Arch Pediat Adol Med
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Arch Pediat Adol Med · Jan 2003
Association between antibiotic use and primary idiopathic intussusception.
Intussusception is the leading cause of intestinal obstruction in young children. Antibiotics are the most frequently prescribed medication in the pediatric population and have common adverse effects on the gastrointestinal tract. ⋯ An association between antibiotic drug use and intussusception was identified.
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Arch Pediat Adol Med · Jan 2003
Prevalence of traumatic injuries in drowning and near drowning in children and adolescents.
To determine the prevalence of traumatic injuries in children involved in drowning and near-drowning accidents. ⋯ The prevalence of traumatic injury in drowning and near drowning is low. We identified only cervical spine injuries, and all but 1 patient had a clear history of diving. Use of specialized trauma evaluations may not be warranted for patients in drowning and near-drowning accidents without a clear history of traumatic mechanism.
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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.