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Pediatrics

Immediate amoxicillin is the most cost-effective choice for AOMUsing a cost-utility model of a hypothetical group of symptomatic children aged younger than 2 years who were diagnosed with acute otitis media (AOM), investigators evaluated whether antimicrobial therapy reduces time to symptom resolution, overall symptom burden, and persistence of infection.
Study validates new test for bacterial vs viral infectionsA novel assay for distinguishing bacterial from viral infections significantly outperformed routine laboratory parameters and biomarkers in a study using serum remnants from children suspected to have acute infection.
Best tech for Pediatrics: 2017It’s time for Dr. Schuman’s annual year-end review of the new tech that’s changing how pediatricians care for children. Check out his recommendations!
Rapidly growing nodule on infant’s posterior thighThe parents of a healthy 5-month-old boy bring him to the office for evaluation of an enlarging yellowish nodule on the back of his right thigh. It started as a pink macule several months ago and became yellow and lumpy over the last month. The infant was born at term and has grown and developed normally. His parents deny any trauma, but report occasional bleeding from the surface of the nodule. They deny any new medications or outdoor exposures. There is no history of new topical skin products.
Puppy brigade reports for duty
Puppy brigade reports for dutyA therapy dog program at a children’s hospital provides comfort for pediatric patients and families facing the unfamiliar and a sense of normalcy that makes a frightening hospital experience less so.
8 gut reactions to common problemsHere is helpful advice gleaned from my experiences with C diff, diarrhea, colic, reflux, and other things gastroenterological.
Elevated CPK: No short cut to muscular dystrophy diagnosisA pediatrician with special training in neuromuscular disorders cautions that nothing replaces the traditional workup—a complete history and physical—for diagnosing neuromuscular complaints.
Coronary artery lesions in Kawasaki disease are related to gene polymorphismsThe risk of coronary artery lesions (CALs) in Kawasaki disease (KD) is related to CYP2E1 gene polymorphisms, a study from Taiwan confirmed.
10 ways to control infection (VIDEO)For Contemporary Pediatrics, Dr Bobby Lazzara discusses a recent statement published in Pediatrics that discussed key ways to prevent and control infection in ambulatory settings.
Is the end of evidence-based guidelines near?Dr. Bass’ recent article in Contemporary Pediatrics, “Personalized medicine, right drug, right patient, right time,” provides a miniature but profound view of what may be the future of pediatric healthcare: focusing on healthcare that is truly individualized through precision science in the areas of diagnosis and treatment, rather than generalized, population-based treatment guidelines.