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Acute pruritic eruption on a child’s face and handsYou are asked to evaluate a healthy 9-year-old girl with an itchy rash on her face, neck, and hands for a week. She had a similar eruption 1 month ago that resolved over several days. Although she has a history of poison ivy, her parents knew of no exposure. There was no history of new topical skin products. However, she had begun to eat more seasonal fruits recently, including strawberries, grapes, and mangos.
Families detect errors hospital incident reports missRates of medical errors yielded by solicited family reporting were 5 times higher than the rates provided by hospital incident reports and the rates of adverse events (AEs) were 3 times higher, a study in 4 pediatric hospitals found. Most hospitals primarily use incident reports to conduct patient safety surveillance.
Choosy mothers choose . . . fruit!Since the American Academy of Pediatrics (AAP) published its first recommendations regarding fruit juice 16 years ago, pediatricians have been waving off parents from serving young children apple and other fruit juices in bottles and sippy cups, encouraging water be given instead, because of both caloric and dental caries concerns. Now the AAP has issued a new policy statement that goes further than ever on what constitutes optimal quantities of fruit juice product consumption for children of all ages.
Are NPs code-blue ready?Traditionally, first positions for graduating registered nurses (RNs) are hospital based, where many have expertise and experience in emergency management. However, when RNs attend graduate school to become primary care nurse practitioners, planning for managing emergencies in an outpatient medical office may or may not have been a part of graduate education.
How one state reduced antipsychotic medications in Medicaid (VIDEO)For Contemporary Pediatrics, Dr Bobby Lazzara discusses a report published in the Health Services Research that examined how Washington state reduced the number of antipsychotic prescriptions written for children in the Medicaid system.
Familial link of OM requiring tympanostomy tubesA recent study found that there is a significant familial link in otitis media requiring tympanostomy tubes in both close and distant relatives, with shared environments possibly playing a role, given the fivefold increased risk seen in siblings.
Acute otitis media warrants 10 days of antibioticsEar infections remain a top reason for parents to bring their children to the pediatrician—and the top reason for antibiotic prescriptions among pediatric patients. Diagnosis and treatment methods vary, but a new study reveals that a 10-day course of treatment with antibiotics in cases of acute otitis media (AOM) may be the gold standard.
CDC: Most children don’t get full benefit of flu vaccineMost children are not being adequately vaccinated against influenza, according to new data from the Centers for Disease Control and Prevention (CDC), which also just published a new report demonstrating the efficacy of the vaccine in reducing influenza-related deaths in children.
HPV vaccination rates are rising but have far to goDespite controversy surrounding the human papillomavirus (HPV) vaccine, more adolescents and young adults are getting vaccinated. However, overall vaccination rates of HPV compared with other teenaged-years vaccines are still low, says the Centers for Disease Control and Prevention (CDC).
Parents overestimate benefits of antibiotics for acute respiratory infectionsParents often carry misperceptions about the advantages and disadvantages of antibiotic use for pediatric acute respiratory infections, according to an Australian survey in the Annals of Family Medicine.

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