Bitácora PrevInfad
19.2.24
Cost-Effectiveness of School Urinary Screening for Early Detection of IgA Nephropathy in Japan.
21.11.23
Screening, Referral, Behavioral Counseling, and Preventive Interventions for Oral Health in Children and Adolescents Aged 5 to 17 Years: A Systematic Review for the US Preventive Services Task Force.
27.7.23
Screening for Lipid Disorders in Children and Adolescents: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force.
6.7.23
Diez intervenciones preventivas de la consulta de Pediatría de Atención Primaria apoyadas por la OMS (I)
PUNTOS CLAVE
- En las consultas de Atención Primaria se implementan intervenciones basadas en pruebas, pero también prácticas comunes basadas en la tradición, no siempre inocuas ni exentas de costes.
- La OMS Europa ha elaborado un manual sobre la Atención Primaria para niños y adolescentes que incluye los estándares basados en pruebas de los cuidados sanitarios en la región europea de la OMS.
- Se resumen los diez artículos publicados, uno por cada actividad preventiva estudiada para menores de cinco años.
- Las actividades preventivas para menores de cinco años se han dividido en intervenciones farmacológicas únicas, intervenciones múltiples y cribados.
3.7.23
Child and adolescent mental well-being intervention programme: A systematic review of randomised controlled trials.
26.6.23
Psychometric Properties of Screening Instruments for Social Network Use Disorder in Children and Adolescents A Systematic Review.
12.4.23
Number Needed to Screen for Tuberculosis Disease Among Children: A Systematic Review.
Context: Improving detection of pediatric tuberculosis (TB) is critical to reducing morbidity and mortality among children.
Objective: We conducted a systematic review to estimate the number of children needed to screen (NNS) to detect a single case of active TB using different active case finding (ACF) screening approaches and across different settings.
Data sources: We searched 4 databases (PubMed, Embase, Scopus, and the Cochrane Library) for articles published from November 2010 to February 2020.
Study selection: We included studies of TB ACF in children using symptom-based screening, clinical indicators, chest x-ray, and Xpert.
Data extraction: We indirectly estimated the weighted mean NNS for a given modality, location, and population using the inverse of the weighted prevalence. We assessed risk of bias using a modified AXIS tool.
Results: We screened 27 221 titles and abstracts, of which we included 31 studies of ACF in children < 15 years old. Symptom-based screening was the most common screening modality (weighted mean NNS: 257 [range, 5-undefined], 19 studies). The weighted mean NNS was lower in both inpatient (216 [18-241]) and outpatient (67 [5-undefined]) settings (107 [5-undefined]) compared with community (1117 [28-5146]) and school settings (464 [118-665]). Risk of bias was low.
Limitations: Heterogeneity in the screening modalities and populations make it difficult to draw conclusions.
Conclusions: We identified a potential opportunity to increase TB detection by screening children presenting in health care settings. Pediatric TB case finding interventions should incorporate evidence-based interventions and local contextual information in an effort to detect as many children with TB as possible.