{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T22:23:56Z","timestamp":1782512636625,"version":"3.54.5"},"reference-count":76,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T00:00:00Z","timestamp":1772064000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>Background: Readmission of newborns within the first 28 days after initial discharge represents a significant healthcare concern, causing distress to families and financial burden on healthcare systems. Understanding readmission patterns and risk factors is essential for implementing preventive strategies. Objective: This retrospective observational study aimed to evaluate the prevalence and characteristics of neonatal readmissions to a pediatric center in Ploie\u0219ti, Romania, during a 12-month period (1 January 2024\u201331 December 2024). Methods: We reviewed medical records of all newborns aged 0\u201328 days admitted to the pediatric hospital after initial discharge from maternity wards. Clinical characteristics, diagnoses, paraclinical findings, and demographic data were analyzed. Results: A total of 131 newborns were readmitted, representing a 1.9% readmission rate, and only the first readmission for each patient was included in the analysis. The majority (60.9%) presented with preventable infectious pathology, including bronchiolitis (18.3%), rhinoconjunctivitis (16%), pyoderma (11.4%), infectious gastroenteritis (8.4%), and COVID-19 infection (6.8%). Males comprised 61.3% of cases, and 74.8% were born via cesarean section. Exclusive breastfeeding rate was 45.8%. Concerningly, two cases (1.5%) presented with measles, reflecting declining vaccination coverage in Romania (the lowest in the European Union at 62%). Conclusions: The predominance of preventable infectious conditions among neonatal readmissions highlights critical gaps in post-discharge care and infection prevention education. The presence of vaccine-preventable diseases underscores the urgent need to address declining immunization rates in Romania. Enhanced parental education on hygiene practices, infection prevention, and improved post-discharge follow-up systems are essential to reduce neonatal morbidity and readmission rates.<\/jats:p>","DOI":"10.3390\/children13030330","type":"journal-article","created":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T10:33:02Z","timestamp":1772101982000},"page":"330","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Preventable Infectious Pathology Dominates Neonatal Readmissions: A Retrospective Analysis from a Pediatrics Department in Ploie\u0219ti, Romania"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4986-8025","authenticated-orcid":false,"given":"Daniela-Eugenia","family":"Popescu","sequence":"first","affiliation":[{"name":"Department of Obstetrics-Gynecology and Neonatology, \u201cVictor Babe\u0219\u201d University of Medicine and Pharmacy, 300041 Timisoara, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-4629-5820","authenticated-orcid":false,"given":"Ioana","family":"Rosca","sequence":"additional","affiliation":[{"name":"Department of Neonatology and Department of Pediatrics, Faculty of Medicine and Faculty of Midwifery and Nursing, University of Medicine and Pharmacy \u201cCarol Davila\u201d, 050474 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alina","family":"Turenschi","sequence":"additional","affiliation":[{"name":"Department of Neonatology and Department of Pediatrics, Faculty of Medicine and Faculty of Midwifery and Nursing, University of Medicine and Pharmacy \u201cCarol Davila\u201d, 050474 Bucharest, Romania"},{"name":"Pediatric Hospital Ploiesti, 100326 Ploiesti, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anca","family":"Miu","sequence":"additional","affiliation":[{"name":"Pediatric Hospital Ploiesti, 100326 Ploiesti, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6414-0841","authenticated-orcid":false,"given":"Elena","family":"Poenaru","sequence":"additional","affiliation":[{"name":"Department of Neonatology and Department of Pediatrics, Faculty of Medicine and Faculty of Midwifery and Nursing, University of Medicine and Pharmacy \u201cCarol Davila\u201d, 050474 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreea Teodora","family":"Constantin","sequence":"additional","affiliation":[{"name":"Department of Neonatology and Department of Pediatrics, Faculty of Medicine and Faculty of Midwifery and Nursing, University of Medicine and Pharmacy \u201cCarol Davila\u201d, 050474 Bucharest, Romania"},{"name":"Neonatology Department, National Institute for Mother and Child Health \u201cAlessandrescu-Rusescu\u201d, 011061 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5340-8929","authenticated-orcid":false,"given":"Gabriel-Petre","family":"Gorecki","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Titu Maiorescu University, 031593 Bucharest, Romania"},{"name":"Department of Anesthesia and Intensive Care, CF 2 Clinical Hospital, 011464 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonard","family":"Nastase","sequence":"additional","affiliation":[{"name":"Department of Neonatology and Department of Pediatrics, Faculty of Medicine and Faculty of Midwifery and Nursing, University of Medicine and Pharmacy \u201cCarol Davila\u201d, 050474 Bucharest, Romania"},{"name":"Neonatology Department, National Institute for Mother and Child Health \u201cAlessandrescu-Rusescu\u201d, 011061 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,2,26]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1078","DOI":"10.1055\/s-0040-1702936","article-title":"Determinants of Neonatal Readmission in Healthy Term Infants: Results from a Nested Case\u2013Control Study","volume":"38","author":"Hensman","year":"2021","journal-title":"Am. J. Perinatol."},{"key":"ref_2","first-page":"CD002958","article-title":"Early Postnatal Discharge from Hospital for Healthy Mothers and Term Infants","volume":"6","author":"Jones","year":"2021","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1111\/ppe.12359","article-title":"Newborn Length of Stay and Risk of Readmission","volume":"31","author":"Harron","year":"2017","journal-title":"Paediatr. Perinat. Epidemiol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1016\/j.pcl.2014.11.010","article-title":"A Practical Guide to the Diagnosis, Treatment, and Prevention of Neonatal Infections","volume":"62","author":"Santos","year":"2015","journal-title":"Pediatr. Clin. N. Am."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1055\/s-0032-1333131","article-title":"Prevention of Nosocomial Infections in Neonatal Intensive Care Units","volume":"30","author":"Manzoni","year":"2013","journal-title":"Am. J. Perinatol."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"e2021055554","DOI":"10.1542\/peds.2021-055554","article-title":"Risks of Infectious Diseases in Newborns Exposed to Alternative Perinatal Practices","volume":"149","author":"Nolt","year":"2022","journal-title":"Pediatrics"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"7528","DOI":"10.1073\/pnas.0800152105","article-title":"Hyper Innate Responses in Neonates Lead to Increased Morbidity and Mortality after Infection","volume":"105","author":"Zhao","year":"2008","journal-title":"Proc. Natl. Acad. Sci. USA"},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Kenney, L.L., Carter, E.P., Gil, A., and Selin, L.K. (2021). T Cells in the Brain Enhance Neonatal Mortality during Peripheral LCMV Infection. PLoS Pathog., 17.","DOI":"10.1371\/journal.ppat.1009066"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"350","DOI":"10.1016\/j.immuni.2017.03.009","article-title":"Protecting the Newborn and Young Infant from Infectious Diseases: Lessons from Immune Ontogeny","volume":"46","author":"Kollmann","year":"2017","journal-title":"Immunity"},{"key":"ref_10","doi-asserted-by":"crossref","unstructured":"Crofts, K.F., and Alexander-Miller, M.A. (2020). Challenges for the Newborn Immune Response to Respiratory Virus Infection and Vaccination. Vaccines, 8.","DOI":"10.3390\/vaccines8040558"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"482","DOI":"10.2105\/AJPH.93.3.482","article-title":"Parental Smoking and Infant Respiratory Infection: How Important Is Not Smoking in the Same Room With the Baby?","volume":"93","author":"Blizzard","year":"2003","journal-title":"Am. J. Public. Health"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1016\/j.ijpam.2016.10.002","article-title":"Essentials of Infection Prevention in the Pediatric Population","volume":"3","author":"Hayden","year":"2016","journal-title":"Int. J. Pediatr. Adolesc. Med."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"e1474","DOI":"10.1542\/peds.2014-2742","article-title":"Clinical Practice Guideline: The Diagnosis, Management, and Prevention of Bronchiolitis","volume":"134","author":"Ralston","year":"2014","journal-title":"Pediatrics"},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"P\u0103curar, D., Dinulescu, A., Prejmereanu, A., Palc\u0103u, A.C., Dijm\u0103rescu, I., and Pavelescu, M.-L. (2025). Neurodevelopmental Outcomes in Children Born to Mothers Infected with SARS-CoV-2 During Pregnancy: A Narrative Review. J. Clin. Med., 14.","DOI":"10.3390\/jcm14176202"},{"key":"ref_15","first-page":"e120210","article-title":"Multisystemic Inflammatory Syndrome in Children Post-COVID-19: Clinical-Biological Characteristics of Patients in the First Year of the Pandemic","volume":"12","author":"Goicea","year":"2023","journal-title":"J. Pediatr. Neonatal Individ. Med."},{"key":"ref_16","unstructured":"(2025, November 02). Health Care Providers COVID-19 and Breastfeeding, Available online: https:\/\/www.cdc.gov\/breastfeeding-special-circumstances\/hcp\/illnesses-conditions\/covid-19.html."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"233","DOI":"10.4103\/jcn.jcn_64_21","article-title":"Neonatal Hospital Readmissions","volume":"10","author":"Bawazeer","year":"2021","journal-title":"J. Clin. Neonatol."},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Sokou, R., Lianou, A., Lampridou, M., Panagiotounakou, P., Kafalidis, G., Paliatsiou, S., Volaki, P., Tsantes, A.G., Boutsikou, T., and Iliodromiti, Z. (2025). Neonates at Risk: Understanding the Impact of High-Risk Pregnancies on Neonatal Health. Medicina, 61.","DOI":"10.3390\/medicina61061077"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"2333794X221084070","DOI":"10.1177\/2333794X221084070","article-title":"Adverse Neonatal Outcomes and Associated Risk Factors: A Case-Control Study","volume":"9","author":"Workineh","year":"2022","journal-title":"Glob Pediatr Health"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"04039","DOI":"10.7189\/jogh.13.04039","article-title":"Unnecessary Hospitalisations and Polypharmacy Practices in Romania: A Health System Evaluation for Strengthening Primary Health Care","volume":"13","author":"Jullien","year":"2023","journal-title":"J. Glob. Health"},{"key":"ref_21","unstructured":"(2025, November 14). Romanian Society of Obstetrics and Gynecology Clinical Obstetrics and Gynecology Reviewed Guidelines from 2019. Available online: https:\/\/sogr.ro\/wp-content\/uploads\/2023\/01\/Metodologia-monitorizarii_sarcinii.pdf."},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Ro\u0219ca, I., Constantin, A.T., Popescu, D.E., Jura, A.M.C., Miu, A., and Turenschi, A. (2024). Are We Able to Prevent Neonatal Readmission? A Retrospective Analysis from a Pediatrics Department in Ploie\u0219ti, Romania. Medicina, 60.","DOI":"10.20944\/preprints202402.0746.v1"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1007\/BF03404304","article-title":"Understanding Newborn Infant Readmission: Findings of the Ontario Mother and Infant Survey","volume":"92","author":"Sword","year":"2001","journal-title":"Can. J. Public. Health"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"e2513274","DOI":"10.1001\/jamanetworkopen.2025.13274","article-title":"Outcomes for Very Preterm Infants Across Health Systems","volume":"8","author":"Rogowski","year":"2025","journal-title":"JAMA Netw. Open"},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Necula, A.-I., Stoiciu, R., Radulescu Botica, R., Durdu, C.-E., and Bohiltea, R. (2025). Neurological Outcomes in Late Preterm Infants: An Updated Review of Recent Research and Clinical Insights. Diagnostics, 15.","DOI":"10.3390\/diagnostics15121514"},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"Rosca, I., Dinulescu, A., Prejmereanu, A., Pavelescu, M.-L., Palc\u0103u, A.C., Popescu, D.-E., and Constantin, A.T. (2025). Post-Discharge Trajectories of Romanian Premature Infants: A Cross-Sectional Analysis of Associated Factors. Children, 12.","DOI":"10.3390\/children12091107"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1016\/S0140-6736(16)30951-5","article-title":"Viral Bronchiolitis","volume":"389","author":"Florin","year":"2017","journal-title":"Lancet"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1056\/NEJMra1413456","article-title":"Viral Bronchiolitis in Children","volume":"374","author":"Meissner","year":"2016","journal-title":"N. Engl. J. Med."},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Murray, J., Bottle, A., Sharland, M., Modi, N., Aylin, P., Majeed, A., and Saxena, S. (2014). Risk Factors for Hospital Admission with RSV Bronchiolitis in England: A Population-Based Birth Cohort Study. PLoS ONE, 9.","DOI":"10.1371\/journal.pone.0089186"},{"key":"ref_30","doi-asserted-by":"crossref","unstructured":"Pavelescu, M.L., Dinulescu, A., P\u0103s\u0103ric\u0103, A.-S., Dijm\u0103rescu, I., and P\u0103curar, D. (2024). Hematological Profile, Inflammatory Markers and Serum Liver Enzymes in COVID 19 Positive Children vs. COVID 19 Negative Ones\u2014A Comparative Study. Front Pediatr., 12.","DOI":"10.3389\/fped.2024.1334591"},{"key":"ref_31","doi-asserted-by":"crossref","unstructured":"Popescu, D.E., Ro\u0219ca, I., Jura, A.M.C., Cioca, A., Pop, O., Lungu, N., Popa, Z.-L., Ra\u021biu, A., and Boia, M. (2024). Prompt Placental Histopathological and Immunohistochemical Assessment after SARS-CoV-2 Infection during Pregnancy\u2014Our Perspective of a Small Group. Int. J. Mol. Sci., 25.","DOI":"10.20944\/preprints202401.0745.v1"},{"key":"ref_32","doi-asserted-by":"crossref","unstructured":"Popescu, D.-E., Cerbu, S., Rosca, I., Lungu, N., Tru\u0219culescu, A.A., Belengeanu, V., Manea, A.M., Dima, M.A., Gorun, F., and Popa, Z.L. (2023). Comparative Analysis of Hematological and Biochemical Changes in Neonates among Women with and without COVID-19 Infection during Pregnancy. Children, 10.","DOI":"10.3390\/children10081370"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"17083","DOI":"10.1038\/nrdp.2017.83","article-title":"Rotavirus Infection","volume":"3","author":"Crawford","year":"2017","journal-title":"Nat. Rev. Dis. Primers"},{"key":"ref_34","doi-asserted-by":"crossref","unstructured":"De Luca, A., and Zanelli, G. (2018). Gastroenteritis and Intractable Diarrhea in Newborns. Neonatology, Springer International Publishing.","DOI":"10.1007\/978-3-319-29489-6_233"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"133","DOI":"10.2147\/IDR.S12718","article-title":"Management Strategies in the Treatment of Neonatal and Pediatric Gastroenteritis","volume":"6","author":"Caramia","year":"2013","journal-title":"Infect Drug Resist."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"816","DOI":"10.3892\/etm.2021.10248","article-title":"Review of the Measles Epidemic in Children from Central Eastern Europe in the Third Millennium","volume":"22","author":"Davitoiu","year":"2021","journal-title":"Exp. Ther. Med."},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"Misin, A., Antonello, R.M., Di Bella, S., Campisciano, G., Zanotta, N., Giacobbe, D.R., Comar, M., and Luzzati, R. (2020). Measles: An Overview of a Re-Emerging Disease in Children and Immunocompromised Patients. Microorganisms, 8.","DOI":"10.3390\/microorganisms8020276"},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"P\u0103curar, D., Dinulescu, A., Totu, A.-V., Dijm\u0103rescu, I., and Pavelescu, M.-L. (2025). Escherichia Coli Urinary Tract Infections from a Romanian Pediatric Hospital: Antimicrobial Resistance Trends, ESBL Prevalence, and Empirical Treatment Implications. Antibiotics, 14.","DOI":"10.3390\/antibiotics14090855"},{"key":"ref_39","unstructured":"(2025, November 20). European Centre for Disease Prevention and Control Measles Annual Epidemiological Report for 2024. Available online: https:\/\/www.ecdc.europa.eu\/sites\/default\/files\/documents\/MEAS-AER-2024-Report.pdf."},{"key":"ref_40","unstructured":"(2025, November 20). European Centre for Disease Prevention and Control Measles on the Rise Again in Europe: Time to Check Your Vaccination Status. Available online: https:\/\/www.ecdc.europa.eu\/en\/news-events\/measles-rise-again-europe-time-check-your-vaccination-status."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"1686","DOI":"10.1086\/497169","article-title":"Subacute Sclerosing Panencephalitis: More Cases of This Fatal Disease Are Prevented by Measles Immunization than Was Previously Recognized","volume":"192","author":"Bellini","year":"2005","journal-title":"J. Infect. Dis."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1093\/cid\/cix302","article-title":"Subacute Sclerosing Panencephalitis: The Devastating Measles Complication That Might Be More Common Than Previously Estimated","volume":"65","author":"Wendorf","year":"2017","journal-title":"Clin. Infect. Dis."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"e2058","DOI":"10.1002\/rmv.2058","article-title":"Subacute Sclerosing Panencephalitis","volume":"29","author":"Garg","year":"2019","journal-title":"Rev. Med. Virol."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"e70292","DOI":"10.1002\/brb3.70292","article-title":"Subacute Sclerosing Panencephalitis: Impact on Public Health, Current Insights, and Future Perspectives","volume":"15","author":"Mubbashir","year":"2025","journal-title":"Brain Behav."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"101207","DOI":"10.1016\/j.spen.2025.101207","article-title":"Subacute Sclerosing Panencephalitis","volume":"54","author":"Gunasekaran","year":"2025","journal-title":"Semin. Pediatr. Neurol."},{"key":"ref_46","doi-asserted-by":"crossref","unstructured":"Papetti, L., Amodeo, M.E., Sabatini, L., Baggieri, M., Capuano, A., Graziola, F., Marchi, A., Bucci, P., D\u2019Ugo, E., and Kojouri, M. (2022). Subacute Sclerosing Panencephalitis in Children: The Archetype of Non-Vaccination. Viruses, 14.","DOI":"10.3390\/v14040733"},{"key":"ref_47","first-page":"239","article-title":"Epidemiology of Subacute Sclerosing Panencephalitis (SSPE) in Romania between 1976\u20131982","volume":"34","author":"Cernescu","year":"1983","journal-title":"Virologie"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1016\/j.arcped.2024.11.010","article-title":"Subacute Sclerosing Panencephalitis: Disease Profile in Early Childhood","volume":"32","author":"Chettouh","year":"2025","journal-title":"Arch. De. P\u00e9diatrie"},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"107148","DOI":"10.1016\/j.ijid.2024.107148","article-title":"Recent Increase in Infant Pertussis Cases in Europe and the Critical Importance of Antenatal Immunizations: We Must Do Better\u2026now","volume":"146","author":"Khalil","year":"2024","journal-title":"Int. J. Infect. Dis."},{"key":"ref_50","unstructured":"(2025, November 20). European Centre for Disease Prevention and Control Increase of Pertussis Cases in the EU\/EEA. Available online: https:\/\/www.ecdc.europa.eu\/en\/publications-data\/increase-pertussis-cases-eueea."},{"key":"ref_51","doi-asserted-by":"crossref","unstructured":"Mihai, C.M., Lupu, A., Chisnoiu, T., Balasa, A.L., Baciu, G., Fotea, S., Lupu, V.V., Popovici, V., Cambrea, S.C., and Grigorian, M. (2025). Clinical and Epidemiological Characteristics of Pediatric Pertussis Cases: A Retrospective Study from Southeast Romania. Antibiotics, 14.","DOI":"10.3390\/antibiotics14050428"},{"key":"ref_52","first-page":"56","article-title":"A Clinical Analysis of the 2024 Pertussis Outbreak among Pediatric Patients in an Infectious Diseases Hospital in Bucharest, Romania","volume":"15","author":"Jugulete","year":"2025","journal-title":"Germs"},{"key":"ref_53","doi-asserted-by":"crossref","unstructured":"Rosca, I., Turenschi, A., Dinulescu, A., and Lichii, V. (2025). The Re-Emergence of Pediatric Pertussis: Insights from a Regional Romanian Hospital. Antibiotics, 14.","DOI":"10.3390\/antibiotics14070730"},{"key":"ref_54","doi-asserted-by":"crossref","unstructured":"Toth, C. (2020). Repertoires of Vaccine Refusal in Romania. Vaccines, 8.","DOI":"10.3390\/vaccines8040757"},{"key":"ref_55","doi-asserted-by":"crossref","unstructured":"Herdea, V., Ghionaru, R., Lungu, C.N., Leibovitz, E., and Diaconescu, S. (2022). Vaccine Coverage in Children Younger Than 1 Year of Age during Periods of High Epidemiological Risk: Are We Preparing for New Outbreaks?. Children, 9.","DOI":"10.3390\/children9091334"},{"key":"ref_56","doi-asserted-by":"crossref","unstructured":"P\u0103curar, D., Dinulescu, A., Jugulete, G., P\u0103s\u0103ric\u0103, A.-S., and Dijm\u0103rescu, I. (2024). Hepatitis B in Pediatric Population: Observational Retrospective Study in Romania. Life, 14.","DOI":"10.3390\/life14030348"},{"key":"ref_57","unstructured":"European Centre for Disease Prevention and Control (2021). Hepatitis B Annual Epidemiological Report for 2021, European Centre for Disease Prevention and Control."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"424","DOI":"10.1053\/j.semperi.2012.06.004","article-title":"Methicillin-Resistant Staphylococcus Aureus in the Neonatal Intensive Care Unit","volume":"36","author":"Nelson","year":"2012","journal-title":"Semin. Perinatol."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"931","DOI":"10.1097\/INF.0000000000004860","article-title":"Community-Acquired Methicillin-Resistant Staphylococcus Aureus Infection in Children: Key Features and Comparison to Colonization","volume":"44","author":"Melendo","year":"2025","journal-title":"Pediatr. Infect. Dis. J."},{"key":"ref_60","first-page":"e8867","article-title":"Understanding the Fight Against Resistance: Hospital-Acquired Methicillin-Resistant Staphylococcus Aureus vs. Community-Acquired Methicillin-Resistant Staphylococcus Aureus","volume":"12","author":"Tsouklidis","year":"2020","journal-title":"Cureus"},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1186\/1824-7288-40-70","article-title":"Individualized Follow up Programme and Early Discharge in Term Neonates","volume":"40","author":"Cocca","year":"2014","journal-title":"Ital. J. Pediatr."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1542\/peds.2014-2329","article-title":"Timing of Initial Well-Child Visit and Readmissions of Newborns","volume":"135","author":"Shakib","year":"2015","journal-title":"Pediatrics"},{"key":"ref_63","doi-asserted-by":"crossref","unstructured":"Rosca, I., Turenschi, A., Nicolescu, A., Constantin, A.T., Canciu, A.M., Dica, A.D., Bratila, E., Coroleuca, C.A., and Nastase, L. (2023). Endocrine Disorders in a Newborn with Heterozygous Galactosemia, Down Syndrome and Complex Cardiac Malformation: Case Report. Medicina, 59.","DOI":"10.3390\/medicina59050856"},{"key":"ref_64","doi-asserted-by":"crossref","unstructured":"N\u0103stase, L., Cristea, O., Diaconu, A., Stoicescu, S.-M., Mohora, R., Pascu, B.M., Tala, S.T., and Ro\u0219ca, I. (2023). Two Cases of Congenital Hypothyroidism Revealing Thyroid Agenesis. Medicina, 59.","DOI":"10.3390\/medicina59101887"},{"key":"ref_65","doi-asserted-by":"crossref","unstructured":"Constantin, A.T., Streata, I., Cov\u0103cescu, M.S., Riza, A.L., Ro\u0219ca, I., Delia, C., Tudor, L.M., Doroban\u021bu, \u0218., Drago\u0219, A., and Ristea, D. (2023). Genetic Testing for Familial Hypercholesterolemia in a Pediatric Group: A Romanian Showcase. Diagnostics, 13.","DOI":"10.3390\/diagnostics13121988"},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1097\/MOL.0000000000000928","article-title":"Newborn Screening for Lipid Disorders","volume":"35","author":"Shao","year":"2024","journal-title":"Curr. Opin. Lipidol."},{"key":"ref_67","doi-asserted-by":"crossref","unstructured":"Bachmeier, C., Ungerer, J., Pretorius, C., Kassianos, A., and Kostner, K.M. (2025). Universal Paediatric and Newborn Screening for Familial Hypercholesterolaemia\u2014Challenges and Opportunities: An Australian Perspective. Lipidology, 2.","DOI":"10.3390\/lipidology2010004"},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"118","DOI":"10.37897\/RMJ.2019.2.5","article-title":"Frequency of Cesarean Section (C-Section) Surgery in Romania and Worldwide","volume":"66","author":"Birjandi","year":"2019","journal-title":"Rom. Med. J."},{"key":"ref_69","unstructured":"(2025, November 14). World Population Review C-Section Rates by Country. Available online: https:\/\/worldpopulationreview.com\/country-rankings\/c-section-rates-by-country."},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"146","DOI":"10.4297\/najms.2011.3146","article-title":"Length of Postnatal Hospital Stay in Healthy Newborns and Re-Hospitalization Following Early Discharge","volume":"3","author":"Farhat","year":"2011","journal-title":"N. Am. J. Med. Sci."},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1186\/s13052-021-01055-y","article-title":"Prevention and contrast of child abuse and neglect in the practice of European paediatricians: A multi-national pilot study","volume":"47","author":"Nigri","year":"2021","journal-title":"Ital. J. Pediatr."},{"key":"ref_72","first-page":"5101","article-title":"Autoimmune phenomena in treated and na\u00efve pediatric patients with chronic viral hepatitis","volume":"18","author":"Pavelescu","year":"2019","journal-title":"Exp. Ther. Med."},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"e007863","DOI":"10.1136\/bmjgh-2021-007863","article-title":"Models of lifelong care for children and adolescents with chronic conditions in low-income and middle-income countries: A scoping review","volume":"7","author":"Reif","year":"2022","journal-title":"BMJ Glob. Health"},{"key":"ref_74","doi-asserted-by":"crossref","unstructured":"Mastorci, F., Lazzeri, M.F.L., Ait-Ali, L., Festa, P., and Pingitore, A. (2025). Chronic disease in pediatric population\u2014A narrative review of psychosocial dimensions and strategies for management. Children, 12.","DOI":"10.3390\/children12080967"},{"key":"ref_75","doi-asserted-by":"crossref","unstructured":"Poamaneagra, S.C., Plesca, D.-A., Tataranu, E., Marginean, O., Nemtoi, A., Mihai, C., Gilca-Blanariu, G.-E., Andronic, C.-M., Anchidin-Norocel, L., and Diaconescu, S. (2024). A global perspective on transition models for pediatric to adult cystic fibrosis care: What has been made so far?. J. Clin. Med., 13.","DOI":"10.3390\/jcm13237428"},{"key":"ref_76","doi-asserted-by":"crossref","first-page":"e13897","DOI":"10.1111\/hex.13897","article-title":"Family-centred care interventions for children with chronic conditions: A scoping review","volume":"27","author":"Chow","year":"2024","journal-title":"Health Expect."}],"container-title":["Children"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2227-9067\/13\/3\/330\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T11:07:47Z","timestamp":1772104067000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2227-9067\/13\/3\/330"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,26]]},"references-count":76,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2026,3]]}},"alternative-id":["children13030330"],"URL":"https:\/\/doi.org\/10.3390\/children13030330","relation":{},"ISSN":["2227-9067"],"issn-type":[{"value":"2227-9067","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,26]]}}}