Archives of pediatrics & adolescent medicine
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Arch Pediatr Adolesc Med · Nov 2010
Children hospitalized with 2009 novel influenza A(H1N1) in California.
To describe clinical and epidemiologic features of 2009 novel influenza A(H1N1) in children. ⋯ More than one-quarter of children hospitalized with 2009 novel influenza A(H1N1) reported to the California Department of Public Health required intensive care and/or died. Regardless of rapid test results, when 2009 novel influenza A(H1N1) is circulating, clinicians should maintain a high suspicion in children with febrile respiratory illness and promptly treat those with underlying risk factors, especially infants.
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Arch Pediatr Adolesc Med · Oct 2010
Improving evidence-based care in cystic fibrosis through quality improvement.
To increase clinician adherence to prescribing guidelines for pulmonary medications in children with cystic fibrosis (CF). ⋯ Educating clinicians about prescribing guidelines, sharing guidelines with families, and monitoring clinician adherence improve prescribing adherence to evidence-based recommendations.
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Arch Pediatr Adolesc Med · Sep 2010
Cerebrospinal fluid enterovirus testing in infants 56 days or younger.
To determine whether cerebrospinal fluid (CSF) enterovirus polymerase chain reaction (PCR) testing of febrile neonates is associated with a shorter hospital length of stay (LOS). ⋯ Among infants 56 days or younger, a positive CSF enterovirus PCR test result was associated with a shorter LOS compared with untested infants. The CSF enterovirus PCR test may improve the care of infants with fever.
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Arch Pediatr Adolesc Med · Jun 2010
Medical end-of-life decisions in children in Flanders, Belgium: a population-based postmortem survey.
To estimate the prevalence of end-of-life decisions and to describe their characteristics and the preceding decision-making process in minors in Belgium. ⋯ Medical end-of-life decisions are frequent in minors in Flanders, Belgium. Whereas parents were involved in most end-of-life decisions, the patients themselves were involved much less frequently, even when the ending of their lives was intended. At the time of decision making, patients were often comatose or the physicians deemed them incompetent or too young to be involved.