Algorithm for identifying K kingae infection of the hip appears unreliable
January 1st 2015Investigators conducted a retrospective multicenter study to assess how well the standard Kocher predictive algorithm differentiates between children with Kingella kingae infection of the hip and those with transient synovitis.
Tackling BPD-associated hospitalizations
January 1st 2015Boston Children’s bronchopulmonary dysplasia (BPD) rehospitalization rates for children aged 1 and 2 years are dramatically lower than the national average. Lawrence Rhein, MD, a neonatologist and pulmonologist, and director of the Center for Healthy Infant Lung Development, Boston Children’s Hospital, Massachusetts, says it’s not high-priced technology that keeps children with this serious lung disease out of the hospital.
Infant girl with progressive hypotonia
January 1st 2015A 9-month-old girl is brought to the emergency department for evaluation after 3 days of poor feeding and 1 day of decreased activity. The day prior to presentation, she was no longer crawling or pulling herself to stand. On the morning of evaluation, she is no longer able to lift her head.
MOC controversy: Issues and answers
January 1st 2015There has been much discussion both for and against Maintenance of Certification (MOC) requirements. This article explains how a permanent board certification program for physicians transitioned into MOC recertification and discusses the controversies surrounding the current program.
Sepsis: Neonates require high suspicion, quick action
January 1st 2015Despite the advent of intrapartum antibiotic prophylaxis (IAP) and ongoing attempts to identify more accurate diagnostic tools, neonatal sepsis or bacteremia remains a common and potentially deadly occurrence, particularly in very-low-birth-weight (VLBW,
New intranasal pain relief for kids
December 18th 2014An anesthetic, given by nasal spray, is a safe, needle-free alternative to opiates for relieving moderate to severe pain in children with limb injuries, according to the first randomized, controlled trial to compare intranasal analgesics in children in the emergency department.
AAP issues new guidelines on pneumococcal vaccine
December 11th 2014In a new policy statement, the American Academy of Pediatrics (AAP) has expanded its recommendations for giving pneumococcal conjugate vaccine to prevent invasive pneumococcal disease caused by Streptococcus pneumoniae to high-risk older children and adolescents.
New tool tracks weight loss in breastfed newborns
December 11th 2014Newly developed neonatal nomograms enable healthcare providers and parents to follow weight changes in exclusively breastfed babies during the first days of life and identify abnormal weight loss patterns, as described in a recent study.
Latest advice on managing atopic dermatitis
December 4th 2014The bad news is that office visits for atopic dermatitis are on the rise; the good news is that the condition usually responds to topical therapy and vigilant skin care, according to a clinical report from the American Academy of Pediatrics.
Telephone counseling sustains impact of HIV-prevention intervention
December 1st 2014Brief tailored counseling by telephone boosted the long-term effects of an evidence-based behavioral change intervention related to sexually transmitted infection/human immunodeficiency virus (STI/HIV), sustaining STI/HIV preventive behaviors and reducing incident STIs during a 36-month follow-up.