There are some signs of progress in drug-resistant infections in pediatrics, suggesting that antibiotic stewardship efforts may be having an effect and fewer broad-spectrum agents are being used on this important patient group, the Centers for Disease Control and Prevention reports.
Data analysis from The Environmental Determinants of Diabetes in the Young (TEDDY) study, to evaluate risk of celiac autoimmunity and celiac disease in children who screened positive for at-risk human leukocyte antigen genotypes, demonstrated increased risk for both outcomes in genetically predisposed children correlating with increasing quantities of daily gluten intake during the first five years of life.
The 2019-2020 flu season is already among us, and it is imperative that those healthcare practitioners on the frontline, particularly in our nation’s emergency departments, have current knowledge of prevention and treatment strategies.
Testing for streptococcal pharyngitis in children younger than 3 years of age is rarely helpful and results in unnecessary costs. Quality improvement efforts can be effective in systematically reducing non-indicated testing.
Public health officials are underscoring the tragedy of severe influenza infections and deaths in children, adding a palpable sense of urgency for immunization in an era when some parents are suspicious of vaccine efficacy and safety.
Practices vary significantly as clinicians evaluate and manage febrile infants younger than 2 months of age. A retrospective review suggests that meningitis is extremely unlikely in well-appearing babies with initial laboratory results suggestive of urinary tract infection, and that cerebrospinal fluid analysis may not be necessary.
Pediatric patients present to the emergency department (ED) with a variety of issues ranging from benign upper respiratory infections to life-threatening anaphylaxis. Many emergent conditions may mimic the common and nonthreatening ailments of normal childhood. Emergency physicians must be able to recognize and treat uncommon but emergent illnesses quickly and accurately. In addition, providers must be aware of those illnesses that look serious but warrant only supportive care. This article will focus on the assessment, evaluation, differential, and treatment of uncommon but can’t-miss diagnoses that clinicians should consider in the emergency setting.