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.
Homeless children face a multitude of problems, and clinicians have little guidance on the best ways to help them.
Trained volunteer cuddlers provide the magic of human touch to help preemies and convalescing newborns thrive.
Children who are overweight or obese are potentially at risk for developing diabetes, but there’s more to identifying prediabetes than just obesity.
Jon Matthew Farber, MD, shares more observations on office practice and some useful websites for patient information.
A 9-year-old boy presents for evaluation of white spots on his hands, elbows, knees, and legs. There is also a ring around a mole on his back. The patient’s parents first noted areas of depigmentation on his trunk and extremities, and his lesions have spread particularly in areas of trauma. The lesions were most noticeable in the summer when tanning increased the contrast between the involved and uninvolved areas of his body.
Pediatricians must do more to protect the next generation of children from the consequences of obesity before it’s too late.
Among a variety of generic titles, parents prefer being addressed as “Mom” or “Dad” rather than “Mommy/Daddy” or “Ma’am/Sir,” according to a survey of 137 parents of children being seen or admitted to a New York State children’s hospital.
An analysis of about 1590 stock photographs of sleeping babies found that infants often are not portrayed in a way that is consistent with American Academy of Pediatrics’ guidelines on infant sleep safety.
Youngsters who use social media for an hour a day or longer are likely to sleep for fewer hours than their peers who don’t use social media-and as media use increases, so does this likelihood.
Sports have long been linked to cases of sudden cardiac arrest in the young, but a recent report shows that obesity may play a larger role than activity.
Jane Mendle, PhD’s research at Cornell University in Ithaca, New York, investigating the long-term psychological effects of early puberty has significant implications for our practices as pediatric nurse practitioners-and for all healthcare providers.
Too many children with depression go undiagnosed and untreated, according to the American Academy of Pediatrics. Updated guidelines should address this standard of care.
For Contemporary Pediatrics, Dr Bobby Lazzara looks at an observational study published in PLoS Medicine that examined full term infant mortality and what the findings suggest pediatricians need to be doing.
A new poll shows that there is a lot of misunderstanding about when is the right time for children to start seeing a dentist.
A popular claim in the antivaccination movement that too many vaccines can set children up for poor immunity overall has been refuted in a new study.
Stressing dieting over healthy eating in teenagers can cause lifelong weight and diet problems than can extend for generations.
Infection with human rhinovirus (HRV) confirmed by polymerase chain reaction (PCR) does not decrease the likelihood of concurrent urinary tract infection (UTI) in infants aged from 1 to 90 days old, according to a study in well-appearing febrile infants in this age group.
A 5-month-old previously healthy, full-term female presented to a pediatric emergency department with 2 weeks of left leg swelling. Her parents denied any history of trauma, pain, fevers, weight loss, and easy bruising or bleeding, and family history was negative for cancer. The patient had been feeding and eliminating well.
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.
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.
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.
Independent pediatricians truly are small service business owners. Expert advice can help your practice avoid problems and achieve success.
