Contemporary Pediatrics Journal Club

LCPUFAs in pregnancy lower child’s asthma riskWomen in the third trimester of pregnancy who take supplements of n-3 long-chain polyunsaturated fatty acids (LCPUFAs) reduce their children’s risk of persistent wheeze or asthma as well as of lower respiratory tract infections, a study in Denmark demonstrated.
Meningococcal vaccine might raise risk of Bell’s palsyIn a study of almost 48,900 vaccinated individuals, investigators observed a temporal association between development of Bell’s palsy and administration of quadrivalent meningococcal conjugate vaccine (MCV4) that protects against serogroups A,C, Y, and W (MenACWY) when the vaccine was given at the same time as other vaccines.
Two-step egg introduction helps prevent egg allergyStepwise introduction of egg (starting with a low dose, which is then increased), along with aggressive treatment of atopic dermatitis (AD), is a safe and effective way to prevent hen’s egg allergy in high-risk infants, a study in Japan showed.
Hitting kids is linked to aggressive behaviorAn interview-based study conducted in 372 parents visiting pediatric emergency departments with children aged younger than 4 years found that parents who used physical discipline were 2.8 times more likely than parents who did not use this form of discipline to report that their children engage in hitting, kicking, and throwing.
Top 10 studies you may have missed- 2017It’s that time again! Here are Dr Michael Burke’s favorite 10 articles he reviewed in Journal Club for Contemporary Pediatrics during the past 12 months that are most likely to change your practice, improve patient care, or illuminate future trends in pediatrics.
How best to reduce injection pain—lidocaine creamA comparison of 4 levels of pain management of routine vaccine injections found that of the remedies tried, only liposomal lidocaine applied at the injection site provided consistent relief.
Are parents receptive to counseling about firearm safety?Results of a survey of more than 1360 parents conducted in pediatricians’ waiting rooms found that 75% of parents agree that pediatricians should advise about safe storage of firearms; those who disagreed were likely to be firearm owners.
How to evaluate young febrile infantsA large retrospective study of how infants with fever without a cause are evaluated found that physicians are selective in deciding which of these babies will have blood, urine, or cerebral spinal fluid cultures.
Limiting duration of antibiotics in OM limits their effectivenessTreating children with acute otitis media with amoxicillin-clavulanate for 5 days is less effective than following standard 10-day treatment, according to a study in 520 such children who were aged 6 to 23 months.
Concentration matters in newer urinalysis techniquesIn a retrospective study of 27,000 infants aged younger than 3 months evaluated for urinary tract infection (UTI) with paired urinalysis and urine culture, investigators set out to determine the optimal urine white blood cell (WBC) threshold for UTI when using an automated urinalysis system stratified by urine concentration.