Last data update: May 06, 2024. (Total: 46732 publications since 2009)
Records 1-6 (of 6 Records) |
Query Trace: Bartenfeld M[original query] |
---|
Building children's preparedness capacity at the Centers for Disease Control and Prevention one event at a time, 2009-2018
Leeb RT , Franks JL , Dziuban EJ , Ruben W , Bartenfeld M , Hinton CF , Chatham-Stephens K , Peacock G . Am J Public Health 2019 109 S260-s262 This issue of AJPH highlights the importance of community preparedness for public health emergencies. An essential component of community preparedness is the capacity to address the needs of children, who comprise nearly one quarter of the US population and are particularly vulnerable to disaster-related morbidity and mortality (Figure 1).1 However, communities may not be well equipped to address children’s needs. |
Pediatric botulism and use of equine botulinum antitoxin in children: A systematic review
Griese SE , Kisselburgh HM , Bartenfeld MT , Thomas E , Rao AK , Sobel J , Dziuban EJ . Clin Infect Dis 2017 66 S17-s29 Background: Botulism manifests with cranial nerve palsies and flaccid paralysis in children and adults. Botulism must be rapidly identified and treated; however, clinical presentation and treatment outcomes of noninfant botulism in children are not well described. Methods: We searched 12 databases for peer-reviewed and non-peer-reviewed reports with primary data on botulism in children (persons <18 years of age) or botulinum antitoxin administration to children. Reports underwent title and abstract screening and full text review. For each case, patient demographic, clinical, and outcome data were abstracted. Results: Of 7065 reports identified, 184 met inclusion criteria and described 360 pediatric botulism cases (79% confirmed, 21% probable) that occurred during 1929-2015 in 34 countries. Fifty-three percent were male; age ranged from 4 months to 17 years (median, 10 years). The most commonly reported signs and symptoms were dysphagia (53%), dysarthria (39%), and generalized weakness (37%). Inpatient length of stay ranged from 1 to 425 days (median, 24 days); 14% of cases required intensive care unit admission; 25% reported mechanical ventilation. Eighty-three (23%) children died. Median interval from illness onset to death was 1 day (range, 0-260 days). Among patients who received antitoxin (n = 193), 23 (12%) reported an adverse event, including rash, fever, serum sickness, and anaphylaxis. Relative risk of death among patients treated with antitoxin compared with patients not treated with antitoxin was 0.24 (95% confidence interval, .14-.40; P < .0001). Conclusions: Dysphagia and dysarthria were the most commonly reported cranial nerve symptoms in children with botulism; generalized weakness was described more than paralysis. Children who received antitoxin had better survival; serious adverse events were rare. Most deaths occurred early in the clinical course; therefore, botulism in children should be identified and treated rapidly. |
Establishing a hospital response network among children's hospitals
Bartenfeld MT , Griese SE , Krug SE , Andreadis J , Peacock G . Health Secur 2017 15 (1) 118-122 A timely and effective response to public health threats requires a broad-reaching infrastructure. Children's hospitals are focused on evaluating and managing some of the most vulnerable patients and thus have unique preparedness and response planning needs. A virtual forum was established specifically for children's hospitals during the 2014-15 Ebola outbreak, and it demonstrated the importance and utility of connecting these specialty hospitals to discuss their shared concerns. Developing a successful children's hospital response network could build the national infrastructure for addressing children's needs in preparedness and response and for enhancing preparedness and response to high-consequence pathogens. Using the Laboratory Response Network and tiered-hospital network as models, a network of children's hospitals could work together, and with government and nongovernment partners, to establish and refine best practices for treating children with pathogens of public health concern. This network could more evenly distribute hospital readiness and tertiary pediatric patient care capabilities for highly infectious diseases across the country, thus reducing the need to transport pediatric patients across the country and increasing the national capacity to care for children infected with high-consequence pathogens. |
Middle East respiratory syndrome coronavirus and children: What pediatric health care professionals need to know
Bartenfeld M , Griese S , Uyeki T , Gerber SI , Peacock G . Clin Pediatr (Phila) 2016 56 (2) 187-189 As of December 31, 2015, 1621 laboratory-confirmed cases of Middle East respiratory syndrome coronavirus (MERS-CoV) had been reported to the World Health Organization (WHO), with 584 deaths in 26 countries (http://www.who.int/emergencies/mers-cov/en/). Two imported MERS-CoV cases were identified in the United States in May 2014.1 WHO has not declared this disease to constitute a Public Health Emergency of International Concern. However, sporadic MERS-CoV cases could continue to be imported into the United States. This article provides background information on MERS-CoV and MERS-CoV infections in children for pediatric health care providers in the United States. MERS-CoV infections among children have been reported, and severe respiratory illnesses have been documented in children with underlying conditions. United States health care providers should be vigilant in assessing children with severe respiratory illnesses and history of recent travel in or near the Arabian Peninsula for MERS-CoV infections. |
Expanding the reach of evidence-based self-management education and physical activity interventions: Results of a cross-site evaluation of state health departments
Brady TJ , Brick M , Berktold J , Sonnefeld J , Gaddes R , Bartenfeld T . Health Promot Pract 2016 17 (6) 871-879 Participation in community-based self-management education and physical activity interventions has been demonstrated to improve quality of life for those who have arthritis and other chronic diseases. The Centers for Disease Control and Prevention Arthritis Program funded 21 state health departments to expand the reach (defined as the number of people who participate in interventions) of 10 evidence-based interventions in community settings. The Arthritis Centralized Evaluation assessed the strategies and tactics used by state health departments to expand the reach of these evidence-based interventions. The evaluation compared and contrasted processes used by the states to expand reach. Engaging multisite delivery system partners, prioritizing reach, embedding interventions within partners' routine operations, and collaborating across chronic disease program areas were all dissemination strategies that were correlated with expanded intervention reach. However, states also encountered challenges that limited their ability to successfully engage delivery systems as partners. These barriers included difficulty identifying delivery system partners and the lengthy time periods partners needed to adopt and embed the interventions. |
Public health emergency planning for children in chemical, biological, radiological, and nuclear (CBRN) disasters
Bartenfeld MT , Peacock G , Griese SE . Biosecur Bioterror 2014 12 (4) 201-7 Children represent nearly a quarter of the US population, but their unique needs in chemical, biological, radiological, and nuclear (CBRN) emergencies may not be well understood by public health and emergency management personnel or even clinicians. Children are different from adults physically, developmentally, and socially. These characteristics have implications for providing care in CBRN disasters, making resulting illness in children challenging to prevent, identify, and treat. This article discusses these distinct physical, developmental, and social traits and characteristics of children in the context of the science behind exposure to, health effects from, and treatment for the threat agents potentially present in CBRN incidents. |
- Page last reviewed:Feb 1, 2024
- Page last updated:May 06, 2024
- Content source:
- Powered by CDC PHGKB Infrastructure