Category: Infectious Diseases

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Infectious Diseases Podcast

Testing for Influenza

You don’t need a flu test to diagnose the flu! But there are situations where rapid antigen testing or PCR is valuable. Listen to this episode of PEM Currents, the Pediatric Emergency Medicine podcast, to learn more about the test characteristics of common assays and when to obtain testing when prevalence rates for the flu are high.

Check out the companion post (basically show notes) on PEMBlog.

Follow me on Twitter @PEMTweets

References

CDC: Rapid Diagnostic Testing for Influenza

CDC: Guidance for Clinicians on the Use of RT-PCR and Other Molecular Assays for Diagnosis of Influenza Virus Infection

Silvennoinen H, Peltola V, Lehtinen P, VainionpääR, Heikkinen T. Clinical presentation of influenza in unselected children treated as outpatients. Pediatr Infect Dis J. 2009;28(5):372. 

Merckx J, Wali R, Schiller I, Caya C, Gore GC, Chartrand C, Dendukuri N, Papenburg J. Diagnostic Accuracy of Novel and Traditional Rapid Tests for Influenza Infection Compared With Reverse Transcriptase Polymerase Chain Reaction: A Systematic Review and Meta-analysis. Ann Intern Med. 2017 Sep 19;167(6):394-409. doi: 10.7326/M17-0848. Epub 2017 Sep 5.

Mansour et al. Comparative Cost Analysis Between PCR Testing and DFA Testing for Diagnosing Respiratory Virus Infections. American Journal of Clinical Pathology, Volume 144, Issue suppl_2, 1 October 2015, Pages A209.

Podcast: Play in new window | Download (Duration: 10:35 — 9.9MB)

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Infectious Diseases Respiratory

Bronchiolitis

I’m sure that you’ll probably see a case of bronchiolitis this winter. Call it a hunch. In this episode of PEM Currents you’ll learn why suctioning and ensuring hydration are still the mainstays of therapy, and why albuterol, racemic epinephrine, steroids and more don’t have a place in routine cases. And if you read any publication to supplement this podcast make it the most recent American Academy of Pediatrics Guideline on Bronchiolitis.

Check out more Pediatric Emergency Medicine educational content at PEMBlog.com

Follow me on Twitter @PEMTweets

Podcast: Play in new window | Download (Duration: 21:20 — 19.8MB)

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Infectious Diseases

Community Acquired Pneumonia

Fever, tachypnea and rales – it must be a community acquired pneumonia… right? Learn more about the diagnosis and management of this common problem in the Pediatric Emergency Department.

Essential Reading

Bradley JS, Byington CL, Shah SS, Alverson B, Carter ER, Harrison C, Kaplan SL, Mace SE, McCracken GH Jr, Moore MR, St Peter SD, Stockwell JA, Swanson JT; Pediatric Infectious Diseases Society and the Infectious Diseases Society of America. Executive summary: the management of community-acquired pneumonia in infants and children older than 3 months of age: clinical practice guidelines by the Pediatric Infectious Diseases Society and the Infectious Diseases Society of America. Clin Infect Dis. 2011 Oct;53(7):617-30. PMID: 21890766.

Podcast: Play in new window | Download (Duration: 25:15 — 23.5MB)

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Infectious Diseases

Rabies

This edition of PEM Currents is a bite-sized rundown on rabies, or more accurately rabies post-exposure prophylaxis since most of you will never see it clinically, but will encounter a kid who meets an unscrupulous animal.

Podcast: Play in new window | Download (Duration: 8:39 — 12.0MB)

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Infectious Diseases Podcast

Strep Pharyngitis

This may be a bit hard to swallow, but not every disease process in the Emergency Department is exciting. Streptococcal pharyngitis is an incredibly common condition, especially in the Pediatric Emergency Department and I wanted to take this opportunity to answer some common questions. Who knows, perhaps after listening to this edition of PEM Currents you too will start treating strep throat with once a day dosing of Amoxicillin.

Podcast: Play in new window | Download (Duration: 13:01 — 12.1MB)

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Infectious Diseases

The Febrile Newborn

This episode of PEM Currents tackles a bread and butter issue in Pediatric Emergency Medicine, the newborn with fever. I discuss management, specifically how it differs for babies under 28 days of age as well as when to get labs and how to interpret them. I also reference procalcitonin, and touch on its emerging role. Read more at PEMBlog.com.

Podcast: Play in new window | Download (Duration: 10:47 — 15.1MB)

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Infectious Diseases Podcast

An interview with Todd Florin on bronchiolitis, hypertonic saline and more

I’m delighted to share the latest PEM Currents podcast! I recently sat down with Todd Florin, one of the faculty physicians at Cincinnati Children’s Hospital Medical Center and talked about bronchiolitis, delving into the controversies around the use of hypertonic saline, albuterol and more. Todd also recommended that all of my listeners check out the current AAP Bronchiolitis Guideline, which I’ve linked here. AAP Bronchiolitis Guideline

 

Podcast: Play in new window | Download (Duration: 18:42 — 26.3MB)

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Infectious Diseases

Acetaminophen versus Ibuprofen

This edition of PEM Currents, the Pediatric Emergency Medicine podcast, reviews the safety and comparative efficacy of acetaminophen and ibuprofen. If you work in a Pediatric Emergency Department you’ll certainly have broken a sweat over this hot debate time and time again.

Podcast: Play in new window | Download (Duration: 11:36 — 16.2MB)

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Infectious Diseases

Ondansetron for vomiting in acute gastroenteritis

This edition of PEMCurrents echoes a recent post on the PEMBlog and reviews the use of ondansetron in acute gastroenteritis. Specifically highlighting the reduction in risk of further episodes of emesis, need for intravenous fluids and immediate admission to the hospital.

Podcast: Play in new window | Download (Duration: 7:45 — 7.3MB)

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Infectious Diseases Orthopedics Podcast

Antibiotic Therapy for Osteomyelitis

Recognizing osteomyelitis can be challenging. Treating it doesn’t have to be – especially in the Pediatric ED. This edition of PEM Currents reviews the current evidence surrounding the initial choice of antibiotic, monitoring treatment response and overall therapeutic duration. 

Podcast: Play in new window | Download (Duration: 10:58 — 15.3MB)

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