Contemporary Pediatrics Journal Club

Pediatricians could be overprescribing combination antifungal/corticosteroidsA review of a large claims-based database suggests that they are. Investigators identified almost 10,000 children aged up to 14 years who were prescribed either Lotrisone or Mycolog-II creams (antifungal and corticosteroid combination products) by pediatricians and other specialists from 2007 through 2014.
Novel approach to neonatal abstinence syndrome shortens hospital stayInfants with neonatal abstinence syndrome (NAS) treated with supportive nonpharmacologic interventions have a substantially shorter hospital stay and are less likely to be treated with morphine, a new study shows.
Q-tips are still causing pediatric ear injuriesBetween 1990 and 2010, more than 260,000 children were treated in emergency departments (EDs) for ear injuries related to use of cotton-tip applicators (CTAs), according to data from the National Electronic Injury Surveillance System.
Are children with asthma prescribed too many OCSs?An analysis of 2015 claims data for about 69,000 children with an asthma diagnosis suggests that the answer to this question is “yes.” Of these children, who were insured through a large Texas health plan for children with Medicaid and CHIP and who ranged in age from 1 to 18 years, 42.1% were given an oral corticosteroid (OCS) 1 or more times during the year; 9.9%, 2 or more times; and 3.3%, 3 or more times.
Mealtime TV use during infancy is likely to persistMore than one-third of families of 184 infants surveyed every 6 months during a 4-year period reported exposing their child to TV during meals.
Adverse childhood experiences are linked to ADHDDiagnosis of attention-deficit/hyperactivity disorder (ADHD) at age 9 years is associated with adverse childhood experiences (ACEs), according to an analysis of data for 1572 children who are part of the Fragile Families and Child Wellbeing Study (FFCWS) birth cohort.
Families detect errors hospital incident reports missRates of medical errors yielded by solicited family reporting were 5 times higher than the rates provided by hospital incident reports and the rates of adverse events (AEs) were 3 times higher, a study in 4 pediatric hospitals found. Most hospitals primarily use incident reports to conduct patient safety surveillance.
Gene variants relate to risk of respiratory infections and AOMCertain polymorphisms in mannose-binding lectin (MBL) and toll-like receptors (TLRs), genes that have a role in the innate immune system, promote susceptibility to or protection against respiratory and rhinovirus infections and acute otitis media (AOM), according to a study in Finnish infants.
Does residential ‘greenspace’ help asthma control?A study in 150 asthmatic children (aged 9 to 17 years) found an interaction between family relationships and residential greenspace, suggesting that children with asthma benefit when they live in high greenspace areas and have positive family relationships.
Consumers buy fewer cigarettes after CVS stops selling themAfter CVS, the large retail pharmacy chain, stopped selling cigarettes in its stores, many consumers who used to buy their smokes at CVS simply bought fewer cigarettes and presumably smoked less.