👉Urinary tract infections in children
📌Urinary tract infections (UTIs) in children are among the most common bacterial infections in childhood. They are equally common in boys and girls during the first year of life and become more common in girls after the first year of life. Dividing UTIs into three categories; febrile upper UTI (acute pyelonephritis), lower UTI (cystitis), and asymptomatic bacteriuria, is useful for numerous reasons, mainly because it helps to understand the pathophysiology of the infection. A single episode of febrile UTI is often caused by a virulent Escherichia coli strain, whereas recurrent infections and asymptomatic bacteriuria commonly result from urinary tract malformations or bladder disturbances. Treatment of an upper UTI needs to be broad and last for 10 days, a lower UTI only needs to be treated for 3 days, often with a narrow-spectrum antibiotic, and asymptomatic bacteriuria is best left untreated. Investigations of atypical and recurrent episodes of febrile UTI should focus on urinary tract abnormalities, whereas in cases of cystitis and asymptomatic bacteriuria the focus should be on bladder function.
🔗https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30676-0/fulltext
https://www.medscape.com/viewarticle/931111?src=soc_tw_200530_mscpedt_news_peds_antibiotics&faf=1
#uti #review #urology #pediatrics #lancet
📌Urinary tract infections (UTIs) in children are among the most common bacterial infections in childhood. They are equally common in boys and girls during the first year of life and become more common in girls after the first year of life. Dividing UTIs into three categories; febrile upper UTI (acute pyelonephritis), lower UTI (cystitis), and asymptomatic bacteriuria, is useful for numerous reasons, mainly because it helps to understand the pathophysiology of the infection. A single episode of febrile UTI is often caused by a virulent Escherichia coli strain, whereas recurrent infections and asymptomatic bacteriuria commonly result from urinary tract malformations or bladder disturbances. Treatment of an upper UTI needs to be broad and last for 10 days, a lower UTI only needs to be treated for 3 days, often with a narrow-spectrum antibiotic, and asymptomatic bacteriuria is best left untreated. Investigations of atypical and recurrent episodes of febrile UTI should focus on urinary tract abnormalities, whereas in cases of cystitis and asymptomatic bacteriuria the focus should be on bladder function.
🔗https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30676-0/fulltext
https://www.medscape.com/viewarticle/931111?src=soc_tw_200530_mscpedt_news_peds_antibiotics&faf=1
#uti #review #urology #pediatrics #lancet
Medscape
Latest Research on Treating Common Bacterial Infections in Kids: A Short Summary
A quick summary of the latest research on antibiotic choice in treatment of common infections in children.
👉Supporting Breastfeeding in Infants Hospitalized for Jaundice
📌Early involvement of trained lactation consultants safely improves rates of EB for infants hospitalized with neonatal hyperbilirubinemia.
🔗https://hosppeds.aappublications.org/content/10/6/502
#jaundice #breastfeeding #aap #pediatrics #bilirubin
📌Early involvement of trained lactation consultants safely improves rates of EB for infants hospitalized with neonatal hyperbilirubinemia.
🔗https://hosppeds.aappublications.org/content/10/6/502
#jaundice #breastfeeding #aap #pediatrics #bilirubin
👉Tummy Time and Infant Health Outcomes: A Systematic Review
📌RESULTS: Sixteen articles representing 4237 participants from 8 countries were included. Tummy time was positively associated with gross motor and total development, a reduction in the BMI-z score, prevention of brachycephaly, and the ability to move while prone, supine, crawling, and rolling. An indeterminate association was found for social and cognitive domains, plagiocephaly, walking, standing, and sitting. No association was found for fine motor development and communication.
LIMITATIONS: Most studies were observational in design and lacked the robustness of a randomized controlled trial. High selection and performance bias were also present.
CONCLUSIONS: These findings guide the prioritization of interventions aimed at assisting parents meet the global and national physical activity guidelines.
🔗https://pediatrics.aappublications.org/content/145/6/e20192168
#tummy #development #neurology #aap #pediatrics
📌RESULTS: Sixteen articles representing 4237 participants from 8 countries were included. Tummy time was positively associated with gross motor and total development, a reduction in the BMI-z score, prevention of brachycephaly, and the ability to move while prone, supine, crawling, and rolling. An indeterminate association was found for social and cognitive domains, plagiocephaly, walking, standing, and sitting. No association was found for fine motor development and communication.
LIMITATIONS: Most studies were observational in design and lacked the robustness of a randomized controlled trial. High selection and performance bias were also present.
CONCLUSIONS: These findings guide the prioritization of interventions aimed at assisting parents meet the global and national physical activity guidelines.
🔗https://pediatrics.aappublications.org/content/145/6/e20192168
#tummy #development #neurology #aap #pediatrics
👉Not Crying After Birth as a Predictor of Not Breathing
📌All nonbreathing infants after birth do not cry at birth. A proportion of noncrying but breathing infants at birth are not breathing by 1 and 5 minutes and have a risk for predischarge mortality. With this study, we provide evidence of an association between noncrying and nonbreathing. This study revealed that noncrying but breathing infants require additional care. We suggest noncrying as a clinical sign for initiating resuscitation and a possible denominator for measuring coverage of resuscitation.
🔗https://pediatrics.aappublications.org/content/145/6/e20192719
#breathing #resuscitation #aap #pediatrics #crying
📌All nonbreathing infants after birth do not cry at birth. A proportion of noncrying but breathing infants at birth are not breathing by 1 and 5 minutes and have a risk for predischarge mortality. With this study, we provide evidence of an association between noncrying and nonbreathing. This study revealed that noncrying but breathing infants require additional care. We suggest noncrying as a clinical sign for initiating resuscitation and a possible denominator for measuring coverage of resuscitation.
🔗https://pediatrics.aappublications.org/content/145/6/e20192719
#breathing #resuscitation #aap #pediatrics #crying
👉Biomarkers and Disease Severity in Children With Community-Acquired Pneumonia
📌WBC count, ANC, CRP, and procalcitonin are generally not useful to discriminate nonsevere from severe disease in children with CAP, although CRP and procalcitonin may have some utility in predicting the most severe outcomes.
🔗https://pediatrics.aappublications.org/content/145/6/e20193728
#pneumonia #crp #pct #respiration #aap #pulmonology #infections #pediatrics
📌WBC count, ANC, CRP, and procalcitonin are generally not useful to discriminate nonsevere from severe disease in children with CAP, although CRP and procalcitonin may have some utility in predicting the most severe outcomes.
🔗https://pediatrics.aappublications.org/content/145/6/e20193728
#pneumonia #crp #pct #respiration #aap #pulmonology #infections #pediatrics
👉In-Hospital Formula Feeding and Breastfeeding Duration
📌 IHFF was associated with earlier weaning, with infants exposed to IHFF at 2.5 to 6 times higher risk in the first year than infants exclusively breastfed. Strategies to reduce IHFF include prenatal education, peer counseling, hospital staff and physician education, and skin-to-skin contact.
🔗https://pediatrics.aappublications.org/content/early/2020/06/05/peds.2019-2946
#feeding #formula #supplement #newborn #nutrition #breastfeeding #aap #pediatrics
📌 IHFF was associated with earlier weaning, with infants exposed to IHFF at 2.5 to 6 times higher risk in the first year than infants exclusively breastfed. Strategies to reduce IHFF include prenatal education, peer counseling, hospital staff and physician education, and skin-to-skin contact.
🔗https://pediatrics.aappublications.org/content/early/2020/06/05/peds.2019-2946
#feeding #formula #supplement #newborn #nutrition #breastfeeding #aap #pediatrics