Clinical pediatrics
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Clinical pediatrics · Nov 2011
Randomized Controlled Trial Multicenter StudyThe impact of linezolid and vancomycin treatment on local signs and symptoms of inflammation among pediatric patients with complicated skin and skin structure infections.
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Clinical pediatrics · Nov 2011
Month-by-month age analysis of the risk for serious bacterial infections in febrile infants with bronchiolitis.
This study's aim was to assess the risk of serious bacterial infections (SBI) in each of the first 3 months in hospitalizes febrile infants with bronchiolitis. ⋯ The risk of SBI among febrile infants with bronchiolitis is significantly lower compared with febrile infants without bronchiolitis, but only after the neonatal period in which the risk for urinary tract infection was relatively high (9.7%).
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Clinical pediatrics · Nov 2011
Incidence of traumatic lumbar puncture: experience of a large, tertiary care pediatric hospital.
The objective of this study was to establish the incidence of traumatic or unsuccessful lumbar punctures (LPs) in the authors' institution. This is a prospective study. Traumatic LP was defined as >400 red blood cells (RBCs) and unsuccessful LP as failure to obtain cerebrospinal fluid (CSF) after the first LP attempt. ⋯ The incidence of traumatic LP was 24% when the procedure involved one LP and 50% when more than one attempt was required. RBC count was significantly lower in cases requiring only one attempt (P = .0074). Incidence of traumatic LP was independent of physicians' experience, sedation use or time of procedure, suggesting an intrinsic factor as the cause of traumatic LPs.
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Clinical pediatrics · Oct 2011
Evaluating communication between pediatric primary care physicians and hospitalists.
To determine the preferences for and satisfaction with communication between pediatric primary care physicians (PCPs) and hospitalists, 2 surveys (PCP and hospitalist versions with matching questions) were developed. Overall, PCPs were less satisfied than hospitalists with communication (P < .01). ⋯ Whereas satisfaction with and preferences for patient-related communication differed between hospitalists and PCPs, the incongruent views on the responsibility for care after patient discharge have major implications for safety particularly if poor communication occurs at discharge. Successful transitions from the hospital to primary care require communication between hospitalists and PCPs to be consistent, timely, and informative with responsibility for care discussed at discharge.