Clinical pediatrics
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Clinical pediatrics · Sep 2014
Randomized Controlled Trial Comparative StudyReconnecting patients with their primary care provider: an intervention for reducing nonurgent pediatric emergency department visits.
Intervention to reduce nonurgent pediatric emergency department (PED) visits over a 12-month follow-up. ⋯ Intervention designed in cooperation with pediatricians was able to decrease nonurgent PED utilization and redirect patients to their PCP for future sick visits over a 12-month period.
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To assess the association of insurance status on infant rehospitalization in a population-based setting. ⋯ Future research can explore the preventability of rehospitalizations, and evaluate novel strategies for discharge and postnatal care coordination especially for uninsured and Medicaid-enrolled infants.
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Clinical pediatrics · Jul 2014
Comparative StudyComparison of urinary tract infection rates among 2- to 12-month-old febrile infants with RSV infections using 1999 and 2011 AAP diagnostic criteria.
Infants with RSV infections have been found to have a clinically significant rate of urinary tract infections (UTIs). The American Academy of Pediatrics (AAP) published a revised Clinical Practice Guideline on UTIs in 2011, which includes major changes in diagnostic criteria for UTIs. Past research has been done using previous diagnostic criteria. The objective of the study is to assess the rate of UTIs in febrile infants with respiratory syncytial virus (RSV) infections according to the 2011 revised AAP Diagnostic Criteria and compare the rate of UTIs against the 1999 AAP Diagnostic Criteria. ⋯ The rate of UTIs in RSV-positive febrile infants is very low (1.1%) with the 2011 AAP diagnostic criteria. Previously described increased risk of UTIs may represent asymptomatic bacteriuria or contaminated specimens.
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Clinical pediatrics · Jun 2014
Randomized Controlled TrialA randomized controlled trial of clinician-led tactile stimulation to reduce pain during vaccination in infants.
Clinician-led tactile stimulation (rubbing the skin adjacent to the injection site or applying pressure) has been demonstrated to reduce pain in children and adults undergoing vaccination. ⋯ Tactile stimulation cannot be recommended as a strategy to reduce vaccination pain in infants because of insufficient evidence of a benefit.