journal
https://read.qxmd.com/read/38852083/safely-doing-less-for-febrile-infants-reviewing-management-in-the-setting-of-the-2021-american-academy-of-pediatrics-clinical-practice-guideline
#1
REVIEW
Abigail R Adler, Whitney L Browning
For more than 4 decades, pediatricians have sought the best practices for effectively managing well-appearing young febrile infants. In 2021, the American Academy of Pediatrics released a clinical practice guideline for the management of well-appearing febrile infants aged 8 to 60 days. The guideline incorporates advancements in testing, such as biomarkers and diagnostic testing in the setting of changing epidemiology, to help risk stratify infants in the newly formed group age 22 to 28 days as well as the group age 29 to 60 days...
June 2024: Pediatric Annals
https://read.qxmd.com/read/38852082/management-of-neonatal-hyperbilirubinemia-shedding-light-on-the-american-academy-of-pediatrics-2022-clinical-practice-guideline-revision
#2
JOURNAL ARTICLE
Lindsey Daggle, Neha Sharma, Initha Setiady, Karen Leonard
Neonatal hyperbilirubinemia is one of the most common conditions managed by pediatricians. Although many infants are affected, most will experience complete resolution without complication. Acute bilirubin encephalopathy and kernicterus are rare yet debilitating sequelae of severe hyperbilirubinemia that can be avoided through careful monitoring and treatment with phototherapy. Appropriate management of neonatal hyperbilirubinemia must balance the risks of these severe conditions with the effects of overtreatment...
June 2024: Pediatric Annals
https://read.qxmd.com/read/38852081/safely-doing-less-in-pediatrics-and-pediatric-hospital-medicine
#3
EDITORIAL
Stephanie Hom Deveau-Rosen, Natalie Guerrier McKnight
No abstract text is available yet for this article.
June 2024: Pediatric Annals
https://read.qxmd.com/read/38852080/youth-gun-violence
#4
REVIEW
Michael Harries
Gun violence is a rapidly growing concern for youth. As rates of death by firearm rise, so does exposure to firearm violence and high levels of accompanying morbidity. Although gun violence cannot be attributed to any one cause, it is important pediatric health care providers understand the prevalence of this issue. Additionally, the long-term health effects are profound with many victims of, and witnesses to, gun violence experiencing new symptoms of general anxiety disorder. There are numerous initiatives taking place at the individual, local, and national levels to address this public health crisis...
June 2024: Pediatric Annals
https://read.qxmd.com/read/38852079/review-of-urinary-tract-infections-and-pyelonephritis
#5
REVIEW
Kimberly Pianucci, Frank Cipriano, Erica Chung
Urinary tract infections (UTIs) are serious bacterial infections affecting children of all ages. An understanding of the methods of urine collection is important to prevent the contamination of urine specimens and to interpret results. The diagnosis of a UTI requires appropriate interpretation of both urinalysis and urine culture results because testing must indicate evidence of inflammation and the presence of bacteria. Rapid treatment of UTIs is imperative to prevent acute decompensation and systemic illness...
June 2024: Pediatric Annals
https://read.qxmd.com/read/38852078/tuberculosis-in-the-united-states-a-worrisome-new-trend-amid-nearly-30-years-of-continued-decline
#6
EDITORIAL
Lolita Alcocer Alkureishi, Joseph R Hageman
No abstract text is available yet for this article.
June 2024: Pediatric Annals
https://read.qxmd.com/read/38852077/safely-doing-less-antibiotics-evidence-to-guide-duration-and-route-of-administration-in-common-pediatric-infections
#7
REVIEW
Alaina Shine, Polina Frolova Gregory, Shayna Herns, Abena Knight
The growing evidence detailing the harmful effects of exposure to antibiotics has driven an urgency to evaluate recommendations in common pediatric infections regarding antibiotic course duration and route of administration. The past decade has produced strong evidence in support of many patients with uncomplicated common pediatric infections receiving shortened antibiotic durations and early conversion from intravenous to oral antibiotics. In this review, we offer guidance to providers in selection of duration and route of administration in a subset of common pediatric infections, including community-acquired pneumonia, osteomyelitis, and infections of the head and neck...
June 2024: Pediatric Annals
https://read.qxmd.com/read/38852076/bronchiolitis-safely-doing-less-is-the-next-big-thing
#8
REVIEW
Amy Weis, Claire Hailey
Bronchiolitis is a viral lower respiratory tract infection primarily affecting children younger than 2 years; a common cause of health care encounters, including hospitalization; and a considerable economic burden for health care systems in the United States and worldwide. The American Academy of Pediatrics (AAP) most recently updated its bronchiolitis guideline in 2014 and reaffirmed supportive care as the mainstay of treatment. Despite these recommendations, there is still significant variability in care provided for these children, especially in bronchodilator usage, radiography, and high-flow nasal cannula...
June 2024: Pediatric Annals
https://read.qxmd.com/read/38852075/diagnosis-and-treatment-of-group-a-streptococcal-pharyngitis-in-children
#9
REVIEW
Antonietta Curatola, Lorenzo Di Sarno, Miriam Massese, Anya Caroselli, Antonio Gatto, Antonio Chiaretti
The purpose of this review is to summarize the current evidence regarding the management of streptococcal pharyngitis in children. This article aims to provide a valid support to discriminate streptococcal pharyngitis from viral cases and treat it appropriately to avoid the development of complications. Differential diagnosis based only on clinical features is not always easy. For this reason, different clinical scores were created to provide an accurate diagnosis. Microbiological tests are valuable tools as well, but their use is not recommended unanimously...
June 2024: Pediatric Annals
https://read.qxmd.com/read/38700922/all-that-wheezes-is-not-asthma
#10
REVIEW
Divya Seth, Deepak Kamat
Wheezing is a high pitched, whistling sound generated when air flows through narrowed airways and is often equated with asthma. However, wheezing may be a presenting symptom of various other conditions including structural lesions of the airways, foreign body aspiration, pulmonary infections as well as cardiac causes. Underlying etiology of wheezing may also vary with age. Detailed history, physical examination, and laboratory investigations are often required to identify the underlying etiology of wheezing...
May 2024: Pediatric Annals
https://read.qxmd.com/read/38700921/the-trauma-of-separation-lifelong-health-implications-on-children
#11
REVIEW
Carmelle Wallace
In the United States, there are millions of globally displaced children who travel with family to seek immigration relief, many of whom have experienced family separation or live under the constant threat of separation. Family separation constitutes a significant trauma with lifelong impacts on a child's mental health, physical health, and development. This review provides a summary of the various contexts within which family separation occurs as well as the current literature on long-term health sequelae. These include mental illness, externalizing behaviors, developmental challenges, family stability, economic impacts, and educational attainment...
May 2024: Pediatric Annals
https://read.qxmd.com/read/38700920/responding-to-the-health-needs-of-newly-arrived-families-within-fractured-policy-environments
#12
JOURNAL ARTICLE
Fiona S Danaher, Aura M Obando, Juliana E Morris, Hannah Biskind, Rashmi Jasrasaria, Rahel Bosson, Matthew G Gartland, Amir M Mohareb
The increase in forcibly displaced populations seeking refuge in the United States has been met with fragmented, chaotic, and highly politicized responses to the detriment of migrants and receiving communities alike. Migrants encounter compounding systemic barriers to accessing basic resettlement resources. Expanding on pandemic-era innovations can strengthen social safety net infrastructure as a whole. Pediatricians are a potential early touchpoint for newly arrived families, providing an opportunity to support their specific health needs, refer to critical safety net services, and advocate for improved systems and policies...
May 2024: Pediatric Annals
https://read.qxmd.com/read/38700919/health-care-and-humanitarian-considerations-for-refugee-and-immigrant-children
#13
EDITORIAL
Minal Giri, Aimee Hilado
No abstract text is available yet for this article.
May 2024: Pediatric Annals
https://read.qxmd.com/read/38700918/pediatric-support-for-children-eligible-for-legal-humanitarian-relief
#14
JOURNAL ARTICLE
Julia Rosenberg, Sundes Kazmir, Minal Giri
Many children in immigrant families may qualify for legal protection-for themselves if unaccompanied, or as a derivative on parents' claims-on humanitarian grounds related to persecution or forced migration. Pediatric providers can offer a spectrum of multidirectional medical-legal supports to increase access to medical-legal services and support children who are undocumented or in mixed-status families. These activities can include providing trusted information, incorporating screening for health-related social needs, establishing networks for multidirectional referrals, and providing letters of support for legal protection...
May 2024: Pediatric Annals
https://read.qxmd.com/read/38700917/a-new-frontier-cd19-chimeric-antigen-receptor-t-cell-therapy
#15
EDITORIAL
Lolita Alcocer Alkureishi, Joseph R Hageman
No abstract text is available yet for this article.
May 2024: Pediatric Annals
https://read.qxmd.com/read/38700916/health-care-for-unaccompanied-immigrant-children-in-us-communities-a-guide-for-pediatric-practitioners
#16
JOURNAL ARTICLE
Karla Fredricks
Children who arrived at the United States border without a parent or legal guardian (ie, unaccompanied children) are present in communities throughout the country in growing numbers. For them to receive the highest-quality medical and mental services available, pediatric practitioners should have a foundational understanding of their unique set of circumstances and experiences. However, formal education on how to care for this specific immigrant subpopulation is not routinely incorporated into pediatric training programs, and limited clinical guidance is available in the published literature...
May 2024: Pediatric Annals
https://read.qxmd.com/read/38700915/supporting-migrant-children-in-pediatric-settings-lessons-learned-from-the-us-migrant-humanitarian-crisis-response
#17
JOURNAL ARTICLE
Aimee Hilado, Alissa Charvonia, Wendy Rocio Martinez Araujo, Falu Rami, Elizabeth Sanchez
This article examines the influx of migrants to the United States and highlights current global and local immigration trends. The authors focus on migrant children-specifically the effect of migration trauma in the context of humanitarian responses to the intentional movement of migrants to Democrat-led cities across the US to humanize the compounded effects of migration trauma, restrictive immigration policies, and the current resettlement landscape for migrants. The authors are directly involved with supporting migrant arrivals who have relocated to Chicago from the southern border, and apply field knowledge to articulate current barriers to accessing health care and best practices within pediatric settings supporting migrant arrivals...
May 2024: Pediatric Annals
https://read.qxmd.com/read/38574076/adolescent-hiv-screening-and-opt-out-testing-as-a-standard-of-care
#18
JOURNAL ARTICLE
Bako Orionzi
Despite the significant steps made in the diagnosis and treatment of HIV, there is still a notable amount of people living with HIV without being diagnosed, with a fair portion of these infections occurring in adolescents and young adults. For some individuals, by the time they are diagnosed they are living with advanced-staged disease, missing the opportunity for receiving antiretroviral treatment that would have markedly reduced their morbidity, mortality, and risk of transmission to others. Opt-out testing, or notifying the patient the test will be performed unless explicitly declined or deferred, increases the rates of testing while reducing the stigma of the disease...
April 2024: Pediatric Annals
https://read.qxmd.com/read/38574075/criteria-for-urinary-tract-infection-in-children-younger-than-age-3-years-a-new-cutoff-and-new-criteria
#19
EDITORIAL
Lolita Alcocer Alkureishi, Joseph R Hageman
No abstract text is available yet for this article.
April 2024: Pediatric Annals
https://read.qxmd.com/read/38574074/infantile-hemangiomas-and-vascular-anomalies
#20
JOURNAL ARTICLE
Michela M Paradiso, Sonal D Shah, Esteban Fernandez Faith
Vascular anomalies represent a diverse group of disorders of abnormal vascular development or proliferation. Vascular anomalies are classified as vascular tumors and vascular malformations. Significant advances have been made in the understanding of the pathogenesis, natural history, and genetics of vascular anomalies, allowing for improvements in management including targeted molecular therapies. Infantile hemangiomas are the most common vascular tumor of childhood and follow a distinct natural history of proliferation and involution...
April 2024: Pediatric Annals
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