Archives of pediatrics & adolescent medicine
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Arch Pediatr Adolesc Med · May 2011
Comparative StudyClostridium difficile infection in hospitalized children in the United States.
To evaluate the trend in Clostridium difficile infection (CDI) among hospitalized children in the United States and to evaluate the severity of and risk factors associated with these cases of CDI. ⋯ There is an increasing trend in CDI among hospitalized children, and this disease is having a significant effect on these children. In contrast to adults, there is no increasing trend in the severity of CDI in children. Children with medical conditions (including inflammatory bowel disease and immunosuppression) or conditions requiring antibiotic administration are at high risk of CDI.
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Arch Pediatr Adolesc Med · May 2011
Comparative StudyPutting guidelines into practice: improving documentation of pediatric asthma management using a decision-making tool.
To assess improvement in documentation of asthma indicators using the Asthma Toolbox, an asthma decision-making tool developed in accord with National Asthma Education and Prevention Program guidelines. ⋯ Use of the Asthma Toolbox, an asthma decision-making tool, significantly increased documentation of pediatric asthma management among providers working in high-disparity, urban primary care settings.
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Arch Pediatr Adolesc Med · May 2011
Comparative StudyReduction in hospital mortality over time in a hospital without a pediatric medical emergency team: limitations of before-and-after study designs.
To determine whether hospital mortality has decreased over time in a hospital that has not introduced a pediatric medical emergency team (PMET). ⋯ We found a reduction in hospital mortality over time in a children's hospital without a PMET. This demonstrates the limitation of before-and-after study designs, and we hypothesize that multiple co-interventions account for the decrease in mortality. Whether a PMET could have reduced mortality further is unknown.