Arch Pediat Adol Med
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Arch Pediat Adol Med · Aug 1998
General pediatricians, pediatric subspecialists, and pediatric primary care.
To assess the respective roles of general pediatricians and pediatric subspecialists in the provision of primary pediatric care. ⋯ Perspectives on the degree to which pediatric subspecialists provide primary pediatric care vary depending on generalist vs subspecialist self-identification.
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Arch Pediat Adol Med · Jul 1998
Risk of bacteremia for febrile young children in the post-Haemophilus influenzae type b era.
To determine the risk for bacteremia, in the post-Haemophilus influenzae type b era, in a prospective cohort of well-appearing febrile children 3 to 36 months of age with no obvious source of infection; and to compare the predictive abilities of objective criteria in identification of children with occult pneumococcal bacteremia from those at risk. ⋯ The prevalence of occult bacteremia in children 3 to 36 months old with temperatures of 39.0 degrees C or higher and no obvious source of infection is 1.6%. The white blood cell and absolute neutrophil counts are the most accurate predictors of occult pneumococcal bacteremia and when available should be used if presumptive antibiotic therapy is being considered.
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To describe the epidemiological features of trampoline-related injuries among children treated in an urban pediatric emergency department. ⋯ Trampoline-related injuries to children treated in the emergency department are almost exclusively associated with the use of backyard trampolines. The prevention strategies of warning labels, public education, and adult supervision are inadequate to prevent these injuries. Children should not use backyard trampolines, and the sale of trampolines for private recreational use should be halted.