scholarly journals Clinical Guideline Highlights for the Hospitalist: Evaluation and Management of Well-Appearing Febrile Infants 8 to 60 Days Old

2021 ◽  
Author(s):  
Erin E Shaughnessy ◽  
Samir S Shah

GUIDELINE TITLE: Evaluation and Management of Well-Appearing Febrile Infants 8 to 60 Days Old RELEASE DATE: August 1, 2021 PRIOR VERSION(S): n/a DEVELOPER: American Academy of Pediatrics FUNDING SOURCE: American Academy of Pediatrics TARGET POPULATION: Well-appearing, otherwise healthy infants with fever, ages 8 to 60 days, excluding those with prematurity (<37 wk gestation), focal bacterial infections except acute otitis media, high suspicion for herpes simplex virus (vesicles), clinical bronchiolitis

2021 ◽  
Vol 16 (2) ◽  
pp. 98-99
Author(s):  
Desirée C Burroughs-Ray ◽  
Daniel R Wells ◽  
Mallie M Dennis ◽  
Christopher D Jackson

GUIDELINE TITLE: Anaphylaxis—A 2020 practice parameter update, systematic review, and Grading of Recommendations, Assessment, Development and Evaluation (GRADE) analysis RELEASE DATE: April 2020 PRIOR VERSION: Anaphylaxis – a 2019 practice parameter and GRADE analysis DEVELOPER: American Academy of Allergy, Asthma & Immunology (AAAAI) and the American College of Allergy, Asthma, and Immunology (ACAAI) FUNDING SOURCE: None TARGET POPULATION: Adult and pediatric patients with anaphylaxis


2020 ◽  
Vol 15 (12) ◽  
pp. 743-745
Author(s):  
Christopher D Jackson ◽  
Desiree C Burroughs-Ray ◽  
Nathan A Summers

GUIDELINE TITLE: Diagnosis and Treatment of Adults with Community Acquired Pneumonia: An Official Clinical Practice Guideline of the American Thoracic Society and Infectious Diseases Society of America RELEASE DATE: October 2019 PRIOR VERSION: 2007 Infectious Diseases Society of America/American Thoracic Society Consensus Guidelines on the Management of Community-Acquired Pneumonia in Adults DEVELOPER: American Thoracic Society and Infectious Diseases Society of America FUNDING SOURCE: American Thoracic Society and Infectious Diseases Society of America TARGET POPULATION: Immunocompetent adult patients with community-acquired pneumonia


2019 ◽  
Vol 14 (12) ◽  
pp. 764-765
Author(s):  
Ashley Jenkins ◽  
Jordan Shapiro

GUIDELINE TITLE: 2018 American Gastroenterological Association (AGA) Institute Guideline on Initial Management of Acute Pancreatitis RELEASE DATE: March 2018 PRIOR VERSION: Not applicable DEVELOPER: AGA Clinical Practice Guideline Committee FUNDING SOURCE: AGA Institute TARGET POPULATION: Patients within first 48-72 hours of admission with acute pancreatitis (AP)


Author(s):  
Duong T Hua ◽  
Charles D Pham

GUIDELINE TITLE: American College of Gastroenterology: Upper Gastrointestinal and Ulcer Bleeding RELEASE DATE: May 1, 2021 PRIOR VERSION(S): March 1, 2012 DEVELOPER: American College of Gastroenterology Practice Parameters Committee FUNDING SOURCE: American College of Gastroenterology TARGET POPULATION: Adult patients with overt upper gastrointestinal bleeding


2019 ◽  
Vol 15 (01) ◽  
pp. 47-48
Author(s):  
Marie E Wang ◽  
Adam J Ratner

GUIDELINE TITLE: (1) Measles (Rubeola): For Healthcare Professionals and (2) Interim Infection Prevention and Control Recommendations for Measles in Healthcare Settings. RELEASE DATE: (1) February 5, 2018, and (2) July 2019 PRIOR VERSION(s): n/a DEVELOPER: Centers for Disease Control and Prevention (CDC) FUNDING SOURCE: CDC TARGET POPULATION: Children and adults with suspected or confirmed measles


2003 ◽  
Vol 22 (4) ◽  
pp. 49-53 ◽  
Author(s):  
Martha Wilson Jones

IN 1992 , THE AMERICAN Academy of Pediatrics (AAP) published the recommendation that “healthy infants, when being put down for sleep, be positioned on their side or back (p.1120),” with the goal of reducing sudden infant death syndrome (SIDS).1 This guideline was later amended to recommend only the “back-to-sleep” position, although side positioning is still considered safer than prone.2 Prior to this recommendation, the preferred position for sleeping infants in the U.S. was prone.


2018 ◽  
Vol 56 (10) ◽  
Author(s):  
Samuel R. Dominguez ◽  
Kristin Pretty ◽  
Randy Hengartner ◽  
Christine C. Robinson

ABSTRACTThe American Academy of Pediatrics currently recommends herpes simplex virus (HSV) culture or PCR for testing of swabs of the conjunctivae, mouth, nasopharynx, and rectum (surface swabs) from neonates. The objectives of this study were to compare the performance and time to results of HSV PCR with those of HSV culture with surface swabs from neonates. Banked multisource surface swab samples that were collected from infants less than or equal to 30 days old from January 2017 to December 2017 and that had previously been cultured for HSV were identified and tested retrospectively by HSV PCR. Surface swab samples from 97 patients were included in the study. Of these 97 patients, 7 (7%) had clinical HSV disease. Of the 7 neonates with HSV disease, 3 (42.9%) had surface swabs positive by culture and 6 (85.7%) had swabs positive by PCR. Limiting the analysis to specimens that were positive only by culture or only by PCR, the specificity for both methods was 100%, but the sensitivity of PCR was 100%, whereas it was 50% for culture. During the study period, 341 HSV cultures and 426 HSV PCRs were performed. The median time from swab collection to reporting of results was 7.6 days (interquartile range [IQR], 7.1 to 7.9 days) for culture and 0.8 days (IQR, 0.6 to 1.0 days) for PCR. HSV PCR of surface swabs from neonates was considerably more rapid and sensitive than HSV culture without yielding false-positive results. Although larger studies are needed to support our findings, strong consideration should be given to utilize PCR instead of culture for the detection of HSV in surface swabs from neonates.


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