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Track 10: Pediatric infectious disease

Track 10: Pediatric infectious disease

What is pediatric-infectious-disease? 

Pediatric infectious disease is a subspecialty of pediatrics that focuses on the prevention, diagnosis, treatment, and management of infectious diseases in children. Infectious diseases in children can range from mild, self-limiting illnesses to severe, life-threatening infections. Pediatric infectious disease specialists are trained to handle the unique challenges of diagnosing and treating these conditions in young patients, whose immune systems and medical needs are different from adults.

Common Conditions Treated in Pediatric Infectious Disease

  1. Viral Infections:

    • Respiratory infections: Common colds, influenza (flu), respiratory syncytial virus (RSV), and others like parainfluenza, adenovirus, and enterovirus.
    • Gastrointestinal infections: Viral gastroenteritis caused by rotavirus, norovirus, and enteric adenoviruses.
    • Exanthematous viral infections: Measles, chickenpox (varicella), rubella, and roseola.
    • Hepatitis: Hepatitis A, B, C, and E, which affect the liver.
    • Human Immunodeficiency Virus (HIV): HIV infection, particularly in infants or children exposed at birth.
  2. Bacterial Infections:

    • Pneumonia: Caused by bacteria like Streptococcus pneumoniae, Haemophilus influenzae, and Mycoplasma pneumoniae.
    • Meningitis: A bacterial infection of the membranes surrounding the brain and spinal cord, commonly caused by Neisseria meningitidis, Streptococcus pneumoniae, or Haemophilus influenzae.
    • Urinary Tract Infections (UTIs): Infections in the urinary system, often caused by Escherichia coli and other bacteria.
    • Sepsis: A severe, systemic infection that can cause organ failure, often from bacterial infections like Staphylococcus aureus or Streptococcus pneumoniae.
    • Skin and Soft Tissue Infections: These include cellulitis, impetigo, and abscesses, often caused by Staphylococcus aureus and Streptococcus pyogenes.
    • Whooping Cough (Pertussis): A highly contagious respiratory infection caused by Bordetella pertussis.
  3. Parasitic Infections:

    • Giardiasis: An intestinal infection caused by the parasite Giardia lamblia.
    • Malaria: A mosquito-borne parasitic infection caused by Plasmodium species.
    • Toxoplasmosis: Caused by Toxoplasma gondii, often acquired from contact with contaminated food, soil, or animal feces.
    • Pinworm Infection: A common parasitic infection in children, caused by Enterobius vermicularis.
  4. Fungal Infections:

    • Candidiasis: A fungal infection caused by Candida species, which can affect the mouth (thrush), skin, or genital area.
    • Ringworm (Tinea): A fungal infection affecting the skin, scalp, or nails.
  5. Vaccination-Preventable Diseases:

    • Measles, Mumps, Rubella: Vaccines (MMR) prevent these highly contagious viral infections, but outbreaks still occur, especially in unvaccinated populations.
    • Diphtheria, Tetanus, Pertussis (DTaP): Vaccines that prevent these potentially severe bacterial infections.
    • Polio: A viral infection that can cause paralysis and is preventable with vaccination.
    • Hepatitis B: A vaccine-preventable viral infection that affects the liver.
    • Chickenpox (Varicella): A viral infection preventable by the varicella vaccine.
  6. Tuberculosis (TB): A bacterial infection primarily affecting the lungs but can also involve other organs. TB is preventable with vaccination (BCG) in certain countries and treatable with a prolonged course of antibiotics.

  7. Infections Related to Travel:

    • Dengue: A mosquito-borne viral infection common in tropical areas.
    • Zika Virus: A mosquito-borne virus, which can cause birth defects if pregnant women are infected.
    • Typhoid Fever: Caused by Salmonella typhi, common in regions with poor sanitation.

Diagnostic Tools and Tests

  1. Blood Tests:

    • Complete blood count (CBC), blood cultures, liver function tests, and other specific blood tests to detect infection.
    • Serologic tests to identify past exposure or current infection with viruses, bacteria, or parasites.
  2. Urine Tests: Urinalysis and urine cultures to diagnose urinary tract infections (UTIs).

  3. Stool Cultures: Used to detect bacterial, viral, or parasitic infections in the gastrointestinal tract.

  4. Imaging: X-rays, ultrasounds, and CT scans to identify infections that affect the lungs (like pneumonia) or other internal organs.

  5. Molecular Tests: PCR (Polymerase Chain Reaction) tests to identify specific bacterial or viral pathogens, especially useful for detecting conditions like COVID-19, RSV, or HIV.

  6. Lumbar Puncture: A procedure to collect cerebrospinal fluid for testing, typically used to diagnose meningitis.

  7. Rapid Antigen and PCR Tests: These tests can quickly identify specific infections, such as influenza or COVID-19.