Nonsuicidal self-injury: NPs must make patient safety the priority
July 26th 2016Significant gaps in the knowledge of EBP are evident as new diagnostic criteria are recognized and evolve in clinical practice. An example of this EBP knowledge gap is the diagnosis of nonsuicidal self-injury (NSSI) that was identified in 2013 as a separate diagnosis in Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5).
Febrile seizure risk and vaccines
July 26th 2016Maintaining the currently recommended vaccination schedule of influenza, pneumococcal conjugate, and diphtheria/tetanus/acellular pertussis vaccines in young children as put forth by the Centers for Disease Control and Prevention is likely the best way to manage immunization in this patient population despite the slightly increased risk for febrile seizure.
Why parents spank their children
July 21st 2016A new poll found that about a quarter of parents spank, but most believe it’s not a very effective punishment. Instead, parents would like experts, like pediatricians, to give them clear guidance, individualized for their child, on discipline methods that work.
On the AAP's latest clinical report on teen suicide
July 7th 2016I want to commend the new Clinical Report, “Suicide and Suicide Attempts in Adolescents,” issued by the American Academy of Pediatrics (AAP) Committee on Adolescence. The lead author, Benjamin Shain, MD, and the Committee wrote a clear, concise, well-referenced report that is highly relevant to the practicing primary care pediatrician.
Mild gastroenteritis? Try dilute apple juice!
July 1st 2016Among children with mild gastroenteritis and minimal dehydration, initial oral hydration with dilute apple juice followed by preferred fluids is more beneficial than providing electrolyte maintenance solution, a large study in a pediatric emergency department (ED) in Canada found.
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.
Boy with fever, cough, and oral lesions
July 1st 2016A previously healthy, 16-year-old Hispanic boy initially presents to the clinic with a 5-day history of tactile fevers, achy malaise, congestion, and a dry cough. He was afebrile with negative rapid strep and monospot tests, but was prescribed fluticasone, benzonatate, and ibuprofen for a presumed upper respiratory infection. He was encouraged to return if symptoms did not improve.
Infection control: “When can my child return to school?”
July 1st 2016Two common questions asked of pediatricians by parents are “When can my child return to school?” and “how long will I be staying home with my child?” Understanding when, how long, and under what conditions a pediatric patient with an infection is contagious to others is an important part of disease prevention and treatment.