Marian Freedman is a freelance writer.
Children’s well-being decreases as media use increases
August 1st 2018Compared with their peers who spend no more than 2 hours each weekday exposed to digital media, school-aged children who are in front of screens for longer are less likely to be doing well overall, according to their parents. Furthermore, how much digital media exposure (DME) a child gets is inversely related, in a dose-dependent manner, to markers of childhood “flourishing.”
Is that child with "penicillin allergy" really allergic?
July 1st 2018Researchers at Wisconsin Children’s Hospital in Milwaukee, Wisconsin, found that 100 children who visited a pediatric emergency department (ED) with a reported history of penicillin allergy based on low-risk symptoms all had negative allergy testing for penicillin and all tolerated a penicillin challenge (500 mg of oral amoxicillin) without developing a severe allergic reaction. Penicillin allergy labels were removed from these children’s hospital medical records.
Parents are most likely to accept vaccines when you assume they will
July 1st 2018When you approach a parent who is hesitant about vaccinating her infant at the appropriate well-baby visits, perhaps you say something like this: “Well, we have to do some shots.” Or you might say, “How do you feel about vaccines today?” The former strategy (a “presumptive” approach) is more likely to be effective than the latter (a “participatory” approach), according to a study in parents whom a standardized survey classified as being hesitant about vaccines.
How long are new mothers at risk for postpartum depression?
July 1st 2018New mothers may develop postpartum depression (PPD) at any time during the first year after giving birth, an analysis of monthly depression screening data showed. Furthermore, the highest rate of positive screens-23%-was at 12 months postpartum.
Poverty and lack of a car lead to failure to fill prescriptions
June 1st 2018A retrospective study of data from a regional community pharmacy chain in the Midwest encompassing 98 zip codes found that almost 1 in 8 new prescriptions for individuals aged up to 18 years went unfilled after the pharmacy received the prescription.
Antibiotics or antacids in infancy may increase risk of allergy
June 1st 2018Exposure to acid-suppressive medications or antibiotics in the first 6 months of life is associated with development of allergic disease, according to a retrospective study in more than 750,000 children from within 35 days of birth until aged at least 1 year.
Is there a better way to estimate probability of UTI in febrile infants?
June 1st 2018Investigators compared the accuracy of an American Academy of Pediatrics (AAP) practice guideline algorithm for diagnosing of urinary tract infection (UTI) in 2- to 23-month-olds with a new tool (UTICalc; University of Pittsburgh, Pennsylvania) that first estimates UTI probability based on clinical variables and then, if laboratory testing is performed, updates the estimate based on the results.
High-nicotine e-cigarettes lead to more smoking and vaping
February 1st 2018Compared with adolescents who use e-cigarettes with relatively low or no nicotine concentrations, those who use e-cigarettes with higher nicotine concentrations are more likely to progress to more frequent and intense combustible cigarette smoking and vaping.
Immediate amoxicillin is the most cost-effective choice for AOM
December 1st 2017Using a cost-utility model of a hypothetical group of symptomatic children aged younger than 2 years who were diagnosed with acute otitis media (AOM), investigators evaluated whether antimicrobial therapy reduces time to symptom resolution, overall symptom burden, and persistence of infection.
Antibiotics improve outcomes in small skin abscesses
September 1st 2017Antibiotic treatment with either clindamycin or trimethoprim- sulfa - methoxazole (TMP-SMX) leads to better outcomes than incision and drainage with placebo in patients with uncomplicated cutaneous abscesses, particularly those caused by Staphylococcus aureus, according to a large study.
Nonoperative management of acute appendicitis
September 1st 2017Compared with traditional appendectomy, nonoperative management (NOM) of uncomplicated appendicitis using parenteral antibiotics is associated with more subsequent emergency department (ED) visits and hospitalizations, as well as more subsequent appendectomies.