Pediatrics
The department operates both through standard inpatient hospitalizations and in Day Hospital/Day Service settings.
The unit’s mission is to provide care and support to all individuals up to the age of 16, addressing a wide range of acute and chronic conditions. It specializes in the diagnosis and management of complex general and specialized pediatric pathologies.
Day Hospital/Day Service admissions are primarily intended to facilitate multidisciplinary diagnostic evaluations for complex conditions, including chronic illnesses and rare diseases.
The unit conducts diagnostic testing for various endocrine disorders and administers therapies requiring close medical supervision, such as infusions of biological drugs or intravenous immunoglobulins (IVIG).
Within the C.O.U. Pediatrics, several areas of specialization have been developed based on the expertise of the medical team and multidisciplinary collaborations.
This specialization addresses all congenital and acquired endocrine disorders, with a particular focus on: Growth abnormalities, Thyroid disorders, Pubertal development disorders, Calcium-phosphorus metabolism abnormalities, Obesity, Chronic and rare endocrine diseases, including endocrine complications of oncologic treatments and endocrine features of genetic syndromes.
The unit has recognized expertise in managing the following conditions: Prader-Willi Syndrome, Noonan Syndrome, Klinefelter Syndrome, Turner Syndrome, Septo-Optic Dysplasia.
The department is a Regional Reference Center for the prescription of growth hormone therapy.
The unit provides inpatient care for children and adolescents with newly diagnosed Type 1 Diabetes Mellitus, focusing on initiating therapy and equipping patients and families with essential knowledge for managing the condition at home.
As a Regional Reference Center for Advanced Technologies, the unit is authorized to prescribe and implement the latest-generation technologies for diabetes care.
The multidisciplinary outpatient clinic involves collaboration among a diabetologist, a dietitian, and a psychologist.
Additionally, with the support of the Diabetology and Endocrinology Research Laboratory, the unit specializes in diagnosing genetic metabolic diseases linked to glycemic homeostasis disorders, such as MODY (Maturity-Onset Diabetes of the Young).
This unit focuses on the diagnosis, treatment, care, and follow-up of children and adolescents with acute and chronic respiratory and allergic diseases. Services include skin allergy testing, oral provocation tests for diagnostic and therapeutic purposes, and oral tolerance induction procedures.
Extensive expertise has been developed in managing both acute and chronic respiratory diseases, with particular emphasis on the treatment and long-term follow-up of bronchial asthma. Pulmonary function tests are conducted through the pulmonology service. Sweat tests are also performed for the diagnosis of cystic fibrosis.
The S.O.U. Gastroenterology unit addresses the diagnosis and treatment of pediatric gastroenterological and nutritional disorders. Key conditions managed include: Celiac disease, Gastroesophageal reflux disease, Constipation, Abdominal pain, Chronic diarrhea, Helicobacter pylori infection, Eosinophilic enteropathies.
The unit has significant expertise in managing chronic inflammatory bowel diseases such as Crohn’s Disease and Ulcerative Colitis. Diagnostic and therapeutic procedures include upper and lower endoscopy (esophagogastroscopy and ileocolonoscopy), performed with dedicated equipment under deep sedation.
Other diagnostic tools include: Video capsule endoscopy, Urea breath test, pH-impedance monitoring, Anorectal and esophageal manometry. A multidisciplinary approach is employed to address nutritional disorders in children with cerebral or complex conditions, including PEG placement and enteral nutrition management.
Comprehensive diagnostic, clinical, and therapeutic care is provided for congenital and acquired diseases of the liver, bile ducts, and pancreas. Special attention is devoted to neonatal hepatobiliary disorders, including: Liver Failure, Neonatal hemochromatosis, Biliary atresia, Neonatal sclerosing cholangitis.
The unit also manages common liver conditions such as: Viral hepatitis, Steatosis and steatohepatitis, Wilson’s disease, Autoimmune hepatitis, Cholestasis, Portal hypertension. Endoscopic treatments for hepatobiliary disorders are delivered in collaboration with the digestive endoscopy service.
The unit has extensive expertise in managing young patients requiring liver transplantation. In partnership with leading liver transplant centers, comprehensive care and follow-up are provided for pediatric transplant recipients throughout their treatment journey.
The Rheumatology service specializes in the diagnosis and treatment of acute and chronic rheumatic diseases and immune system disorders. Expertise includes managing conditions such as: Juvenile Idiopathic Arthritis (JIA), Rheumatic fever, Systemic lupus erythematosus (SLE), Juvenile dermatomyositis, Vasculitis, including Kawasaki Disease, Henoch-Schönlein Purpura, and Polyarteritis Nodosa.
The service provides comprehensive care for patients requiring diagnostic assessment at disease onset, those experiencing severe flare-ups, and long-term follow-up for chronic conditions. Care is delivered through a multidisciplinary approach, integrating other pediatric specialties such as ophthalmology, orthopedics, and cardiology.
Recent efforts have focused on managing recurrent fevers of non-infectious origin, particularly autoinflammatory diseases such as: Familial Mediterranean Fever (FMF), Cryopyrin-Associated Periodic Syndromes (CAPS), TRAPS (Tumor Necrosis Factor Receptor-Associated Periodic Syndrome).
This unit specializes in the diagnosis, treatment, care, and follow-up of children and adolescents with a wide range of congenital or acquired dermatological conditions. Services include outpatient consultations, specialist evaluations, and skin biopsies.
Clinical activities are conducted within the outpatient clinic, Day Hospital, and, for more complex conditions, through scheduled inpatient care following appropriate outpatient screening.
The unit has developed significant expertise in managing inflammatory skin diseases, including: Atopic dermatitis, Psoriasis, Allergic dermatitis, Infectious skin conditions (fungal, viral, and bacterial), Acne and associated disorders.
A particular focus is dedicated to vascular malformations. The unit serves as a regional reference center for hemangiomas, offering innovative therapeutic approaches.
The Nephrourology service specializes in the diagnosis and treatment of acute and chronic kidney diseases, as well as associated immune system disorders. Comprehensive care and follow-up are provided for common nephrourological conditions, including: Urinary tract infections, Acute and chronic nephritis, Acute and chronic kidney Failure, Urinary tract malformations, Vesicoureteral reflux, Kidney stones, Nephropathies and congenital malformations.
Care is delivered through outpatient services, Day Hospital settings, and for more complex renal conditions, through scheduled inpatient care. The unit collaborates closely with referral centers for nephrological surgery to ensure comprehensive management of congenital genitourinary malformations.
This unit focuses on rare diseases, with the primary goal of coordinating and delivering integrated care to patients affected by genetic syndromes and metabolic disorders.
The team has extensive expertise in managing a wide range of conditions, including: Neurofibromatosis Type 1, Osteogenesis Imperfecta, Various chromosomal disorders, such as Down Syndrome. Managing rare diseases requires a multidisciplinary approach to address complex health needs. The medical team emphasizes accurate diagnosis and ongoing follow-up, fostering collaboration among various specialists and ensuring individualized therapeutic decisions tailored to the needs of both the child and their family.
In collaboration with the Medical Genetics Service, molecular diagnostics are performed using cutting-edge technologies.
Scientific and Outreach Activities
The C.O.U. Pediatrics annually organizes training courses in various pediatric fields aimed at Primary Care Pediatricians (Pediatri di Libera Scelta) operating within the region.
The scientific activities of the C.O.U. Pediatrics are supported by numerous collaborations, both within the research center and with working groups from scientific societies affiliated with the Italian Society of Pediatrics, covering multiple pediatric subspecialties.
Relationships with Various Associations for Chronic, Congenital, and Acquired Diseases.
- AGDC (Youth Diabetes Association of Capitanata)
Our diabetology care service collaborates closely with AGDC, which has its headquarters within our facility. Together, we organize a range of educational and support initiatives, such as: Diabetes education camps and weekend programs, Training courses on nutritional education and carbohydrate counting, Informative sessions, including a dedicated help desk for diabetes management technologies (DM1), aimed at patients and their families.
The service also consistently participates in educational meetings at schools across the province, providing essential information to teachers and classmates when recently diagnosed patients return to school.
- AMICI (Association for Chronic Inflammatory Bowel Diseases)
In collaboration with AMICI, we host an annual doctor-patient meeting and support shared initiatives, such as enabling our young patients to participate in summer camps.
Clinical Studies
The department engages in extensive clinical research, participating in numerous multicenter studies in collaboration with scientific societies and with approval from the ethics committee:
SIEDP (Italian Society of Pediatric Endocrinology and Diabetology):
- Investigation into disordered eating behaviors in adolescents with Type 1 Diabetes
- Italian Registry for Scientific and Clinical Research on Prader-Willi Syndrome
- Systematic monitoring program and continuous quality improvement in pediatric diabetology care
- Premature adrenarche and early puberty in children with Prader-Willi Syndrome
- Study on obesity and environmental contaminants
SIGENP (Italian Society of Pediatric Gastroenterology and Nutrition) :
- Italian Registry for Chronic Inflammatory Bowel Diseases (IBD): observational study on pediatric IBD databases
- Incidental findings of elevated transaminase levels in children admitted to general pediatric wards
- Study on the natural history of ulcerative proctitis
- Validation of ultrasound activity scoring in Ulcerative Colitis
- Foreign body ingestion in children
- Impact of the COVID-19 pandemic on pediatric endoscopy services in Italy.
Phase 2 study using an investigational drug under compassionate use for the treatment of symptomatic, inoperable plexiform neurofibromas.
Indicators
Annual departmental activity includes approximately 1,600 inpatient admissions.
- Around 3,000 emergency room consultations
- 600 Day Hospital admissions
- 400 Day Service visits
Regional Reference Center for the prescription of advanced diabetes technologies
Regional Center authorized to prescribe high-cost medications
Regional Reference Center for the diagnosis and treatment of Attention Deficit Hyperactivity Disorder (ADHD)
Regional Reference Center for the management of complex vascular conditions
Regional Reference Center for Rare Diseases (refer to the link for regional rare disease resources)
Regional Center for the prescription of growth hormone therapy

Head of Operative Unit:
Dr.ssa Maria Rosa Pastore
Operative Unit Contacts
Management Office: 0882 416200
Nursing Coordinator: 0882 416601
Nursing Station: 0882 416222
Doctors’ Office: 0882 416221
Sr. Angelina: 0882 416219
Day Hospital: 0882 416211
Secretariat: 0882 416211
Medical Sciences Department
Doctors
Dr.ssa Locatelli Anna
Dr. Marseglia Antonio
Dr.ssa Rutigliano Irene
Dr.ssa Russo Maria Lazzarina
Dr.ssa Pastore Maria Rosa
Dr.ssa De Meco Carmela
Dr. Crisetti Matteo
Dr. Pellegrino Michele




























