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Mary Beth Nierengarten, MA
Bacteremia in infants: Time for a new approach?
Bacteremia is now a rare event in previously healthy children aged 3 to 36 months because of the introduction of routine immunization with the pneumococcal conjugate vaccine (PCV).
Choice of needle size when vaccinating children
Among concerns with administering these multiple and frequent immunizations in young children are the potential pain and adverse effects associated with injections. Along with inducing pain in some children, the early negative experience of needle-related procedures can interfere with adherence to immunization schedules and create long-lasting effects of anxiety and stress around needle-related procedures that remain into adulthood.
Allergy questionnaire helps determine true penicillin allergy in children
Although penicillin allergy is the most commonly reported medication allergy in children, the true incidence of this allergy in children is low with data suggesting that the large numbers of adverse drug reactions reported by parents as signs of an allergic reaction, such as rash or diarrhea associated with antibiotics, may not be consistent with a true allergic reaction.
Guidelines for life after LEAP
As the number of infants and children developing peanut allergy continues to grow, so does the need for pediatricians and other primary care providers to understand current recommendations on how best to prevent this allergy.
Cystic fibrosis guidelines for preschool children
New guidelines have been published that address monitoring cystic fibrosis in children aged between 2 and 5 years and highlight the key issues for pediatricians in caring for young children during this critical stage of development.
Mental health services in primary care
Integrating mental health services within the primary care setting would help to provide continuity of care and benefit a myriad of issues faced by children with mental illness and the pediatricians who care for them.
Strategies to minimize liability risk in pediatric practice
Given the crucial role pediatricians play in the health of children and in the US healthcare system in general, it is vitally important that pediatric practices understand what the actual legal obligations and risks are for providing pediatric services.
How to diagnose neurologic problems in neonates
The presentation described a number of neonatal neurology issues about which pediatricians commonly have questions and described an efficient and evidence-based approach to doing a neonatal neurology exam called the Dubowitz exam.
Counsel parents on environmental health issues
Pediatricians are often asked questions by parents about the effect of environmental exposures on the health of their children. Although some environmental exposures can be detrimental to children’s health, not all are despite the often erroneous claims made by the media.
New recommendations for preventing food allergies
With studies showing that delaying introduction of highly allergenic food making food allergies more likely, new recommendations shed light on when and how to introduce these foods.

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