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.
Pediatricians could be overprescribing combination antifungal/corticosteroids
August 1st 2017A review of a large claims-based database suggests that they are. Investigators identified almost 10,000 children aged up to 14 years who were prescribed either Lotrisone or Mycolog-II creams (antifungal and corticosteroid combination products) by pediatricians and other specialists from 2007 through 2014.
Adverse childhood experiences are linked to ADHD
July 1st 2017Diagnosis of attention-deficit/hyperactivity disorder (ADHD) at age 9 years is associated with adverse childhood experiences (ACEs), according to an analysis of data for 1572 children who are part of the Fragile Families and Child Wellbeing Study (FFCWS) birth cohort.
Are children with asthma prescribed too many OCSs?
July 1st 2017An analysis of 2015 claims data for about 69,000 children with an asthma diagnosis suggests that the answer to this question is “yes.” Of these children, who were insured through a large Texas health plan for children with Medicaid and CHIP and who ranged in age from 1 to 18 years, 42.1% were given an oral corticosteroid (OCS) 1 or more times during the year; 9.9%, 2 or more times; and 3.3%, 3 or more times.
Why aren’t pediatricians recommending HPV vaccination more strongly?
December 1st 2016In a recently published essay to address this question, the authors suggest that pediatricians may present human papillomavirus (HPV) vaccine as optional or less urgent than other adolescent vaccines because they do not often read or hear about their patients’ being affected by HPV-associated cancers, which generally strike older populations.
Tdap booster in teens less effective after initial acellular vaccine series
July 1st 2016An analysis of data on the incidence of pertussis shows that although acellular pertussis (Tdap) vaccine had a positive impact among adolescents in the 4 years after it was introduced in 2005, in 2010 pertussis incidence in this age group began to increase more rapidly than it did in all other age groups.
Home nurse visits decrease maternal and infant mortality
November 1st 2014Disadvantaged mothers who receive regular home visits by nurses during pregnancy and through their child’s second birthday are less likely to die from all-cause mortality and their children are less likely to die from preventable causes than their counterparts who do not have such visits.
Anti-TSLP antibody shows promise for treating allergic asthma
August 1st 2014Targeting TSLP (thymic stromal lymphopoietin), a cytokine that is produced by epithelial cells in response to proinflammatory stimuli and drives allergic inflammatory responses, with an anti-TSLP agent reduces allergen-induced bronchoconstriction and indexes of airway inflammation, a new study shows.
Are obese kids more vulnerable to food advertising than their healthy-weight peers?
June 1st 2013A recent investigation found that compared with healthy-weight children, those who are obese show significantly less brain activation in regions associated with cognitive control after viewing familiar food logos, such as McDonald’s “golden arches.” This suggests that obese children may be more responsive to food advertising than their normal-weight peers.