 0.88-0.97) in the group of patients affected by FPIMD. Data showed a high pooled specificity of 96% (95% CI: 0.89-0.98) and the highest accuracy of APT in patients affected by cow's milk allergy (AUC = 0.93).      Conclusion: APT is effective in identifying causative food in children with food-induced motility disorders.  What is Known: • Atopy patch test could be a useful diagnostic test for diagnosing food allergy, especially in children with food allergy-related gastrointestinal symptoms. What is New: • Atopy patch test may be a useful tool in diagnosing non IgE food allergy, especially in children with food-induced gastrointestinal motility disorders and cow's milk allergy., (© 2023. The Author(s).)

Published
2023
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49. Behavioral and Sleep Disorders in Children and Adolescents following COVID-19 Disease: A Case-Control Study.

Author

Miraglia Del Giudice M, Klain A, Dinardo G, D'Addio E, Bencivenga CL, Fontanella C, Decimo F, Umano GR, Siciliano M, Carotenuto M, and Indolfi C

Abstract

Introduction: Recent studies show that neuropsychiatric disorders are the most frequent sequelae of COVID-19 in children., Purpose: Our work aimed to evaluate the impact of SARS-CoV-2 infection on behavior and sleep in children and adolescents., Materials and Methods: We enrolled 107 patients aged 1.5-18 years who contracted COVID-19 between one year and one month prior to data collection, referred to the University of Campania Luigi Vanvitelli in Italy. We asked their parents to complete two standardized questionnaires for the assessment of behavior (Child Behavior CheckList (CBCL)) and sleep (Sleep Disturbance Scale for Children (SLDS)). We analysed and compared the results with a control group (pre-COVID-19 pandemic)., Results: In the COVID-19 group, the major results were found for sleep breathing disorders, sleep-wake transition disorders and disorders of initiating and maintaining sleep for the SDSC questionnaire, and internalizing scale, total scale and anxiety/depression for the CBCL questionnaire. The comparison of the CBCL results of the cases with the controls revealed statistically significant differences for the following items: internalizing scale, externalizing scale, somatic complaints, total score, thought problems [( p < 0.01)], anxious/depressed problems and withdrawn [( p < 0.001)]., Conclusions: COVID-19 has impacted children's and adolescents' mental health. Adolescents were the most affected patient group for internalizing problems, including anxiety and depression.

Published
2023
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50. Evaluation of Der p 10 in a Cohort of European Children: Role of Molecular Diagnostics and Clinical Features.

Author

Indolfi C, Dinardo G, Klain A, Salvatori A, Esposito M, Vela V, Decimo F, Ciprandi G, and Miraglia Del Giudice M

Subjects
Animals, Humans, Child, Pathology, Molecular, Pyroglyphidae, Tropomyosin, Allergens, Antigens, Dermatophagoides, Anaphylaxis diagnosis, Anaphylaxis epidemiology, Anaphylaxis etiology, Food Hypersensitivity diagnosis, Food Hypersensitivity epidemiology, Hypersensitivity, Immediate, Asthma diagnosis, Asthma epidemiology
Abstract

Background: Allergy toward the dust mite is steadily increasing on the European continent. This sensitization may be a risk factor for developing sensitization to other mite molecules such as tropomyosin Der p 10. This molecule often correlates with food allergy and the risk of anaphylaxis after ingesting mollusks and shrimps., Materials and Methods: We analyzed the sensitization profiles by ImmunoCAP ISAC of pediatric patients from 2017 to 2021. The patients under investigation were being followed for atopic disorders such as allergic asthma and food allergies. The study aimed to analyze the prevalence of sensitization toward Der p 10 in our pediatric population and assess the related clinical symptoms and reactions after ingestion of foods containing tropomyosins., Results: This study included 253 patients; 53% were sensitized toward Der p 1 and Der p 2; 10.4% were also sensitized to Der p 10. Assessing patients sensitized to Der p 1 or Der p 2, and Der p 10, we observed that 78.6% were affected by asthma ( p < 0.005) and had a history of prior anaphylaxis after ingestion of shrimp or shellfish ( p < 0.0001)., Conclusion: The component-resolved diagnosis gave us a deeper understanding of patients' molecular sensitization profiles. Our study showed that a fair proportion of children sensitive to Der p 1 or Der p 2 are also sensitive to Der p 10. However, many patients sensitized to all three molecules had a high risk of asthma and anaphylaxis. Therefore, the assessment of Der p 10 sensitization should be considered in atopic patients with sensitization to Der p 1 and Der p 2 to avoid encountering possible adverse reactions after ingesting foods containing tropomyosins., Competing Interests: The authors declare that they have no conflicts of interest., (Copyright © 2023 Cristiana Indolfi et al.)

Published
2023
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