Vol 36 No 2

Jon Matthew Farber, MD, practices in Northern Virginia where he can refer patients to a large variety of pediatric specialists, but he often chooses not to do so. Here are some common conditions/findings that are often referred out that he believes are often unnecessary.

Febrile infants from disadvantaged neighborhoods with high rates of childhood poverty are much more likely than their peers from more affluent neighborhoods to have a bacterial source for their fever, according to a retrospective study of infants aged 90 days or younger with a temperature of 100°F or greater who visited an emergency department (ED) of an urban children’s hospital.

 Of 973 preschool-aged children with acute gastroenteritis who visited 1 of 10 geographically diverse pediatric emergency departments (EDs), those who received a 5-day course of Lactobacillus rhamnosus GG, a commonly recommended and used probiotic, did not have better outcomes than those who received placebo, a prospective, randomized trial found.