Compared with traditional appendectomy, nonoperative management (NOM) of uncomplicated appendicitis using parenteral antibiotics is associated with more subsequent emergency department (ED) visits and hospitalizations, as well as more subsequent appendectomies.
Almost 1300 US children die and 5790 are treated for gunshot wounds each year, according to an analysis of information in several national databases.
The first breath is the single most important moment in anyone’s life. It is when life outside the womb truly begins, the moment that makes all other moments possible.
Recommendations emphasize early detection of risks for medical comorbidities later in life.
A 15-year-old female presents to the emergency department of a community hospital with acute onset of duskiness in her left arm.
Children with early-onset atopic dermatitis (AD) have an increased risk of developing asthma and food allergies by age 6 years, especially those with persistent dermatitis symptoms.
For parents of infants who require extra care after birth, experiences in a neonatal intensive care unit (NICU) can be filled with the anxiety and stress of frequent setbacks. Here's how one hospital helps parents mark the transition to home and bring a joyful closure to the NICU experience.
A novel therapy to prevent recurrent acute otitis media (RAOM) shows promise in offering a new way to safely and effectively address this challenging problem.
Antimicrobial therapy for acute otitis media (AOM) is effective, but it’s not for everyone. A new study out of Finland shows that antibiotics are highly effective in treating AOM, but many children can also recover without them.
Every nurse practitioner should review the AAP guidelines and include an action plan in each of their practice settings. All providers should communicate information to all school, camp, and field nurses who are often the first to assess a child presenting with symptoms of anaphylaxis outside a medical facility.
Abstinence-only education is ineffective and unethical, according to a new position paper, but is still the primary method of sexual education used in many parts of the country.
Pediatricians may be the first or only resource for some trans or gender nonconforming youths, and it’s important to offer them support and resources, particularly when it comes to navigating all-too-common high-risk behaviors.
More than one-third of families of 184 infants surveyed every 6 months during a 4-year period reported exposing their child to TV during meals.
Adolescent pregnancy rates are at an all-time low, and a new report from the Centers for Disease Control and Prevention (CDC) reveals that there have been significant changes to adolescent sexuality over the last 2 decades.
Primary care practices are the backbone of childhood immunization delivery, and have become indispensable in the promotion of public health. Over the last decades, however, the skyrocketing costs of vaccines have gone from a minor consideration in the overhead of a pediatric practice to one of significant financial burden, largely because of new vaccines.
A new study detailing the impact of early infection, antibiotics, and vaccines in preterm infants also offers hope that new vaccine therapies could help decrease sepsis and long-term damage in this vulnerable population.
Patients with diabetes are at risk for developing inappropriate relationships with food, according to new research, highlighting the need for healthcare providers to provide more psychosocial support to this population.
The American Academy of Pediatrics form for an allergy and anaphylaxis emergency plan.
Anaphylaxis is a serious, life-threatening allergic reaction that can occur suddenly without warning. In children and adolescents, the leading cause of anaphylaxis is exposure to food allergens. Recently, the American Academy of Pediatrics (AAP) published 2 clinical reports that discuss guidance on appropriate epinephrine use for anaphylaxis and developing an emergency action plan for patients at risk.
The vaping culture of using non–cigarette tobacco and electronic nicotine delivery systems (ENDS) is the latest risky trend among adolescents and young adults. Vaping is the use of high-tech, advanced electronic devices such as electronic cigarettes (e-cigarettes), refillable atomizers, and other tobacco products as an alternative or in addition to regular cigarettes.
Infants with neonatal abstinence syndrome (NAS) treated with supportive nonpharmacologic interventions have a substantially shorter hospital stay and are less likely to be treated with morphine, a new study shows.
Between 1990 and 2010, more than 260,000 children were treated in emergency departments (EDs) for ear injuries related to use of cotton-tip applicators (CTAs), according to data from the National Electronic Injury Surveillance System.
A review of a large claims-based database suggests that they are. Investigators identified almost 10,000 children aged up to 14 years who were prescribed either Lotrisone or Mycolog-II creams (antifungal and corticosteroid combination products) by pediatricians and other specialists from 2007 through 2014.
On August 8, 2016, Mitch Zeller, JD, blogged on the US Food and Drug Administration (FDA) website that beginning that day, federal law would protect the public-especially kids-from the dangers of all tobacco products, including electronic cigarettes (e-cigarettes), vapes, and more. The law, known as the Deeming Rule, would regulate the largely unregulated market that he referred to as having been the “wild, wild West.”
A healthy 9-year-old female presents with a 1-day history of fever, progressive rash, conjunctivitis, and superficial oral ulcers.
There is a trend in internal medicine to get away from doing complete physical examinations on each visit, with a minimalistic approach to a healthy patient. I am not prepared to go that far just yet, but I have modified my examination in many ways over the years. Here are some gems I have unearthed.
It seems that our healthcare system is overdue for an integrity/honesty overhaul. Let’s review how we can begin the process of restoration at the practice and healthcare system levels.
The father of a healthy 15-year-old girl brings her to the emergency department (ED) for evaluation of blue hands.
A new online tool may help clinicians predict if a child of a parent with bipolar disorder (BD) will follow in their footsteps
For Contemporary Pediatrics, Dr Bobby Lazzara discusses a large cohort study published in JAMA Psychiatry that examined whether children with a positive strep test are more likely than their counterparts to develop mental disorders, particularly tic disorders and OCD.