Arch Pediat Adol Med
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Arch Pediat Adol Med · Dec 2002
Sequelae of infant colic: evidence of transient infant distress and absence of lasting effects on maternal mental health.
Colic is widely believed to remit by 3 months of age, with little lasting effect on the infant or the family. ⋯ This study provides support for the belief that, in most cases, colic is self-limiting and does not result in lasting effects to maternal mental health.
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Arch Pediat Adol Med · Dec 2002
Randomized Controlled Trial Comparative Study Clinical TrialA randomized trial of oral vs intravenous rehydration in a pediatric emergency department.
Physicians report several barriers to the use of oral rehydration therapy (ORT) for dehydration in children due to acute gastroenteritis. ⋯ Reported barriers to ORT were not supported by our data. Moreover, ORT performed better than intravenous therapy on all measured outcomes.
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Arch Pediat Adol Med · Dec 2002
Children with meningeal signs: predicting who needs empiric antibiotic treatment.
Since delayed diagnosis and treatment of bacterial meningitis worsens patient prognosis, clinicians have a low threshold to perform a lumbar puncture or to start empiric antibiotic treatment in patients suspected of having meningitis. ⋯ A diagnostic decision rule that uses clinical characteristics at admission, the CSF polymorphonuclear leukocyte count, and the CSF-blood glucose ratio is a useful tool for deciding whether to start empiric antibiotics in children with meningeal signs.