Melanie C Marsh, Guillermo Yepes Junquera, Emily Stonebrook, John David Spencer, Joshua R Watson
{"title":"Urinary Tract Infections in Children.","authors":"Melanie C Marsh, Guillermo Yepes Junquera, Emily Stonebrook, John David Spencer, Joshua R Watson","doi":"10.1542/pir.2023-006017","DOIUrl":"10.1542/pir.2023-006017","url":null,"abstract":"<p><p>Despite the American Academy of Pediatrics guidelines for the evaluation, treatment, and management of urinary tract infections (UTIs), UTI diagnosis and management remains challenging for clinicians. Challenges with acute UTI management stem from vague presenting signs and symptoms, diagnostic uncertainty, limitations in laboratory testing, and selecting appropriate antibiotic therapy in an era with increasing rates of antibiotic-resistant uropathogens. Recurrent UTI management remains difficult due to an incomplete understanding of the factors contributing to UTI, when to assess a child with repeated infections for kidney and urinary tract anomalies, and limited prevention strategies. To help reduce these uncertainties, this review provides a comprehensive overview of UTI epidemiology, risk factors, diagnosis, treatment, and prevention strategies that may help pediatricians overcome the challenges associated with acute and recurrent UTI management.</p>","PeriodicalId":20007,"journal":{"name":"Pediatrics in review","volume":"45 5","pages":"260-270"},"PeriodicalIF":1.3,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140865586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Andrew Shieh, Taylor R Schoenheit, Shane T Mallon, Emily J Mathias
{"title":"Acute Weakness in a Toddler with Sickle Cell Disease.","authors":"Andrew Shieh, Taylor R Schoenheit, Shane T Mallon, Emily J Mathias","doi":"10.1542/pir.2022-005746","DOIUrl":"10.1542/pir.2022-005746","url":null,"abstract":"","PeriodicalId":20007,"journal":{"name":"Pediatrics in review","volume":"45 5","pages":"296-300"},"PeriodicalIF":1.2,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140868610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kristen Kyler, M Olivia Titus, Morgan Sims, Carrie Busch
{"title":"Acute Unilateral Lower Extremity Weakness in a 7-year-old Girl.","authors":"Kristen Kyler, M Olivia Titus, Morgan Sims, Carrie Busch","doi":"10.1542/pir.2021-005386","DOIUrl":"10.1542/pir.2021-005386","url":null,"abstract":"","PeriodicalId":20007,"journal":{"name":"Pediatrics in review","volume":"45 5","pages":"288-291"},"PeriodicalIF":1.2,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140855542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Gastrostomy Tubes: Indications, Types, and Care.","authors":"Inna Novak, Nerissa K Velazco","doi":"10.1542/pir.2022-005647","DOIUrl":"10.1542/pir.2022-005647","url":null,"abstract":"<p><p>Gastrostomy tube insertion has become a more common practice in pediatric patients. An increasing number of children both in health-care facilities and at home are relying on temporary or long-term enteral feeding. Gastrostomy tube placement can be accomplished by various methods and by a variety of specialists. Despite the overall safety of these procedures, both early and late complications can occur. It is important for pediatricians and pediatric subspecialists to be familiar with and aware of the indications, safety, and management of gastrostomies. This paper provides a comprehensive overview of the topic.</p>","PeriodicalId":20007,"journal":{"name":"Pediatrics in review","volume":"45 4","pages":"175-187"},"PeriodicalIF":1.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140331967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Type 1 Diabetes Management in the Hospital Setting.","authors":"Andrea Granados, Adriana Carrillo Iregui","doi":"10.1542/pir.2022-005645","DOIUrl":"10.1542/pir.2022-005645","url":null,"abstract":"<p><p>The incidence of diabetes in children and adolescents has increased during the past decades, with a 1.9% increase per year in type 1 diabetes mellitus (T1DM). Patients with diabetes have a greater risk of hospitalizations compared with those without diabetes. Clear evidence has emerged in the past decade that supports appropriate glycemic control in the hospital setting to improve clinical outcomes and reduce the risk of hospital complications and mortality. Determining the appropriate insulin regimen in patients with T1DM in the hospital depends on the clinical status, type of outpatient insulin regimen (multiple daily injections versus pump therapy), glycemic control before admission, nutritional status, procedures, and enteral versus parenteral nutrition. Due to the complexity of the inpatient management of diabetes, institutions should have an inpatient diabetes management team that includes dietitians, diabetes educators, nurses, pharmacists, social workers, and endocrinologists. The use of inpatient diabetes teams has been demonstrated to be beneficial in the management of patients with T1DM.</p>","PeriodicalId":20007,"journal":{"name":"Pediatrics in review","volume":"45 4","pages":"201-209"},"PeriodicalIF":1.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140331972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Adolescent Alcohol Use and Alcohol Use Disorders.","authors":"Rachel H Alinsky, Jennifer Hipp","doi":"10.1542/pir.2022-005896","DOIUrl":"10.1542/pir.2022-005896","url":null,"abstract":"","PeriodicalId":20007,"journal":{"name":"Pediatrics in review","volume":"45 4","pages":"244-246"},"PeriodicalIF":1.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140331964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kaitlyn Mullin, Rebecca M Rentea, Meagan Appleby, Patrick T Reeves
{"title":"Gastrointestinal Ostomies in Children: A Primer for the Pediatrician.","authors":"Kaitlyn Mullin, Rebecca M Rentea, Meagan Appleby, Patrick T Reeves","doi":"10.1542/pir.2023-006195","DOIUrl":"10.1542/pir.2023-006195","url":null,"abstract":"<p><p>Despite the advancement of medical therapies in the care of the preterm neonate, in the management of short bowel syndrome and the control of pediatric inflammatory bowel disease, the need to create fecal ostomies remains a common, advantageous treatment option for many medically complex children.</p>","PeriodicalId":20007,"journal":{"name":"Pediatrics in review","volume":"45 4","pages":"210-224"},"PeriodicalIF":1.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140331966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Vulvar Ulcers in a Non-Sexually Active Adolescent.","authors":"Alisa Corrado, Savannah Cheo, Rose Walczak","doi":"10.1542/pir.2022-005917","DOIUrl":"10.1542/pir.2022-005917","url":null,"abstract":"","PeriodicalId":20007,"journal":{"name":"Pediatrics in review","volume":"45 4","pages":"e11-e13"},"PeriodicalIF":1.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140331973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lea R Goren, Alice C Lehman, Mark Luquette, Cynthia Howard, Beth K Thielen
{"title":"A Lytic Bone Lesion in a 23-month-old Boy from Kenya.","authors":"Lea R Goren, Alice C Lehman, Mark Luquette, Cynthia Howard, Beth K Thielen","doi":"10.1542/pir.2021-005473","DOIUrl":"10.1542/pir.2021-005473","url":null,"abstract":"","PeriodicalId":20007,"journal":{"name":"Pediatrics in review","volume":"45 4","pages":"225-229"},"PeriodicalIF":1.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140331963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hannah L Hanania, Christina R Hopkins, Tiffany J Herd
{"title":"Skin Hardening and Eczema in a 9-month-old Girl.","authors":"Hannah L Hanania, Christina R Hopkins, Tiffany J Herd","doi":"10.1542/pir.2022-005701","DOIUrl":"10.1542/pir.2022-005701","url":null,"abstract":"","PeriodicalId":20007,"journal":{"name":"Pediatrics in review","volume":"45 4","pages":"239-243"},"PeriodicalIF":1.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140331971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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