Интересные ссылки по педиатрии

- Форум для общения врачей педиатров (https://forums.rusmedserv.com/forumdisplay.php?f=128)

- - Интересные ссылки по педиатрии (https://forums.rusmedserv.com/showthread.php?t=184567)

Recommendations for Use of Antiretroviral Drugs in Pregnant HIV-1-Infected Women for Maternal Health and Interventions to Reduce Perinatal HIV Transmission in the United States September 14, 2011
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Targeted Neonatal Echocardiography in the Neonatal Intensive Care Unit: Practice Guidelines and Recommendations for Training 2011
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EMA: Restrict Terpenoid-Containing Suppositories in Children
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еще один довод против цитрали и не только:ab:

Assessing Adiposity
A Scientific Statement From the American Heart Association 2011
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Обновленные рекомендации ААР по применению вакцины против полиомиелита

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Основные положения

Цитата:

1. The standard schedule for IPV should be 4 doses administered at 2 months, 4 months, 6 through 18 months, and 4 through 6 years of age.

2. If there is risk of imminent exposure to circulating polioviruses,
such as travel to a country in which polio is endemic or there is an outbreak, then the minimum age and intervals for the ﬁrst 3 doses of IPV
should be followed. Maternal antibodies can interfere with seroconversion in the ﬁrst 6 months of life.
For this reason, the standard schedule in recommendation 1,
which calls for vaccine administration during periods when maternal
antibodies are likely to have waned substantially, should be implemented unless there is imminent exposure risk. Although not ideal,
the great majority of infants vaccinated at the minimum age with minimal intervals are protected from polio, and with imminent risk of exposure, the beneﬁts of using the abbreviated schedule far outweigh any risks of failure to induce a protective immune response.
● The minimum interval from doses 3 to 4 should be 6 months.
● The minimum interval from doses 1 to 2 and from doses 2 to 3
should be 4 weeks.
● The minimum age for dose 1 is 6 weeks.

3. The ﬁnal dose of IPV should be administered at 4 through 6 years of
age regardless of the number of doses administered before 4 years
of age. The ﬁnal dose should be given at least 6 months after the
preceding dose.

4. When DTaP-IPV/Hib is used for the ﬁrst 4 doses, a ﬁfth dose of an IPVcontaining preparation (IPV alone or DTaP-IPV) should be administered on or after the fourth birthday. The minimal interval between doses 4 and 5 of IPV in this case should be 6 months.

5. IPV should be administered to immunocompromised and immunodeﬁcient children using the same schedule as that for children with normal immune systems. Because the vaccine is inactivated, it is safe in children with abnormal immune systems. IPV might not be as effective in such children, depending on the disorder and degree of immunocompromise, compared with
protection rates in children with normal immune systems.

6. Adults who are at an increased risk of exposure to wild-type poliovirus
and who previously completed primary immunization with OPV or IPV
can receive a single dose of IPV.

Рекомендации ААР по проведению фототерапии у новорожденных

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POLICY STATEMENT 2011
Poliovirus
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Из последнего NEJM, 2011; 365:1284-1292:

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Цитата:

...the use of suppressive therapy with 300 mg of oral acyclovir per square meter per dose administered three times daily for 6 months after initial treatment of neonatal HSV disease. Babies with skin, eye, and mouth disease can benefit because this therapy helps to prevent skin recurrences, whereas babies with CNS disease may have additional benefit with respect to neurodevelopmental outcomes. There are no controlled data that s uggest that suppressive therapy administered longer than 6 months or with the use of higher doses of oral acyclovir is beneficial...

Редакционный комментарий [Ссылки могут видеть только зарегистрированные пользователи. ]

Recommendation of the Advisory Committee on Immunization Practices (ACIP) for Use of Quadrivalent Meningococcal Conjugate Vaccine (MenACWY-D) Among Children Aged 9 Through 23 Months at Increased Risk for Invasive Meningococcal Disease (2011)
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Guidelines for the Use of Antiretroviral Agents in HIV-1-Infected Adults and Adolescents
October 14, 2011
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Autism: recognition, referral and diagnosis of children and young people on the autism spectrum
National Collaborating Centre for Women‟s and Children‟s Health
Commissioned by the National Institute for Health and Clinical Excellence
September 2011
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Гайдлайн от ААР по диагностике и лечению синдрома дефицита внимания и гиперактивности у детей и подростков (наверно, более интересен детским психологам, чем педиатрам)

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Практический обзорец по теме в полной версии:

Failure to Thrive in Childhood
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Substance Use Screening, Brief Intervention, and Referral to Treatment for Pediatricians 2011
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American Academy of Pediatrics
Boston • October 15 - 18, 2011

Urinary Stones in Kids on the Rise
BOSTON -- The frequency of pediatric urolithiasis more than doubled over an 8-year period at a large children’s hospital and the pediatric urologists have yet to find a reason for the increase.
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Gun Injuries in Kids Up Sharply
Firearm-related injuries to patients younger than 19 accounted for an estimated 186,000 emergency department (ED) visits over the period from 1999 to 2007, investigators reported here.
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New SIDS Guideline Says No to Bumper Pads
BOSTON -- Breastfeeding and immunization protect babies against sudden infant death syndrome but bumper pads don’t, according to updated guidelines from the American Academy of Pediatrics.
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’Screen-Free’ Environment Best for Toddlers
BOSTON -- Babies and toddlers should learn and get their entertainment from play, not from TV screens, computer displays, or video games, according to a new policy statement from the American Academy of Pediatrics.
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Need to Re-Do Circumcision Rises, Reasons Unclear
BOSTON -- An unexplained increase in revision circumcisions has pediatric urologists wondering whether the finding is real and, if so, what caused it.
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SIDS Messages Miss the Mark for Some Parents
BOSTON -- A majority of sudden infant deaths involved unsafe sleeping conditions, suggesting that key messages in sleeping awareness campaigns fail to reach some parents, investigators reported here.
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Big Jump in Knee Injuries in Kids
BOSTON -- The incidence of knee injuries in children and adolescents has increased dramatically in recent years, according to one large, single-center’s clinical experience.
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Guideline Calls for Pre-K ADHD Evaluation
BOSTON -- Primary care physicians should begin evaluating children for attention deficit hyperactivity disorder at age 4 and continue through age 18, according to new clinical guidelines from the American Academy of Pediatrics.
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One Course of Spinosad Exterminates Lice, Nits
BOSTON -- Head lice and nits cleared from the hair of 90% of patients following a single application of a soil bacteria-based topical agent, results of a randomized study showed.
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Low Back Pain in Kids Rarely Serious
BOSTON -- Low back pain in adolescents warrants a minimalist approach to tests and imaging, analysis of a large clinical series suggested.
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More Kids Going to ED for Psych Care
BOSTON -- More than half of all hospital psychiatry visits by underinsured pediatric patients came in through the emergency department, investigators reported here.
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CPR Yields Low in Hospitalized Kids With CVD
BOSTON -- Children with heart disease were 10 times more likely to need CPR while hospitalized and were significantly less likely to survive it than other hospitalized children, an analysis of a large national database showed.
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Melding of Specialist, Generalist Care
BOSTON -- Updates of key clinical guidelines highlight the program for the American Academy of Pediatrics National Conference and Exhibition, which begins here on Friday and continues through Oct. 18.
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