Search Results for: children

AAP-ASPN – Follow-up urine cultures after treatment for uncomplicated UTI

…Pediatrics 105:E59, 2000. Currie ML, Mitz L, Raasch CS, Greenbaum LA. Follow-up urine cultures and fever in children with urinary tract infection. Arch Pediatr Adolesc Med 157:1237-1240, 2003. Oreskovic, NM Sembrano, Eduardo U. Repeat Urine Cultures in Children Who Are Admitted With Urinary Tract Infections. Pediatrics 119, Number 2, e325-329,…

ASH – Anticoagulants for more than three months after first VTE

…British Committee for Standards in Haematology. Guideline on the investigation, management and prevention of venous thrombosis in children. Br J Haematol. 2011 Jul;154(2):196–207. Monagle P, Chan AK, Goldenberg NA, Ichord RN, Journeycake JM, Nowak-Göttl U, Vesely SK; American College of Chest Physicians. Antithrombotic therapy in neonates and children: Antithrombotic Therapy…

AAP-ASPN – Hematuria or proteinuria work up before repeat urine dipstick analysis

…microscopic hematuria to look for evidence of chronic hematuria. Repeat UA as a first AM void along with a urine protein/creatinine ratio in patients noted to have proteinuria on a random UA. field_54b40ef6c2784 Meyers KEC: Evaluation of hematuria in children. Urol Clin North Amer 31:559-573, 2004. Lieu TA, Grasmeder HM…

AAP-ASPN – Routine screening urine analysis in healthy pediatric patients

…This is counterbalanced by the low prevalence of chronic kidney disease (CKD) and bladder cancer in children. One study showed that the calculated false positive/transient abnormality rate approaches 84%. These factors account for the low yield in detecting preventable and/or treatable problems in a healthy asymptomatic population with respect to…

AAP-POSNA – X-rays for buckle fractures

1524509902:3 3 February 12, 2018 field_54ad9e6ce06ff Do not order follow-up X-rays for buckle (or torus) fractures if they are no longer tender or painful. field_54b3ece95c4b3 Buckle (torus) fractures are very common injuries in young children, especially in the distal radius. The fracture is one of compression, where the metaphyseal bone…

AAP SoPPe – Anti-reflux medication for apnea and desaturation

…Ron N. Ranitidine and late-onset sepsis in the neonatal intensive care unit. J Perinat Med. 2007; 35(2):147–50. Chung EY, Yardley J. Are there risks associated with empiric acid suppression treatment of infants and children suspected of having gastroesophageal reflux disease? Hosp Pediatr. 2013 Jan;3(1):16-23. Guillet R, Stoll BJ, Cotten CM,…

Nursing – Continuous Cardiac-Respiratory or Pulse Oximetry Monitoring for Pediatric In-Patients

1524513874:3 3 April 19, 2018 field_54ad9e6ce06ff Don’t apply continuous cardiac-respiratory or pulse oximetry monitoring to children and adolescents admitted to the hospital unless condition warrants continuous monitoring based on objectively scored cardiovascular, respiratory, and behavior parameters. field_54b3ece95c4b3 Nurses use continuous electrocardiography (ECG), respiratory, and pulse oximetry monitoring to track patient…

AASM – Medications for childhood insomnia

…parent-child interactions, treatment should involve efforts to improve relevant parent and child behavior, establish better sleep hygiene and manage expectations. Basic environmental, scheduling, sleep practice, and physiological features should be optimized before hypnotic use is considered for children. When necessary, hypnotics should be used short term, with caution and close…

SHM (Pediatric) – Acid suppression therapy to treat gastroesophageal reflux in infants

1425328951:3 3 Released February 21, 2013 field_54ad9e6ce06ff Don’t treat gastroesophageal reflux in infants routinely with acid suppression therapy. field_54b3ece95c4b3 Antireflux therapy has been demonstrated to have no effect in reducing the symptoms of grastroesophageal reflux disease (GERD) in children. Concerns regarding the use of proton-pump inhibitor therapy in infants include…

AAP – Surveillance cultures to screen and treat asymptomatic bacteruria

…The case against screening urinalysis for asymptomatic bacteriuria in children. Am J Dis Child. 1992 Mar;146(3):343–6. Nicolle LE. Asymptomatic bacteriuria: when to screen and when to treat. Infect Dis Clin North Am. 2003 Jun;17(2):367–94. Roberts KB, Downs SM, Finnell SM, Hellerstein S, Shortliffe LD, Wald ER, Zerin JM. American Academy…

ACRheum (Pediatric) – Repeat confirmed positive ANA in patients with JIA or systemic lupus

1424965209:3 3 Released October 27, 2013 field_54ad9e6ce06ff Don’t repeat a confirmed positive ANA in patients with established JIA or systemic lupus erythematosus (SLE). field_54b3ece95c4b3 ANA is important in the diagnosis of SLE and positivity guides more frequent slit lamp examination for detection of uveitis in children with JIA. Beyond this,…

ACEP – Antibiotics in the ED for sinusitis

…Brook I, Brozek JL, Goldstein EJ, Hicks LA, Pankey GA, Seleznick M, Volturo G, Wald ER, File TM Jr, Infectious Diseases Society of America. IDSA clinical practice guideline for acute bacterial rhinosinusitis in children and adults. Clin Infect Dis. 2012Apr;54(8):e72-e112. Ahovuo-Saloranta A, Rautakorpi UM, Borisenko OV, Liira H, Williams JW…

AAOHNS – Oral antibiotics for uncomplicated acute tympanostomy tube otorrhea

…oral antibiotics can reduce the spread of antibiotic resistance and the risk of opportunistic infections. field_54b40ef6c2784 Goldblatt EL, Dohar J, Nozza RJ, Nielsen RW, Goldberg T, Sidman JD, Seidlin M. Topical ofloxacin versus systemic amoxicillin/clavulanate in purulent otorrhea in children with tympanostomy tubes. Int J Pediatr Otorhinolaryngol. 1998 Nov 15;46(1-2):91-101….

APA – Antipsychotics for insomnia

…metabolic side effects: insights from receptor-binding profiles. Mol Psychiatry. 2008 Jan;13(1):27-35. field_54b3fb640c91b field_54beabaeb4a28 48 36 field_54b803304ba6a 24 field_54b803574ba6b 25 26 field_54b8037f4ba6c 29 field_54bd1b1564140 3613 american-psychiatric-association-antipsychotics-in-children-or-adolescents-2 American Psychiatric Association suggests against prescribing antipsychotic drugs for insomnia patients due to lack of efficacy. Psychiatry – Antipsychotics for Insomnia field_5bc7896c42ca4 5070 10865 field_5bc789c4e5309…

ASBMT/CBMTG – Immunoglobulin replacement

…a higher risk of hepatic sinusoidal obstruction syndrome and venous thromboembolism, and impair the efficacy of post-transplant vaccinations. There may be subsets of patients where prophylactic immunoglobulin replacement may be considered, such as in umbilical cord blood transplant recipients, in children undergoing transplantation for inherited or acquired disorders associated with…