Publications (13)8.89 Total impact
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Article: [Why are pediatric empyemas on the increase in Spain?].
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ABSTRACT: There is a widespread perception among Spanish pediatricians that the incidence of empyema has significantly increased in the last few years, even though the objective information available is limited, and there is no specific active epidemiological surveillance system for this condition. In the present article, we review the situation of empyema in Spain, and discuss the main hypotheses put forward in the international literature to explain this increase, as well as the limitations of the sources available. Despite the scarcity of information, we draw the following conclusions: 1) the incidence of pediatric empyema is increasing in Spain, both generally and when caused by pneumococcus in particular; 2) the reason for this increase remains unknown, and to date no firm link has been established between this phenomenon and the heptavalent conjugate pneumococcal vaccine; and 3) this situation justifies the establishment of prospective systems for the surveillance and control of empyema and, once again, highlights the importance of developing active surveillance systems for pneumococcal disease.Anales de Pediatría 03/2008; 68(2):158-64. · 0.77 Impact Factor -
Article: [Human papillomavirus vaccines: a new challenge for pediatricians].
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ABSTRACT: Human papillomavirus (HPV) infections are the most common sexually transmitted infections in the world. This infection is a necessary cause of cervical cancer, has been related to other forms of anogenital, airway and digestive cancers, and also causes anogenital warts. The recent advances in HPV prophylactic vaccines and their imminent commercial availability will post a new challenge to pediatricians: the indication and administration of these vaccines for the prevention of HPV infection, and consequently, of cervical cancer and other HPV-related diseases. The present article reviews the essentials of HPV infection, its relationship with cervical cancer, the advances in prophylactic HPV vaccines, and the role of the pediatrician in this context.Anales de Pediatría 12/2006; 65(5):461-9. · 0.77 Impact Factor -
Article: [Recommendations of the Vaccine Advisory Committee of the Spanish Association of Pediatrics: influenza vaccination campaign 2006-2007].
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ABSTRACT: The recommendations of the Spanish Association of Pediatrics on influenza vaccination in the pediatric age group for the 2006-2007 season are presented. Influenza has special characteristics in children due to the high morbidity it carries. Moreover, children constitute the most frequent source of transmission. The risk factors supporting influenza vaccination in children and the need for immunization in persons living with high-risk children are discussed. The advisability of extending vaccination in health workers, and specifically to pediatricians and medical personnel in contact with sick children is stressed. The composition of the vaccine for the 2006-2007 seasons, the schedules and dosages in children depending on age, and the contraindications to vaccination are specified. Finally, the premises required to recommend universal vaccination in young children in Spain as a strategy to reduce morbidity due to this epidemic in children and adults are discussed.Anales de Pediatría 10/2006; 65(3):252-5. · 0.77 Impact Factor -
Article: [The role of the rotavirus vaccine in childhood vaccination schedules].
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ABSTRACT: Rotavirus is the leading cause of diarrhea in infants. In developed countries, this infection leads to considerable morbidity with a high number of hospitalizations and medical interventions in the winter season, giving rise to substantial medical and social costs. In developing countries, rotavirus is a major cause of mortality in infants due to dehydration, with an estimated 600.000 deaths or more per year worldwide. A vaccine that is easy administrated, safe and with high efficacy would be the ideal means to reduce the burden of this disease and its high economic and social cost and to decrease the number of deaths in low-income countries. Recently, the results of two well-designed clinical trials with a large number of subjects have been reported. Both studies, which used different vaccines, reported high efficacy in the prevention of severe gastroenteritis and hospitalizations caused by rotavirus. When these vaccines become available in Europe, a reduction in hospitalizations, medical consultations, and days of work lost can be expected.Anales de Pediatría 07/2006; 64(6):573-7. · 0.77 Impact Factor -
Article: [Brain abscess in children].
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ABSTRACT: Brain abscess is a rare infection in infants. Morbidity and mortality are high but have decreased due to advances in neuroimaging studies and the use of new antibiotics. We describe six cases of brain abscess diagnosed at the Gregorio Marañón Children's Hospital between January 1996 and September 2003. We performed a retrospective chart review of patients with brain abscess. The variables analyzed were age, sex, clinical symptoms and signs, radiological studies, etiology, therapy, and clinical outcome. Age ranged from 8 to 15 years (mean age: 11 years). There were three girls and three boys. The most frequent symptoms were neurological with associated sinusitis in four patients, congenital cyanogenic cardiopathy in one patient and meningitis in one patient. Diagnosis was established through computed tomography (CT) of the brain in five patients and through magnetic resonance imaging (MRI) in one patient. In five patients the abscess was located in the frontal lobe. All patients received broad-spectrum antibiotics and five underwent surgical drainage. Two patients had neurological sequelae. Although rare, brain abscess should be considered in patients with neurological manifestations associated with otorhinolaryngological infections or congenital cyanotic cardiopathy. When suspected, a CT or MRI must be performed to rule out this diagnosis and, if confirmed, prompt therapy with broad-spectrum antibiotics should be started. Surgical drainage may be needed.Anales de Pediatría 10/2005; 63(3):253-8. · 0.77 Impact Factor -
Article: Calendario vacunal de la Asociación Española de Pediatría: recomendaciones 2005
Vacunas 01/2005; 6:62-4. -
Article: Calendario vacunal de la Asociación Española de Pediatría: recomendaciones 2005
Anales de Pediatría 01/2005; 62(2):158-60. · 0.77 Impact Factor -
Article: Calendario vacunal de la Asociación Española de Pediatría 2004
Anales de Pediatría 01/2004; 60(5):468 - 72. · 0.77 Impact Factor -
Article: Calendario vacunal de la Asociación Española de Pediatría 2003
Anales espanoles de pediatria 01/2003; 58(3):257 - 262. -
Article: [Incidence of invasive pneumococcal infection in children aged less than two years. The heptavalent pneumococcal conjugate vaccine. Situation in Spain].
Anales espanoles de pediatria 11/2002; 57(4):287-9. -
Article: [Coinfection with chlamydia and mycoplasma. Incidence in our environment].
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ABSTRACT: To investigate the presence Mycoplasma pneumoniae and Chlamydia pneumoniae and to determine their importance as the cause of community-acquired pneumonia in childhood. We performed a retrospective descriptive study of all the patients aged less than 15 years old diagnosed with community-acquired pneumonia due to M. pneumoniae in the pediatric emergency department of our hospital between May 1998 and May 2000. Patients in whom C. pneumoniae was also identified as a cause of pneumonia were investigated. Of 242 cases of community-acquired pneumonia, 82 were due to M. pneumoniae (34.7 %) and 32 were due to C. pneumoniae (13.22 %) Of these, eight cases were coinfections with C. pneumoniae and M. pneumoniae. Most infections occurred in boys (5/8). The mean age at diagnosis was 7.7 years. No seasonal predominance was found. Both C. pneumoniae and M. pneumoniae play a substantial role in community-acquired pneumonia in children aged more than 5 years old. Although coinfection with both species usually worsens the course of the disease, outcome in all the patients studied was satisfactory.Anales espanoles de pediatria 09/2002; 57(2):110-5. -
Article: [The importance of fungal infections in pediatrics].
Revista Clínica Española 05/1997; 197 Suppl 1:60-6. · 2.01 Impact Factor -
Article: [Acute cytomegalovirus infection and recurrent thrombopenia in an immunocompetent girl].
Enfermedades Infecciosas y Microbiología Clínica 01/1996; 13(10):638-9. · 1.49 Impact Factor
Top co-authors
Top Journals
Institutions
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2008
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Conselleria de Sanidade
A Coruña, Galicia, Spain
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1997
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Hospital General Universitario Gregorio Marañón
- Departamento de Pediatría
Madrid, Madrid, Spain
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