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Articles Tagged With: children

  • Adenovirus and CNS Disease in Children

    Forty-eight immunocompetent children with adenovirus-associated central nervous system disease were described. Thirty-eight percent of patients died or experienced permanent neurologic sequelae.

  • The Slippery Slope of Inappropriate Antibiotic Use in Children

    Inappropriate antibiotic use for a child with a viral respiratory infection is not a “one and done” error. Children who receive antibiotics when diagnosed with a viral respiratory infection are more likely to seek care for viral infections subsequently and to receive inappropriate antibiotics again.

  • Pediatric Pneumonia — Evolving Diagnosis and Management

    Tachypnea has long been considered to identify which children with acute fever and cough might benefit from antibiotic treatment, especially in resource-limited parts of the world. Now, with declining rates of vaccine-preventable infections with Haemophilus influenzae and pneumococcus, new data suggest that approximately 90% of febrile, tachypneic, coughing (but still well enough for outpatient treatment) preschoolers do fine without antibiotics.

  • Rotavirus Vaccine and Hospitalization for Seizures

    In an analysis of insurance claims for 1.8 million U.S. children with 2,950 recorded seizures, researchers found that the risk of hospitalization for seizures was 24% lower in rotavirus-vaccinated children.

  • Is Sanitizer Better Than Soap?

    In day care settings, the implementation of hand hygiene programs reduced respiratory illness, absenteeism, and antibiotic use in children 0 to 3 years of age. Using hand sanitizer was more effective than washing with soap and water.

  • To Reach Goals, About 14 Million More Preteens Will Need HPV Shot

    About 14 million additional preteens, beyond those who will receive the HPV shot based on current rates, will need to be immunized between now and 2026 to reach the 80% vaccination rate goal, an American Cancer Society report indicates.

  • Childhood Diarrhea Varies Geographically Within Africa

    Each year, 30 million preschool-aged children still get sick with diarrhea and 330,000 die. Most diarrheal illness and death is concentrated in a few high-risk areas, including parts of Benin, Lesotho, Mali, Nigeria, and Sierra Leone. Targeting preventive and therapeutic interventions in areas of risk could markedly reduce morbidity and mortality.

  • Primary Headaches: Look, Listen, and Diagnose Rather Than Image

    SYNOPSIS: The diagnosis of primary headache disorders by a computerized and clinical paradigm can predict a baseline prevalence of intracranial abnormalities on brain imaging. Some historical “red flags” in children with headaches, including morning headaches and occipital pain, are not associated with increased intracranial abnormalities.

  • Measles From Coast to Coast: Risks, Costs, and Potential Interventions

    It is expensive to respond to and control measles outbreaks in the United States. Primary outbreak prevention should focus on vaccination of travelers and encouragement of routine vaccine acceptance by those who currently are hesitant to have their children vaccinated.

  • Viral Influenza Infection and Complications: A Pediatric-focused Review

    As influenza season approaches, it is important that clinicians prepare themselves with the current literature on clinical presentation, best and most rapid diagnostic testing, and treatment strategies in pediatric patients. The literature shows that antiviral agents are underutilized in children, a critical issue for this vulnerable population. The authors provide insight and evidence for diagnostic and therapeutic practice for the upcoming influenza season.