Pediatrics (all articles)
Stroke in Childhood: Clinical guideline for diagnosis, management and rehabilitation
25 May, 2017 | 14:54h | UTCStroke in Childhood: Clinical guideline for diagnosis, management and rehabilitation (2017) – Royal College of Paediatrics and Child Health(free) (RT @bmj_latest see Tweet)
News release: New guidelines launched to help healthcare professionals and parents spot the signs of stroke in children (free)
Other resources: Stroke in Childhood: Clinical guideline for diagnosis, management and rehabilitation (2017) (free)
Very strict blood sugar control in critically ill children provides no benefit
25 May, 2017 | 14:50h | UTCVery strict blood sugar control in critically ill children provides no benefit – NIHR Signal (free)
Original article (link to abstract – $ for full-text): Tight Glycemic Control in Critically Ill Children – New England Journal of Medicine (free)
Human papillomavirus vaccines: WHO position paper
25 May, 2017 | 14:48h | UTC“WHO update on HPV vaccine. Short summary – it’s very safe, very effective, widespread implementation recommended” (RT @michaelgheadsee Tweet)
Factors Associated with Pediatric Mortality from Motor Vehicle Crashes
25 May, 2017 | 14:47h | UTCCommentaries: 43 Percent Of Children Who Died From Car Crashes Were Improperly Restrained – NPR Health News (free)
Electronic WHO Postpartum Family Planning Compendium
24 May, 2017 | 14:43h | UTCElectronic WHO Postpartum Family Planning Compendium – World Health Organization (free)
How to use it: Introducing the World Health Organization Postpartum Family Planning Compendium – International Journal of Gynaecology and Obstetrics (free)
This interactive website integrates essential guidance on postpartum family planning for clinicians, program managers, and policy makers.
Pediatricians Advise No Fruit Juice Until Kids Are 1
23 May, 2017 | 14:31h | UTCCommentaries: Pediatricians Advise No Fruit Juice Until Kids Are 1 – NPR Health News (free) AND Pediatricians Say No Fruit Juice in Child’s First Year – New York Times (10 articles per month are free)
Guidelines on eosinophilic esophagitis
23 May, 2017 | 14:26h | UTC
Antenatal corticosteroids for accelerating fetal lung maturation for women at risk of preterm birth
18 May, 2017 | 17:47h | UTCSystematic Review: Antenatal corticosteroids for accelerating fetal lung maturation for women at risk of preterm birth – Cochrane Library(link to summary)
Source: A dose of corticosteroids benefit most women anticipating a preterm delivery – NIHR Dissemination Centre Discover Portal (free)
Cough in Children – Chest Guidelines
17 May, 2017 | 20:21h | UTCCough in Children – Chest Guidelines
Use of Management Pathways or Algorithms in Children With Chronic Cough: CHEST Guideline and Expert Panel Report (free) AND Management of Children With Chronic Wet Cough and Protracted Bacterial Bronchitis: CHEST Guideline and Expert Panel Report (free)
See also other recent CHEST guidelines on the management of cough in Adults: Chronic Cough Due to Gastroesophageal Reflux in Adults (free) AND Symptomatic Treatment of Cough Among Adult Patients With Lung Cancer (free) AND / Cough in the athlete (free) AND / Occupational and Environmental Contributions to Chronic Cough in Adults (free) AND / Treatment of Unexplained Chronic Cough (free)
Global accelerated action for the health of adolescents
17 May, 2017 | 20:22h | UTCNews release: More than 1.2 million adolescents die every year, nearly all preventable – World Health Organization (free)
Commentaries: How Many Teenagers Die Each Day … And Why – NPR Goats and Soda (free) AND 1.2 million adolescents’ deaths mostly preventable, report says – CNN (free) AND Pregnancy problems are leading global killer of females aged 15 to 19 – The Guardian (free) AND Road accidents biggest global killer of teenagers – BBC News (free)
See also recently released Lancet Series making a case for global investment in the capabilities of adolescents, see #2.
Drowning: a silent killer – The Lancet
16 May, 2017 | 20:04h | UTCEditorial: Drowning: a silent killer – The Lancet (free)
See also the World Health Organization report on Preventing Drowning in our May 3rd issue, see #2
Guideline for the Management of Fever and Neutropenia in Children
10 May, 2017 | 18:24h | UTC
Preventing drowning: an implementation guide – World Health Organization
3 May, 2017 | 17:32h | UTCReport: Preventing drowning: an implementation guide – World Health Organization (free) (See @WHO Tweet 1 and Tweet 2)
Related publication: Global report on drowning: preventing a leading killer – World Health Organization (free)
Updated Guidelines for the Use of Antiretroviral Agents in Pediatric HIV Infection
3 May, 2017 | 17:25h | UTCUpdated Guidelines for the Use of Antiretroviral Agents in Pediatric HIV Infection – AIDSInfo (free)
World Immunization Week, 24-30 April 2017
25 Apr, 2017 | 15:53h | UTCWorld Immunization Week, 24-30 April 2017 – World Health Organization (free)
Press release: World Immunization Week 2017 (free)
See also: WHO’s work on immunization (free)
“Increasing immunization globally could save an additional 1.5 million people every year”.
Head injury decision rules in children
26 Apr, 2017 | 16:06h | UTCAccuracy of PECARN, CATCH, and CHALICE head injury decision rules in children: a prospective cohort study – The Lancet (link to abstract – $ for full-text)
Sources: External Validation of Three Decision Rules for Pediatric Head Injury – Journal Watch (free) AND Best way to diagnose head injuries in children and minimize CT scans – ScienceDaily (free) AND PECARN, CATCH, CHALICE … or None of the Above? – By Ryan P. Radecki, MD, in Emergency Medicine Literature of Note (free)
The 3 decision rules performed well with negative predictive values >99%. The PECARN clinical decision rule was more sensitive and missed only 1 patient with clinically important traumatic brain injury, but was less specific, meaning more CTs would be required. These findings indicate that CT can generally be avoided if one of the prediction rules are negative.
Nursery Product-Related Injuries
25 Apr, 2017 | 15:49h | UTCNursery Product-Related Injuries Treated in United States Emergency Departments – Pediatrics (free)
Source: Common Nursery Products Send Thousands of Children to Hospitals – The New York Times (10 articles per month are free) (RT @CMichaelGibson)
Baby carriers, mattresses, strollers, high chairs, changing tables, bath seats and other ordinary nursery products lead to injuries and emergency room visits for 66,000 children a year in U.S.
New warnings about the use of codeine and tramadol
24 Apr, 2017 | 15:32h | UTCFDA Safety Alert: Codeine and Tramadol Medicines: Drug Safety Communication – Restricting Use in Children, Recommending Against Use in Breastfeeding Women (free)
FDA Statement: New warnings about the use of codeine and tramadol in children & nursing mothers (free)
Commentaries on the statement: FDA: Codeine Now Contraindicated for Pain and Cough in Kids – Physician’s First Watch (free) AND Codeine cough syrup should not be given to kids, FDA warns – STAT News (free)
These drugs should not be used at all for children younger than 12 years, and their use should also be limited in some older children.
A case for global investment in the capabilities of adolescents
21 Apr, 2017 | 15:20h | UTCSee also: Securing investments to realise the social and economic rights of adolescents (free) Our Future – Invest in Adolescent Health Now(free) AND Our future: a Lancet commission on adolescent health and wellbeing (all articles are free)
“Investing in adolescent health & education could bring 10-fold economic benefit” (RT @TheLancet see Tweet)
Why it’s a bad idea to space out your child’s vaccination shots
19 Apr, 2017 | 14:17h | UTCWhy it’s a bad idea to space out your child’s vaccination shots – The Washington Post (a few articles per month are free)
“Splitting immunizations into several visits only increases children’s stress” (RT @IDSAInfo see Tweet)
Associations of Maternal Antidepressant Use and Complications in Offspring
19 Apr, 2017 | 14:12h | UTCAssociations of Maternal Antidepressant Use During the First Trimester of Pregnancy With Preterm Birth, Small for Gestational Age, Autism Spectrum Disorder, and Attention-Deficit/Hyperactivity Disorder in Offspring – JAMA (link to abstract – $ for full-text)
Contradicting a previous study showing increased risk of autism with antidepressant use during pregnancy (free), this large retrospect cohort study of 1 580 629 Swedish offspring did not show an association of antidepressant use during pregnancy and autism or other neurodevelopment problems.
The Breastfeeding-Friendly Pediatric Office Practice
18 Apr, 2017 | 14:03h | UTCThe Breastfeeding-Friendly Pediatric Office Practice – American Academy of Pediatrics (free)
Source: AAP: Pediatricians Should Support Breastfeeding Moms – MedPage Today (free registration required)
Recent recommendation from another organization: Breastfeeding: Primary Care Interventions – U.S. Preventive Services Task Force (free)
Summary of USPSTF recommendations: Primary Care Interventions to Support Breastfeeding: Recommendation Statement – American Family Physician (free)
The American Academy of Pediatrics and the U.S. Preventive Services Task Force have issued recommendations for promoting and supporting breastfeeding.
Insulin pump didn’t improve glycemic control compared to training on injections
18 Apr, 2017 | 13:58h | UTCSee also: Insulin pump didn’t improve glycemic control compared to training on injections – ACP Diabetes Monthly (free)
Too Clean for Our Children’s Good?
18 Apr, 2017 | 14:04h | UTCToo Clean for Our Children’s Good? – The New York Times (10 articles per month are free)
According to the “hygiene hypothesis”, some exposure to germs and microorganisms might be good for us because it helps develop the immune system.
Amsterdam’s solution to the obesity crisis: no fruit juice and enough sleep
17 Apr, 2017 | 13:55h | UTCAmsterdam’s solution to the obesity crisis: no fruit juice and enough sleep – The Guardian (free) (RT @DrAseemMalhotra see Tweet)
“The city is successfully fighting fat by promoting tap water in its schools, along with healthy cooking classes and a ban on fast food sponsorship”


