Monthly Archive: April 2016

Apr
30

Adverse reactions to antihistamines are common

Toxicity can occur with second-generation antihistamines. The main toxicity relates to skin eruptions and central nervous system problems as reported in a study published Online First 18 April 2016 in the Archives of Disease in Childhood. Skin eruptions, headache and somnolence were the most frequently reported ADRs Serious ADRs included one death (malignant neuroleptic syndrome), …

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Apr
28

Children starting day care have fewer infections after the first year

First-year daycare attendees had a higher incidence of acute gastroenteritis (AGE) during the first year and lower during the third to sixth year of age compared with nonattendees reports a study from Netherlands in the journal Pediatrics published online April 25. The daycare-associated increase in AGE incidence was most pronounced during the first 12 months …

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Apr
27

Iodinated contrast media linked to hypothyroidism in children

A single-institution case-control study online March 28 in the Journal of Clinical Endocrinology and Metabolism concluded that exposure to iodinate contrast media used in imaging studies increases the risk of incident hypothyroidism in children. These children should be monitored for iodine-induced thyroid dysfunction, particularly during the first year following exposure.

Apr
26

Emotional problems persist when premature children reach school age

Preterm children have higher rates of persistent and changing emotional and behavioral problems when they enter school as compared to full-term children. And, these problems are likely to persist for at least a year. Early preterm children had the highest rates of persistent (8.2%) and emerging (5.2%) problems, and moderately preterm children had the highest …

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Apr
26

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The American Academy of Pediatrics (AAP) has released a new clinical practice guideline on brief resolved unexplained events (BRUE) in low-risk infants. BRUE refers to brief events in infants, such as when a baby stops breathing for a few seconds that are unexplained and rarely associated with underlying medical problems. The new term, BRUE, will …

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Apr
25

Breast milk sutra

Breast milk is liquid gold which along with fats, proteins, vitamins and minerals also supplies hormones, stem cells and immune factors that help protect babies from disease-causing organisms, prevent, treat or cure obesity and diarrhea.

Apr
24

Early epinephrine for anaphylaxis tied to fewer overall doses

A 4-year study at a pediatric emergency department in Montreal, Canada says that although anaphylaxis accounts for an increasing percentage of all pediatric emergency department (ED) visits, early use of epinephrine before ED arrival is associated with a lower likelihood of requiring multiple doses of epinephrine in the ED (Journal of Allergy and Clinical Immunology …

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Apr
23

Bronchiolitis reanalysis says hypertonic saline does not reduce length of stay in infants

A reanalysis of two meta-analyses on the benefit of nebulized hypertonic saline (HS) for infants has shown that it does not reduce length of stay (LOS) in infants with bronchiolitis.[Source: JAMA Pediatrics18 April 2016]

Apr
22

Milk allergy linked to low bone density in children

According to a study published in the journal Pediatrics, children with persistent cow’s milk allergy have a lower bone mineral density (BMD) and calcium intake before puberty compared with prepubertal children with food allergies other than cow’s milk. [Source: Pediatrics 19 April 2016]

Apr
21

Maternal depression affects health and development of children

Although inquiring/screening about maternal depression has increased since 2004, less than half of pediatricians usually screen or inquire about maternal depression, representing a missed opportunity to identify depression and manage or refer women for treatment. Further training on the importance of mental and family health to children’s health may increase identification of maternal depression in …

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