In the days of cefotaxime shortages we must seek out alternative antibiotics - Check out this post for recommendations on alternative cephalosporins, especially for the febrile infant.
Did you know that up to 9% of URIs are eventually complicated by acute sinusitis in children? This episode of PEM Currents, the Pediatric Emergency Medicine podcast focuses on making the diagnosis of acute bacterial rhinosinusitis clinically and when to pull the antibiotic prescription trigger.
Influenza season is in full swing. Most areas of the US are seeing widespread influenza activity.Though some patients can become very ill, and even die most do well. The main purpose of this post is to encourage you to use clinical history and physical examination to allow you to make the diagnosis of influenza, especially when disease prevalence is high. The bottom line is that you are smart, and if you think it is the flu you are probably right.
A concise video synopsis of David Schnadower’s study on probiotics in gastroenteritis from the New England Journal of Medicine
In an effort to better disseminate high quality and high impact research I am delighted to present to you this video that I recorded with James Gray and David Schnadower from Cincinnati Children's. I provides a quick synopsis of the recent study on probiotics in gastroenteritis and offers advice on how you can discuss this issue with parents.
Learn about two recent studies published in the New England Journal of Medicine that called into question the use of specific probiotic formulations in children with gastroenteritis.
Check out this in-depth interview with the lead author on the recent New England Journal paper on the use of probiotics in gastroenteritis. David Schnadower was kind enough to sit down with me and James Gray, a Pediatric Emergency Medicine Fellow from Cincinnati Children's to talk about the study and its implications for the care of children with infectious gastroenteritis.
The recent report of a multi-state outbreak of E. coli 0157:H7 secondary to romaine lettuce may to to parental fears - specifically hemolytic uremic syndrome (HUS). Fortunately the risk of transmission is low. But, just in case you have someone who is worried and seeking reassurance - or actually needs a work up I wanted to provide some information.
Acute Flaccid Myelitis is a rare but serious disease characterized by rapid onset of muscle weakness. Diagnosis also requires an MRI with lesions in multiple spinal levels or CSF pleocytosis. cases have been reported over the past several years and though a specific cause is unknown strains of enterovirus are suspected culprits.
Stop what you’re doing and read this fantastic post from don’t forget the bubbles. It details a large study that looks at bacterial co-infection rates in infants with viruses.
Let's explore the accuracy of urinalysis for urinary tract infections in febrile infants 60 days and younger shall we?