Researchers at Wisconsin Children’s Hospital in Milwaukee, Wisconsin, found that 100 children who visited a pediatric emergency department (ED) with a reported history of penicillin allergy based on low-risk symptoms all had negative allergy testing for penicillin and all tolerated a penicillin challenge (500 mg of oral amoxicillin) without developing a severe allergic reaction. Penicillin allergy labels were removed from these children’s hospital medical records.
The worried mother of an 11-year-old boy arrives at the office for evaluation of an asymptomatic bumpy rash that appeared suddenly in his right groin a month ago, and that has now extended all the way down to his right ankle. What's the diagnosis?
When you approach a parent who is hesitant about vaccinating her infant at the appropriate well-baby visits, perhaps you say something like this: “Well, we have to do some shots.” Or you might say, “How do you feel about vaccines today?” The former strategy (a “presumptive” approach) is more likely to be effective than the latter (a “participatory” approach), according to a study in parents whom a standardized survey classified as being hesitant about vaccines.
Remember these simple pearls of wisdom. They will help you through each day with a smile and a happy heart.
New mothers may develop postpartum depression (PPD) at any time during the first year after giving birth, an analysis of monthly depression screening data showed. Furthermore, the highest rate of positive screens-23%-was at 12 months postpartum.
I recommend reviewing and strongly considering the implementation of the pilot project of Drs Dickson and Fontana including the six-step approach for oral health care in pediatric practices.
Adding emollients to bath water for eczema relief doesn’t help improve the condition, but costs a lot more than topical treatments.
A new study reveals that a very low-carbohydrate diet may help improve long-term outcomes for patients with Type 1 diabetes (T1D).
A first-ever study reveals that cybernegativity can lead some young persons to bully themselves online.
For Contemporary Pediatrics, Dr Bobby Lazzara discusses a Cochrane Review that looks at the effectiveness of the HPV vaccine on preventing cervical cancer.
Not every vaccine is recommended for universal application, but clinicians largely lack understanding about these conditional or permissive recommendations and don’t know how to talk to patients and families about them.
Frequency of care in pediatric populations tends to wane as children reach adolescence, but a new study investigates whether parents would allow clinicians to reach out to their children by text message to offer important reminders.
Pediatric patient revisit rates at emergency departments (EDs) have been historically underestimated, according to a new report, which includes revisits to other facilities.
Physicians must understand current diagnostic criteria for pediatric migraine and its variants, and exercise their best clinical judgment regarding treatment.
The American Academy of Pediatrics’ (AAP) has updated its Allergy and Anaphylaxis Emergency Action Plan for the treatment of infants at risk for an allergic emergency.
A 15-year-old Caucasian male with a past medical history of attention-deficit/hyperactivity disorder presents to the hospital emergency department with a 1-week history of fever, headache, arthralgias, vomiting, and rash.
Oral health should be central to your patients' daily routines, but it's too often buried in a long list of priorities.
Healthcare providers must communicate to their adolescent and young adult patients the dangers of electronic nicotine delivery systems.
Many parents and professionals have these misconceptions about allergies and other unusual findings.
A 16-year-old boy develops a diffuse, rapidly progressive eruption on his trunk, face, and extremities 4 days after starting oral amoxicillin for presumed strep throat. He presents to the emergency department (ED) where Stevens-Johnson syndrome is considered. The ED physician notes no mucous membrane involvement.
A retrospective study of data from a regional community pharmacy chain in the Midwest encompassing 98 zip codes found that almost 1 in 8 new prescriptions for individuals aged up to 18 years went unfilled after the pharmacy received the prescription.
Exposure to acid-suppressive medications or antibiotics in the first 6 months of life is associated with development of allergic disease, according to a retrospective study in more than 750,000 children from within 35 days of birth until aged at least 1 year.
Investigators compared the accuracy of an American Academy of Pediatrics (AAP) practice guideline algorithm for diagnosing of urinary tract infection (UTI) in 2- to 23-month-olds with a new tool (UTICalc; University of Pittsburgh, Pennsylvania) that first estimates UTI probability based on clinical variables and then, if laboratory testing is performed, updates the estimate based on the results.
Two new studies quantify the negative effects of adverse events in childhood on physical and mental health issues in LGBTQ individuals.
In children with mild-to-moderate asthma triggered by inhaled allergens, immunotherapy might be a good supplement to long-term medication use.
For Contemporary Pediatrics, Dr Bobby Lazzara looks at a cohort study published in JAMA Otolaryngology - Head & Neck Surgery that looked at risk factors following outpatient tonsillectomy.
E-cigarette marketing targeted at adolescents plays a significant role in the uptake of e-cigarette use, as well as the use of traditional cigarettes.
College students with a history of waived vaccinations often refuse to receive updated immunizations, according to a new report.
A third dose of the mumps vaccine for everyone-not just those in outbreak areas-may help combat a resurgence of the virus, according to a new report.
