{"id":512,"date":"2023-12-21T23:00:01","date_gmt":"2023-12-21T17:15:01","guid":{"rendered":"http:\/\/demo.pahs.edu.np\/?page_id=512"},"modified":"2023-12-21T23:00:01","modified_gmt":"2023-12-21T17:15:01","slug":"paediatric-research-unit","status":"publish","type":"page","link":"https:\/\/draft.srssolutions.com.np\/pahs\/community\/paediatric-research-unit\/","title":{"rendered":"Paediatric Research Unit"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;rgba(153,153,153,0)&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_row column_structure=&#8221;3_4,1_4&#8243; _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_column type=&#8221;3_4&#8243; _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_text _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<h2>Paediatric Research Unit<\/h2>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p><strong>Introduction<\/strong><\/p>\n<p>The Paediatric Research Unit under the Department of Paediatrics of Patan hospital was founded in 2005 and has been working in close collaboration with University of Oxford, Ministry of Health &amp; Population (MOHP) and Child Health Division (CHD).<\/p>\n<p>The main aim of the research unit is to study the important aspects of child health especially vaccine preventable diseases and produce robust information and generate local data for Nepal.<\/p>\n<p>Over the past 15 years, the unit has conducted several collaborative researches with international collaborators (University of Oxford, WHO, University of Otago, John Hopkins, IVAC, Gavi, Nepal Paediatric Society), presented at different national and international conferences and published many scientific papers in national and international journals.<\/p>\n<p><strong>Activities<\/strong><\/p>\n<p>The Paediatric Research Unit started with the surveillance of the Paediatric invasive bacterial diseases in Patan hospital, which is still ongoing with support from WHO and generating information on the infectious diseases, its prevalence and distribution.<\/p>\n<p>Studies looking at the nasopharyngeal carriage of<span>\u00a0<\/span><em>Hemophilus Influenzae B<\/em><span>\u00a0<\/span>(Hib), as an indirect marker of the Hib disease burden among Nepali children, were conducted before the Hib vaccine was introduced in the country; and the information was shared with the MOHP and CHD.<\/p>\n<p>Similarly the information on Pnemococcal disease burden and serotype distribution among the Nepali children and the effective pneumococcal vaccine schedule were collected through different studies\/ researches conducted by the unit. All these information were valuable for the country\u2019s policy decision on vaccine introduction and choice of vaccine and the schedule.<\/p>\n<p>Over the years the unit has evolved, with the start of the PneumoNepal Project in 2014, which is supported by Gavi, the Vaccine Alliance and made possible by additional partnerships with various national and international collaborators. The project started with the study of nasopharyngeal carriage of pneumococcus in healthy children and children with pneumonia, and comparing the carriage data pre and post Pneomococcal vaccine introduction. After the introduction of 10-valent pneumococcal conjugate vaccine in 2015 into the Nepal\u2019s infant immunization schedule with a unique 2+1 schedule having second priming dose at 10 weeks, the unit conducted a study to evaluate the Nepal schedule. The study demonstrated its equal effectiveness to the WHO\u2019s standard PCV schedule and this was an important information to the ministry for affirmation of its decision. The PneumoNepal study is also evaluating the programmatic and economic impact of the PCV10 program in Nepal.<\/p>\n<p>The Paediatric Research Unit has also conducted various other studies including pneumococcal transcriptomics and RSV.<\/p>\n<p><strong>Future plan<\/strong><\/p>\n<p>The plan is to expand this work to include other emerging Paediatric illnesses, Nepal\u2019s infant immunization schedule and other public health priorities in Nepal.<\/p>\n<p><strong>World Pneumonia day 2021<\/strong><\/p>\n<p>On the occasion of World Pneumonia day, the work of the PAHS Paediatric Research Unit was featured in the Gavi website, John Hopkins website and Oxford vaccine group page.Here are the links:<\/p>\n<p><a rel=\"noreferrer noopener\" href=\"https:\/\/mailchi.mp\/d8e0b3221b3e\/world-immunization-week-webinar-series-10538677?e=2033ab8397\" target=\"_blank\">https:\/\/mailchi.mp\/d8e0b3221b3e\/world-immunization-week-webinar-series-10538677?e=2033ab8397<\/a><\/p>\n<p><a rel=\"noreferrer noopener\" href=\"https:\/\/www.jhsph.edu\/ivac\/2021\/10\/04\/frontline-investigators-shrijana\/\" target=\"_blank\">https:\/\/www.jhsph.edu\/ivac\/2021\/10\/04\/frontline-investigators-shrijana\/<\/a><\/p>\n<p><a rel=\"noreferrer noopener\" href=\"https:\/\/twitter.com\/OxfordVacGroup\/status\/1458702306401206274\" target=\"_blank\">https:\/\/twitter.com\/OxfordVacGroup\/status\/1458702306401206274<\/a><\/p>\n<p><a rel=\"noreferrer noopener\" href=\"https:\/\/www.gavi.org\/vaccineswork\/sickness-and-survival-pre-covid-19-nepal\" target=\"_blank\">https:\/\/www.gavi.org\/vaccineswork\/sickness-and-survival-pre-covid-19-nepal<\/a><\/p>\n<p><strong>Publications<\/strong><\/p>\n<ol type=\"1\">\n<li>Hospital based surveillance\u00a0of invasive pneumococcal disease aog young children in urban Nepal\u00a0<a rel=\"noreferrer noopener\" href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed?term=Hospital-Based%20Surveillance%20of%20Invasive%20Pneumococcal%20Disease%20among%20Young%20Children%20in%20Urban%20Nepal\" target=\"_blank\">Clin Infect Dis<\/a>\u00a02009;48 Suppl 2:S114-22.<\/li>\n<li>Kinetics of the natural, humoral immune response to Salmonella enterica serovar Typhi in Kathmandu, Nepal. Clin Vaccine Immunol 2009; 16(10):1413-9.<\/li>\n<li>Standardizing surveillance of pneumococcal disease:\u00a0(2009) Clinical Infectious Diseases, 48 (SUPPL. 2), pp. S37-S48.<span>\u00a0<\/span><a rel=\"noreferrer noopener\" href=\"http:\/\/www.scopus.com\/inward\/record.url?eid=2-s2.0-61849137707&amp;partnerID=40&amp;md5=6d68f9be7f083cf3637acb018eff7c72\" target=\"_blank\">http:\/\/www.scopus.com\/inward\/record.url?eid=2-s2.0-61849137707&amp;partnerID=40&amp;md5=6d68f9be7f083cf3637acb018eff7c72<\/a><\/li>\n<li>High-throughput bacterial SNP typing identifies distinct clusters of Salmonella Typhi causing typhoid in Nepalese children.\u00a0BMC Infect Dis\u00a02010; 10:144.<\/li>\n<li>The burden of vaccine-preventable invasive bacterial infections and pneumonia in children admitted to hospital in urban Nepal.\u00a0Int J Infect Dis\u00a02011; 15(1):e17-23.<\/li>\n<li>Haemophilusinfluenzae Type b Carriage and Novel Bacterial Population Structure among Children in Urban Kathmandu, Nepal.\u00a0J ClinMicrobiol2011; 49 (4): 1323-30<\/li>\n<li>Rotavirus and its Genotype Distribution among Children Less than Three Years Presenting with Acute Watery Diarrhoea to a General Hospital in Urban Nepal.\u00a0J Nep PaedtrSoc2011; 31(2): 110-15<\/li>\n<li>Clinical profile of invasive pneumococcal disease in Patan hospital, Nepal:\u00a0(2011) Kathmandu University Medical Journal, 9 (33), pp. 45-49.\u00a0<a rel=\"noreferrer noopener\" href=\"http:\/\/www.scopus.com\/inward\/record.url?eid=2-s2.0-84862251027&amp;partnerID=40&amp;md5=65c63efb4ace0c819989392ec49fea95\" target=\"_blank\">http:\/\/www.scopus.com\/inward\/record.url?eid=2-s2.0-84862251027&amp;partnerID=40&amp;md5=65c63efb4ace0c819989392ec49fea95<\/a><\/li>\n<li>Evaluation of\u00a0<em>Haemophilus influenzae<span>\u00a0<\/span><\/em>Type b Vaccine for Routine Immunization in Nepali Infants.\u00a0<em>Pediatr Infect Dis J\u00a0<\/em>2012; 31(4): e66\u201372<\/li>\n<li>Bloodstream Infection among Children Presenting to a General Hospital Outpatient Clinic in Urban Nepal.\u00a0<em>PLoS One<\/em>\u00a02012; 7(10): e47531.<\/li>\n<li>Prevalence and genetic analysis of phenotypically Vi- negative salmonella typhi isolates in children from Kathmandu, Nepal:\u00a0<em>(2013) Journal of Tropical Pediatrics, 59 (4), pp. 317-320.\u00a0<\/em><a rel=\"noreferrer noopener\" href=\"http:\/\/www.scopus.com\/inward\/record.url?eid=2-s2.0-84881524116&amp;partnerID=40&amp;md5=9c2df41373fb1fca9711a3d9fc0ea4a5\" target=\"_blank\"><em>http:\/\/www.scopus.com\/inward\/record.url?eid=2-s2.0-84881524116&amp;partnerID=40&amp;md5=9c2df41373fb1fca9711a3d9fc0ea4a5<\/em><\/a><\/li>\n<li><em>Streptococcus pneumoniae<\/em>\u00a0Carriage Prevalence in Nepal: Evaluation of a Method for Delayed Transport of Samples from Remote Regions and Implications for Vaccine Implementation: PLoS ONE 9(6): e98739. doi:10.1371\/journal.pone.0098739<\/li>\n<li>The seroepidemiology of Haemophilus influenzae type B prior to introduction of immunization programme in Kathmandu, Nepal:<em>(2014) PLoS ONE, 9 (1), art. no. e85055,<\/em><a rel=\"noreferrer noopener\" href=\"http:\/\/www.scopus.com\/inward\/record.url?eid=2-s2.0-84899801321&amp;partnerID=40&amp;md5=f1ac0d3de60eabc1d48e821a191f0891\" target=\"_blank\"><em>http:\/\/www.scopus.com\/inward\/record.url?eid=2-s2.0-84899801321&amp;partnerID=40&amp;md5=f1ac0d3de60eabc1d48e821a191f0891<\/em><\/a><\/li>\n<li>Genome Sequencing of an Extended Series of NDM-Producing Klebsiella pneumoniae Isolates from Neonatal Infections in a Nepali Hospital Characterizes the Extent of Community- versus Hospital-Associated Transmission in an Endemic Setting.(2014) Antimicrobial and Agents Chemotherapy. 2014 Dec; 58(12): 7347\u20137357.\u00a0<a rel=\"noreferrer noopener\" href=\"http:\/\/dx.doi.org\/10.1128\/AAC.03900-14\" target=\"_blank\">http:\/\/dx.doi.org\/10.1128\/AAC.03900-14<\/a><\/li>\n<li>Dynamics of MDR Enterobacter cloacae outbreaks in a neonatal unit in Nepal: insights using wider sampling frames and next-generation sequencing Journal of Antimicrobial Chemotherapy 2015; doi: 10.1093\/jac\/dku521<\/li>\n<li>\u00a0Multi-Serotype Pneumococcal Nasopharyngeal Carriage Prevalence in Vaccine Na\u00efve Nepalese Children, Assessed Using Molecular Serotyping. (2015) PLoSONE10(2): e0114286.doi: 10.1371\/journal.pone.0114286<span>\u00a0<\/span><a href=\"http:\/\/dx.plos.org\/10.1371\/journal.pone.0114286\">http:\/\/dx.plos.org\/10.1371\/journal.pone.0114286<\/a><\/li>\n<li>Comparison of two-dose priming plus 9-month booster with a standard three-dose priming schedule for a ten-valent pneumococcal conjugate vaccine in Nepalese infants: a randomised, controlled, open-label, non-inferiority trial:(2015) The Lancet Infectious Diseases , Volume 15 , Issue 4 , 405 \u2013 414<a rel=\"noreferrer noopener\" href=\"http:\/\/dx.doi.org\/10.1016\/S1473-3099(15)70007-1\" target=\"_blank\">http:\/\/dx.doi.org\/10.1016\/S1473-3099(15)70007-1<\/a><\/li>\n<li>\u00a0Laboratory and molecular surveillance of paediatrictyphoidal Salmonella in Nepal: Antimicrobial resistance and implications for vaccine policy. PLoSNegl Trop Dis 12(4): e0006408.<span>\u00a0<\/span><a rel=\"noreferrer noopener\" href=\"https:\/\/doi.org\/10.1371\/journal\" target=\"_blank\">https:\/\/doi.org\/10.1371\/journal<\/a>.<\/li>\n<li><a rel=\"noreferrer noopener\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/29069415\" target=\"_blank\">Serotype-Specific Correlates of Protection for Pneumococcal Carriage: An Analysis of Immunity in 19 Countries.<\/a><span>\u00a0<\/span><em>Clin Infect Dis.<\/em>\u00a02018 Mar 5;66(6):913-920. doi: 10.1093\/cid\/cix895.<\/li>\n<li><a rel=\"noreferrer noopener\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/29702658\" target=\"_blank\">Use of weighted multivariate estimates in trials of multi-serotype vaccines to simplify interpretation of treatment differences.<\/a><span>\u00a0<\/span><em>PLoS One.<\/em>\u00a02018 Apr 27;13(4): e0196200.doi: 10.1371\/journal.pone.0196200. e Collection 2018.<\/li>\n<li>Comparison of twoschedules of two-dose priming with the ten-valent pneumococcal conjugate vaccine in Nepalese children: an open-label, randomised non-inferiority controlled trial. Lancet Infect Dis 2019; published online Jan 8.\u00a0<a rel=\"noreferrer noopener\" href=\"http:\/\/dx.doi.org\/10.1016\/S1473-3099(18)30568-1\" target=\"_blank\">http:\/\/dx.doi.org\/10.1016\/S1473-3099(18)30568-1<\/a>.<\/li>\n<li>Assessment of an Antibody-in-Lymphocyte Supernatant Assay for the Etiological Diagnosis of Pneumococcal Pneumonia in Children.\u00a0Frontiers in Cellular and Infection Microbiology, 17 January 2020\u00a0|\u00a0<a rel=\"noreferrer noopener\" href=\"https:\/\/doi.org\/10.3389\/fcimb.2019.00459\" target=\"_blank\">https:\/\/doi.org\/10.3389\/fcimb.2019.00459<\/a><\/li>\n<\/ol>\n<p><strong>Useful Links for further information<\/strong><\/p>\n<p>&nbsp;<\/p>\n<blockquote class=\"wp-embedded-content\" data-secret=\"WfITeqJOiY\">\n<p><a href=\"https:\/\/pneumonepal.org\/\">Home<\/a><\/p>\n<\/blockquote>\n<h2><iframe loading=\"lazy\" class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" title=\"\u201cHome\u201d \u2014 Pneumo Nepal Project\" src=\"https:\/\/pneumonepal.org\/embed\/#?secret=WfITeqJOiY\" data-secret=\"WfITeqJOiY\" width=\"500\" height=\"282\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe><\/h2>\n<p>&nbsp;<\/p>\n<p><a rel=\"noreferrer noopener\" href=\"https:\/\/www.jhsph.edu\/ivac\/2021\/10\/04\/frontline-investigators-shrijana\/\" target=\"_blank\">https:\/\/www.jhsph.edu\/ivac\/2021\/10\/04\/frontline-investigators-shrijana\/<\/a><\/p>\n<p><a href=\"https:\/\/www.gavi.org\/fighting-pneumonia-in-nepal-surveillance\">https:\/\/www.gavi.org\/fighting-pneumonia-in-nepal-surveillance<\/a><\/p>\n<p><a href=\"https:\/\/www.gavi.org\/news\/media-room\/fighting-pneumonia-nepal-making-numbers-count\">https:\/\/www.gavi.org\/news\/media-room\/fighting-pneumonia-nepal-making-numbers-count<\/a><\/p>\n<p><a href=\"https:\/\/stoppneumonia.org\/making-numbers-count-fighting-pneumonia-in-nepal\/\">https:\/\/stoppneumonia.org\/making-numbers-count-fighting-pneumonia-in-nepal\/<\/a><\/p>\n<p><a href=\"https:\/\/www.pahs.edu.np\/pahs-community\/paediatric-research-unit\/_wp_link_placeholder\" data-wplink-edit=\"true\">https:\/\/www.jhsph.edu\/ivac\/2020\/06\/22\/commentary-the-pneumococcal-vaccine-is-bolstering-child-health-in-nepal\/<\/a><\/p>\n<p><a href=\"https:\/\/www.youtube.com\/watch?v=niyMpD_aGVUhttps:\/\/www.jhsph.edu\/ivac\/2020\/06\/22\/commentary-the-pneumococcal-vaccine-is-bolstering-child-health-in-nepal\/\">https:\/\/www.youtube.com\/watch?v=niyMpD_aGVUhttps:\/\/www.jhsph.edu\/ivac\/2020\/06\/22\/commentary-the-pneumococcal-vaccine-is-bolstering-child-health-in-nepal\/<\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_4&#8243; disabled_on=&#8221;on|on|off&#8221; _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_image src=&#8221;http:\/\/demo.pahs.edu.np\/wp-content\/uploads\/2023\/12\/aboutus.png&#8221; title_text=&#8221;aboutus&#8221; _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][\/et_pb_image][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Paediatric Research UnitIntroduction The Paediatric Research Unit under the Department of Paediatrics of Patan hospital was founded in 2005 and has been working in close collaboration with University of Oxford, Ministry of Health &amp; Population (MOHP) and Child Health Division (CHD). The main aim of the research unit is to study the important aspects of child health especially vaccine preventable diseases and produce robust information and generate local data for Nepal. Over the past 15 years, the unit has conducted several collaborative researches with international collaborators (University of Oxford, WHO, University of Otago, John Hopkins, IVAC, Gavi, Nepal Paediatric Society), presented at different national and international conferences and published many scientific papers in national and international journals. Activities The Paediatric Research Unit started with the surveillance of the Paediatric invasive bacterial diseases in Patan hospital, which is still ongoing with support from WHO and generating information on the infectious diseases, its prevalence and distribution. Studies looking at the nasopharyngeal carriage of\u00a0Hemophilus Influenzae B\u00a0(Hib), as an indirect marker of the Hib disease burden among Nepali children, were conducted before the Hib vaccine was introduced in the country; and the information was shared with the MOHP and CHD. Similarly the information on [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":123,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-512","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/draft.srssolutions.com.np\/pahs\/wp-json\/wp\/v2\/pages\/512","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/draft.srssolutions.com.np\/pahs\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/draft.srssolutions.com.np\/pahs\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/draft.srssolutions.com.np\/pahs\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/draft.srssolutions.com.np\/pahs\/wp-json\/wp\/v2\/comments?post=512"}],"version-history":[{"count":0,"href":"https:\/\/draft.srssolutions.com.np\/pahs\/wp-json\/wp\/v2\/pages\/512\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/draft.srssolutions.com.np\/pahs\/wp-json\/wp\/v2\/pages\/123"}],"wp:attachment":[{"href":"https:\/\/draft.srssolutions.com.np\/pahs\/wp-json\/wp\/v2\/media?parent=512"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}