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Journal Club

Algorithm accurately identifies babies at low risk of IBIThe so-called “Step-by-Step” algorithm, a sequential approach to identifying young febrile infants at low risk for invasive bacterial infection (IBI) on the basis of clinical and laboratory parameters, is more accurate than the classic Rochester criteria or the more recently developed “Lab-score,” a new study shows.
Some uropathogens more associated with pyuria than othersA new study demonstrated that in children with an apparent urinary tract infection, the proportion with pyuria varied significantly depending on the uropathogen associated with the infection.
Fecal Bacteroides are linked to bronchiolitisInvestigators identified 4 distinct fecal microbiota profiles in infants hospitalized with bronchiolitis and found that 1 of those profiles—dominated by Bacteroides—was associated with a higher likelihood of bronchiolitis than the others.
Increased opioid abuse leads to more ED visitsFrom 2006 to 2012, patients aged younger than 18 years made more than 21,928 visits to emergency departments (EDs) for poisoning by prescription opioids, such as methadone, codeine, meperidine, or morphine.
Artificial sweeteners linked to overweight in infantsInvestigators used a food frequency questionnaire to assess how often 3003 pregnant women drank artificially sweetened or sugar-sweetened beverages during their second or third trimesters. They then analyzed how this data correlated with the body mass index of these mothers’ babies at age 1 year.
Identify food insecurity in hospitalized kidsAbout one-quarter of children who recently have been hospitalized live in food insecure households, which suggests that hospitalization presents a potential opportunity to identify these youngsters and help their families access nutrition assistance.
Simple screen for alcohol use disorderAsking teenagers how often they have consumed alcohol in the past year provides a simple screen for those at risk for alcohol use disorder (AUD), a study in 1193 adolescents in rural Pennsylvania showed.
“No strings” prenatal income support improves birth outcomesA study among low-income women receiving prenatal income support in the Canadian province of Manitoba found that this unique benefit—provided with no conditions—results in positive birth outcomes.
Phototherapy could be associated with neonatal cancerAlthough phototherapy is an established and valuable treatment for infants with neonatal hyperbilirubinemia, some investigations have raised concerns that the treatment is associated with cancer.
New antibody eases hemophilia treatmentA new antibody eases treatment of severe hemophilia A.

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