Catalyst, coach, or legislation
December 1st 2010Recognition and treatment of disease remain important responsibilities of pediatricians, but increasingly we've come to understand that significant improvements in child health in the 21st century will require changes in behavior that are as pivotal as advances in drugs and technology.
Molecular test detects tuberculosis, screens for rifampin resistance
December 1st 2010In response to a need for simple and rapid diagnostic tools for tuberculosis in high-burden countries, investigators assessed the performance of Xpert MTB/RIF, a fully automated molecular test, for the presence of Mycobacterium tuberculosis and resistance to rifampin in 1,730 patients with suspected drug-sensitive or multidrug-resistant pulmonary tuberculosis.
Importance of Immunization: A Serious Disease Is Just a Plane Ride Away
November 10th 2010Parents can express their doubts about vaccination in various ways: they can have their child vaccinated, although they are not sure it is the best thing to do; they can delay immunization; or they can simply refuse to have their child vaccinated. The most frequent reason for nonvaccination is concern that the vaccine might be harmful.
No More Antipyretics Before Vaccines
November 10th 2010A year has passed since publication of the Pyrmula et al study, which concluded that prophylactic antipyretics before vaccination should not be routine. The researchers came to this conclusion because they found reduced antibody responses to several vaccine antigens in children who received antipyretics, even though the vast majority of children studied (those given antipyretics and those not given antipyretics) had antibody titers well within the protective ranges.
“Sweet” Solution for the Pain of Vaccinations
November 8th 2010The frequent visits that pediatricians have with infants are bittersweet. While they are wonderful opportunities to form lasting relationships with families, they are also times when babies suffer through the necessary pain of multiple immunizations.
Nonstimulant medication approved to treat attention-deficit/hyperactivity disorder
November 1st 2010FDA has approved the first nonstimulant medication that can be used either conjunctively with psychostimulant medications or as monotherapy to treat attention-deficit/hyperactivity disorder in children and adolescents aged 6 to 17 years.
Autism: Clinical pearls for primary care
November 1st 2010Autism spectrum disorder consists of qualitative impairments in social interactions and communication and the presence of restrictive or repetitive behaviors, interests or activities as defined by the Diagnostic and Statistical Manual of Mental Disorders, fourth edition.
What is the role of chest radiography in occult pneumonia evaluation?
November 1st 2010To determine the incidence of occult pneumonia among children who have chest radiography and to identify clinical predictors of occult pneumonia, researchers conducted a prospective observational study in an urban pediatric emergency department.
2010 guidelines for pediatric neonatal resuscitation: What you need to know
November 1st 2010It's been 50 years since the publication of the first study demonstrating that chest compressions can be a life-saving measure for victims of cardiac arrest and 5 years since the American Heart Association published their 2005 Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiac Care.
Two studies re-emphasize risks of over-the-counter cold medicines in children
November 1st 2010The US Food and Drug Administration recommended in 2007 that over-the-counter cough and cold medicines not be given to children younger than 2 years old, but a recent study shows that parents have not gotten that message.