Search Results for: children

American Academy of Family Physicians Releases Third Choosing Wisely® List, Identifies Five Medical Procedures Doctors Should Question

…identify treatments and procedures that may be wasteful.” The AAFP’s new Choosing Wisely items are as follows: 1. Don’t prescribe antibiotics for otitis media in children aged 2-12 years with non-severe symptoms where the observation option is reasonable. The “observation option” refers to deferring antibacterial treatment of selected children for…

Choosing Wisely Champions

…Ophthalmology and Strabismus Sean Donahue, MD (2016) — Dr. Donahue’s efforts include initiatives to ensure children don’t get glasses they don’t need. Jean Ramsey, MD (2016) — Dr. Ramsey has led efforts to defeat state legislation mandating pediatric comprehensive eye exams, instead requiring that all children undergo vision screening prior…

AOTA – Sensory-based interventions for children without assessment

…Council for Exceptional Children. (2014). Council for Exceptional Children standards for evidence-based practices in special education. Retrieved from http://www.cec.sped.org/~/media/Files/Standards/Evidence%20based%20Practices%20and%20Practice/EBP%20FINAL.pdf Council for Exceptional Children. (2015). CEC’s standards for classifying the evidence base of practices in special education. Remedial and Special Education, 36, 220–234. Pfeiffer, B., May-Benson, T. A., & Bodison, S….

AAPCOID-PIDS – PICC or prolonged IV antibiotics in healthy children

…infections for which PICCs are placed in children, however, respond well to orally administered antibiotics after a brief course of intravenous therapy. Following hospital discharge, up to 40% of children with PICCs will return to the emergency department with a PICC complication. Studies of children with complicated pneumonia, ruptured appendicitis,…

ACRheum (Pediatric) – Autoantibody panels in children

…Malleson PN. Persistent antinuclear antibodies in children without identifiable inflammatory rheumatic or autoimmune disease. Pediatrics. 1992;89:441-4. Deane PM, Liard G, Siegel DM, Baum J. The outcome of children referred to a pediatric rheumatology clinic with a positive antinuclear antibody test but without an autoimmune disease. Pediatrics. 1995;95:892–5. McGhee JL, Burks…

ACS – Computed tomography to evaluate appendicitis in children

…of clinical findings in children with possible appendicitis. Pediatrics. 2012;129(4):695-700. field_54b3fb640c91b field_54beabaeb4a28 50 48 46 41 field_54b803304ba6a 58 field_54b803574ba6b 25 26 field_54b8037f4ba6c 28 field_54bd1b1564140 1429108598:2 3595 American College of Surgeons advises against ordering computer tomography to evaluate suspected appendicitis in children. ACS – CT in evaluation of appendicitis in children

APA – Antipsychotics in children or adolescents

children and adolescents. FDA approved and/or evidence supported indications for antipsychotic medications in children and adolescents include psychotic disorders, bipolar disorder, tic disorders, and severe irritability in children with autism spectrum disorders; there is increasing evidence that antipsychotic medication may be useful for some disruptive behavior disorders. Children and adolescents…

Oral Antibiotics for Ear Infections

…a severe infection that is antibiotic-resistant can cost more than $25,000. Who should take oral antibiotics for ear infections? Children without ear tubes should take oral antibiotics for middle-ear infections, especially when they have severe ear pain or high fever. Children with ear tubes should take oral antibiotics if: They…

ACR – CT to evaluate appendicitis in children

…with reported sensitivity and specificity of 94 percent. field_54b40ef6c2784 Wan MJ, et al. Acute appendicitis in young children: cost-effectiveness of US versus CT in diagnosis-a Markov decision analytic model. Radiology 2009;250:378-86. Doria AS, et al. US or CT for diagnosis of appenditicis in children? A meta-analysis. Radiology 2006;241:83-94. Garcia K,…

ACEP – IV fluids for mild to moderate dehydration in children

…to gastroenteritis in children. Cochrane Database System Rev. 2006;19(3):CD004390. field_54b3fb640c91b field_54beabaeb4a28 50 48 field_54b803304ba6a field_54b803574ba6b 25 field_54b8037f4ba6c 28 field_54bd1b1564140 3577 ACEP suggests trial or oral rehydration therapy in children in the ED with mild to moderate dehydration prior to IV fluids. ACEP – For mild to moderate dehydration in children

AAP SOEn – Thyroid ultrasounds in children with goiters or autoimmune thyroiditis

1506954353:3 3 October 2, 2017 field_54ad9e6ce06ff Avoid routinely ordering thyroid ultrasounds in children who have simple goiters or autoimmune thyroiditis. field_54b3ece95c4b3 Limit this study to children who have asymmetric thyroid enlargement, palpable nodules, or concerning cervical lymphadenopathy. Ultrasound can detect nodules that elude palpation, and one prospective series found that…

AAP SOEn – Routine vitamin D concentrations in healthy children

1506954517:3 3 October 2, 2017 field_54ad9e6ce06ff Avoid ordering Vitamin D concentrations routinely in otherwise healthy children, including children who are overweight or obese. field_54b3ece95c4b3 Although a 25-hydroxyvitamin D concentration, reflecting both vitamin D synthesis and intake, is the correct screening lab to monitor for vitamin D deficiency, current evidence is…

Nursing – Head CT to assess shunt failure in children with hydrocephalus

…in an evaluation for shunt failure. Because CT is the usual mode of imaging for children with hydrocephalus, these patients have a much higher cumulative radiation exposure than the average population. Children have an increased risk of cancer with exposure to higher cumulative radiation doses. CT scans should be performed…

AAPOS – Annual eye exams for children

1559231093:3 3 Released October 8, 2013; updated May 29, 2019 field_54ad9e6ce06ff Annual comprehensive eye exams (exams done in an eye doctor’s office) are unnecessary for children who pass routine vision screening assessments. field_54b3ece95c4b3 Early childhood vision screening done as part of routine well-child care accurately identifies most children with significant…