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Tag: Infant / Child Care

An educational and hand hygiene program involving hand sanitizer can reduce the risk for respiratory infections for children attending day care centers

Hand Hygiene Program Beneficial for Day Care Centers

Education, hand sanitizer intervention can cut respiratory infection rate, antibiotic prescribing
Best practices have been updated for screening and managing congenital adrenal hyperplasia due to steroid 21-hydroxylase deficiency. The updated Endocrine Society clinical practice guideline was published online Sept. 27 in the Journal of Clinical Endocrinology & Metabolism.

Best Practices for Congenital Adrenal Hyperplasia Updated

Recommendations address screening, treatment approaches and emphasize shared decision making
Neonates with congenital heart disease have enlarged kidneys on average

Enlarged Kidneys in Neonates With Congenital Heart Disease

Kidneys of neonates with left heart obstruction consistently found to be larger than normal
Recommendations have been developed to support pediatric providers in managing patients with a diagnosis of fetal alcohol spectrum disorder

AAP Report Addresses Managing Fetal Alcohol Spectrum Disorder

Recommendations developed to support pediatric providers in managing patients with FASD diagnosis
Variables have been identified that predict escalated care for infants with bronchiolitis

Factors Predictive of Escalated Care in Infant Bronchiolitis ID’d

Include oxygen saturation < 90 percent, nasal flaring/grunting, apnea, retractions, age ≤2 months
Newborns should not undergo universal sequencing at birth

Experts Advise Against Universal DNA Sequencing of Newborns

Targeted, whole-exome or whole-genome sequencing can assist in diagnosis of symptomatic infants
Talk and interaction during early childhood

Early Talk, Interaction Predicts School-Age Language Outcomes

Link for word counts between 18, 24 months with language outcomes weaker after controlling for SES
Very young children with urinary tract infections who receive parenteral antibiotics before emergency department discharge do not have lower rates of revisits leading to admission than children receiving oral antibiotics

Pediatric Revisits, Admissions for UTI Similar With Oral or IV Meds

Findings support ED discharge with oral antibiotics for children with urinary tract infection
Findings regarding the accuracy of two pulse oximetry-based baby monitors are concerning

Accuracy of Hypoxia-Based Baby Monitors Is Concerning

One monitor detected hypoxemia, but was inconsistent; second never detected hypoxemia
Significant improvements in neonatal abstinence syndrome outcomes can result from a comprehensive quality improvement program

QI Program Can Up Outcomes for Neonatal Abstinence Syndrome

Decreases in pharmacologic treatment, adjunctive agent use, hospital length of stay, opioid tx days