PHM5-Do not start IV antibiotic therapy on well-appearing newborn infants with isolated risk factors for sepsis such as maternal chorioamnionitis, prolonged rupture of membranes, or untreated group-B streptococcal colonization. Use clinical tools such as an evidence-based sepsis risk calculator to guide management.

Posted January 11th, 2021 by Nick Mackara & filed under .

PHM4-Do not use broad-spectrum antibiotics such as ceftriaxone for children hospitalized with uncomplicated community-acquired pneumonia. Use narrow-spectrum antibiotics such as penicillin, ampicillin or amoxicillin.

Posted January 11th, 2021 by Nick Mackara & filed under .

PHM3Do not initiate phototherapy in term or late preterm well-appearing infants with neonatal hyperbilirubinemia if their bilirubin is below levels at which the AAP guidelines recommend treatment

Posted January 11th, 2021 by Nick Mackara & filed under .

PHM2-Do not continue hospitalization in well-appearing febrile infants once bacterial cultures (i.e. blood, cerebrospinal, and/or urine) have been confirmed negative for 24–36 hours, if adequate outpatient follow-up can be assured.

Posted January 11th, 2021 by Nick Mackara & filed under .

PHM1-Do not prescribe IV antibiotics for predetermined durations for patients hospitalized with infections such as pyelonephritis, osteomyelitis and complicated pneumonia. Consider early transition to oral antibiotics.

Posted January 11th, 2021 by Nick Mackara & filed under .

AAPCC4- Do not order an echocardiogram for the routine evaluation of pediatric syncope in the absence of a concerning history or ECG abnormalities.

Posted November 2nd, 2020 by Nick Mackara & filed under .

AAPCCS5-Do not order a screening ECG prior to initiation of attention-deficit/hyperactivity disorder (ADHD) therapy in asymptomatic, otherwise healthy pediatric patients with no personal or family history of cardiac disease.

Posted November 2nd, 2020 by Nick Mackara & filed under .

AAPCCS3-Do not order an echocardiogram for the routine evaluation of pediatric chest pain in the absence of a concerning history or ECG abnormalities.

Posted November 2nd, 2020 by Nick Mackara & filed under .

AAPCCS2-Do not routinely order a screening ECG as part of a sports preparticipation examination in asymptomatic, otherwise healthy patients with no personal or family history of cardiac disease.

Posted November 2nd, 2020 by Nick Mackara & filed under .

AAPCCS1-Do not order troponins for the routine evaluation of pediatric chest pain in the absence of a concerning history or electrocardiogram (ECG) abnormalities.

Posted November 2nd, 2020 by Nick Mackara & filed under .

AAPPPSM4-Do not interpret pediatric sleep studies using adult standards. Pediatric sleep studies should be performed and interpreted according to pediatric standards, even if performed in a laboratory that predominantly studies adults.

Posted August 17th, 2020 by Nick Mackara & filed under .

AAPPPSM3-Avoid administering nebulized medications by “blow by,” or placing the mask or nebulizer tubing near the child’s nose and mouth rather than securing the mask properly to the face. A t-piece with mouthpiece or face mask should be used instead.

Posted August 17th, 2020 by Nick Mackara & filed under .

ASH-ASPHO – Avoid routine pre-operative hemostatic testing

Posted December 9th, 2019 by ABIM Foundation & filed under .

ASH-ASPHO – Platelet transfusions for asymptomatic pediatric patients

Posted December 9th, 2019 by ABIM Foundation & filed under .

ASH-ASPHO – Avoid thrombophilia testing in children without positive family history

Posted December 9th, 2019 by ABIM Foundation & filed under .