Urinalysis is extremely sensitive and specific for screening for urinary tract infections (UTIs) in febrile infants aged 60 days and younger, especially when the UTI is associated with bacteremia, a recent study showed.

Urinalysis identifies the youngest infants with UTIs

A meta-analysis of 12 studies of the risk of death after a brief resolved unexplained event (BRUE) found that such an event does not increase an infant’s risk of dying during his or her first year. The American Academy of Pediatrics (AAP) introduced BRUE, a sudden alteration in an infant’s breathing, color, tone, or responsiveness, as a replacement for “apparent life-threatening event” (ALTE) in a 2016 clinical practice guideline.

BRUE in infancy does not increase risk of death

An 11-month-old boy was brought to the doctor by anxious parents for the evaluation of persistent diaper dermatitis. Despite trying multiple barrier creams and over-the-counter antifungal products, the rash did not resolve.

More than stubborn diaper rash?

Independent pediatricians truly are small service business owners. Expert advice can help your practice avoid problems and achieve success.

The 5 biggest business mistakes independent pediatricians make

Pediatricians need a better understanding of the effects of early puberty for girls beyond adolescence into adulthood.

Early puberty in girls has long-term psychosocial effects

Outpatient pediatric providers have an essential role in the ongoing monitoring and care of a child with failure to thrive (FTT). Here’s how routine growth assessments help to identify FTT and determine effective multidisciplinary treatment.

Failure to thrive: Early intervention mitigates long-term deficits

A change in the H1N1 component may have solved efficacy problems from prior formulations of the intranasal vaccine.

LAIV will return for next flu season

New FDA restrictions on medications for children that contain codeine and other opioids aim to prevent cases of misuse, abuse, and overdose.

Vol 35 No. 04