Frequency of tuberculin testing

PEDIATRICS ◽  
1975 ◽  
Vol 56 (2) ◽  
pp. 160-161
Author(s):  
Alex J. Steigman ◽  
Edwin L. Kendig

In a statement from the Section on Diseases of the Chest of the American Academy of Pediatrics entitled "The Tuberculin Test,"1 the second paragraph of a comprehensive article begins as follows: "A routine tuberculin test should be performed sometime during the first year of life and annually or biennially thereafter." This recommendation for the frequency of routine tuberculin testing differs from that currently proposed by others. The same issue of Pediatrics contains an article by Dr. Phyllis Q. Edwards entitled "Tuberculin Testing of Children."2 The Summary of the article states "The pediatrician should review and analyze tuberculin test results based on his personal experience.

PEDIATRICS ◽  
1979 ◽  
Vol 64 (6) ◽  
pp. 965-966
Author(s):  
Edwin L. Kendig

Another article in this issue of Pediatrics, "Assessment of Tuberculin Screening in an Urban Pediatric Clinic," (p 856) again focuses attention on a weighty question: Is routine use of the tuberculin test important? The authors have pointed out the difference in philosophy of the Center for Disease Control, and the American Academy of Pediatrics. The Center for Disease Control recommends that routine tuberculin testing for school children and other similar programs be abandoned if the yield of positive tuberculin reactions is less than 1%1; this recommendation is based on the assumption that discovery of cases at this low rate will not have epidemiologic impact (italics added).


PEDIATRICS ◽  
1974 ◽  
Vol 54 (5) ◽  
pp. 628-630
Author(s):  
Phyllis Q. Edwards

The pediatrician should review and analyze tuberculin test results based on his personal experience. This analysis coupled with knowledge of the tuberculosis situation in the community from which he draws his patients will suggest the degree to which he continues to perform tuberculin tests as a routine procedure. In effect, personal judgment of the pediatrician must determine on an individual basis whether tuberculin testing is necessary.


PEDIATRICS ◽  
1980 ◽  
Vol 66 (1) ◽  
pp. 158-158
Author(s):  
Norman Tinanoff

There is presently some difficulty with fluoride supplementation for a child in the first year of life. The American Academy of Pediatrics regimen for supplemental fluorides produced mild fluorosis in some subjects (Aasenden R, Peebles IC: Arch Oral Biol 19:321-326, 1974), and infant formulas may presently have variable amounts of fluorides. See Table in the PDF File This regimen is needed only in areas that do not have optimally fluoridated water, and when infants are ingesting commercial infant formula, no supplementation may be necessary.


PEDIATRICS ◽  
1963 ◽  
Vol 32 (2) ◽  
pp. 308-308
Author(s):  
HARRY BAKWIN

In the report of the Nutrition Committee, American Academy of Pediatrics on the "Prophylactic Requirement and the Toxicity of Vitamin D" (Pediatrics, 31:512) the same prophylactic dose of vitamin D is recommended for children and adolescents as for infants. This seems to me unrealistic. Before the introduction of widespread vitamin D prophylaxis, all the babies over 3 or 4 months on the infant's ward at Bellevue Hospital had rickets during the late winter and spring. The only variation was in degree. Rickets was never seen after the first year or two except for an occasional case of "renal rickets" and "coeliac rickets."


1987 ◽  
Vol 99 (1) ◽  
pp. 173-178 ◽  
Author(s):  
J. W. Wilesmith ◽  
D. R. Williams

SUMMARYThe herd incidence of confirmed Mycobacterium bovis infection in cattle in the south-west of England has been approximately ten times that of the remainder of England and Wales; this greater incidence has been attributed to infection from badgers. The incidence of herds with only non-visible lesioned tuberculin test reactors, from which M. bovis was not isolated, has also remained higherin the south-west region.The incidences of these latter unconfirmed incidents were compared in parishes in the south-west region in which M. bovis in cattle had been confirmed, and those where M. bovis had not been confirmed, for the period 1979–83. This analysis was carried out both for those parishes in which herds had been subjected to annual tuberculin testing and for those subjected to biennial tuberculin testing. The incidence of unconfirmed incidents was significantly higher in parishes in which confirmedincidents had occurred, and this difference was found in both the annual and biennially tested parishes. The relative risks for the incidence of unconfirmed incidents in annually and biennially tested parishes were 1*89 and 2–56, respectively. The incidence of unconfirmed incidents in biennially tested parishes was lower than in annually tested parishes.The incidence of non-specific tuberculin test reactor herds was estimated from tuberculin test results in the eastern region of England during a period when tuberculosis was not confirmed in cattle. A comparison of this incidence and that of unconfirmed incidents in the south-west region suggests that approximately 70% of the unconfirmed incidents in the south-west were related to exposure to M. bovis.The results of the analyses indicate that unconfirmed incidents cannot be completely ignored in epidemiological analyses and studies of bovine tuberculosis in the problem areas of the south-west region of England.


PEDIATRICS ◽  
1974 ◽  
Vol 54 (4) ◽  
pp. 527-532

AMERICAN ACADEMY OF PEDIATRICS RESIDENCY FELLOWSHIPS STIPULATIONS: To enable young physicians to complete their pediatric training, the American Academy of Pediatrics will grant fellowships of $500 to $1,500 each to pediatric interns and residents for the year beginning July 1. Candidates must meet the following requirements: 1. Legal residents of the United States or Canada; 2. Have completed, or will have completed by July 1, a qualifying approved internship (P1-0) or have completed a P1-1 program, and have made a definite commitment for a first year pediatric residency (P1-1 or P1-2) acceptable to the American Board of Pediatrics;


PEDIATRICS ◽  
1972 ◽  
Vol 50 (6) ◽  
pp. 968-968

To enable young physicians to complete their pediatric training, the American Academy of Pediatrics will grant fellowships of $500 to $1,000 each to pediatric interns and residents for the year beginning July 1, 1973. Candidates must meet the following requirements: (1) legal resident of the United States or Canada; (2) have completed, or will have cornpleted by July 1, one year of straight pediatric internship, or one year of mixed internship, providing more than 50% of this time is spent in pediatric training, and have made a definite commitment for a first year pediatric residency acceptable to the American Board of Pediatrics; (3) first year residents in a training program who have a definite commitment for a second year, both programs acceptable to the American Board of Pediatrics; (4) have real need of financial assistance; and (5) support their applications with a letter from the Chief of Service substantiating the requirements mentioned above. The fellowships have been provided through grants to the Academy by Mead Johnson Laboratories, Gerber Products Company, and Fellows of the American Academy of Pediatrics. Although the fellowship awards are primarily intended for the support of first and second year pediatric residents, it is also recognized that some may desire a third or fourth year of residency. Up to 25% of the fellowships may be awarded to persons in this category. Consideration will be given to geographic spread of appointments so that all sections of the country will be represented, and preference will be exhibited for well qualified but smaller training centers which perhaps have fewer resources for residents in training than do some of the larger centers.


PEDIATRICS ◽  
1993 ◽  
Vol 91 (2) ◽  
pp. 515-515
Author(s):  
WM. LANE M. ROBSON ◽  
ALEXANDER K. C. LEUNG

To the Editor.— In June 1992, the Committee on Nutrition of the American Academy of Pediatrics recommended that if breast-feeding is not possible then an infant formula is the appropriate alternative, and that cow's milk is not suitable as an alternative to breast milk for the first year of life.1 We agree with this recommendation and with the rationale included in the June 1992 statement. In lieu of the recent evidence that cow's milk protein may be implicated in the pathogenesis of diabetes mellitus,2 we believe that the Committee on Nutrition should clarify whether cow's milk is ever appropriate for children and whether or not infant formulas that are based on cow's milk protein are appropriate alternatives to breast milk.


2017 ◽  
Vol 33 (4) ◽  
pp. 748-756 ◽  
Author(s):  
Jennifer B. Albert ◽  
Jody Heinrichs-Breen ◽  
Frank W. Belmonte

Background: The American Academy of Pediatrics recommends that pediatricians promote and help manage breastfeeding. However, research has shown that they are not adequately prepared. To address this gap, a 2-week mandatory lactation rotation program was developed for first-year pediatric residents. Research aim: The aim of the study was to provide a lactation education program and to measure the residents’ knowledge and perceived confidence regarding breastfeeding. Methods: This longitudinal self-report pretest/posttest study was conducted with a convenience sample of 45 first-year pediatric residents. Each resident spent a minimum of 50 hours with an International Board Certified Lactation Consultant. To measure breastfeeding knowledge and clinical confidence, the American Academy of Pediatrics’ Breastfeeding Residency Curriculum pretest was used 4 times: first and last day of the rotation and at 6 and 12 months postrotation. Results: Test and confidence scores were evaluated. Statistically significant differences in knowledge were found between test 1 when compared with tests 2, 3, and 4 ( p < .001). No significant differences were found between tests 2, 3, and 4 ( p > .05). The abilities to “adequately address parents’ questions” and to “completely manage common problems” were significant, with confidence increasing in tests 2, 3, and 4 ( p < .001). Conclusion: As a result of an innovative, comprehensive educational lactation program, the pediatric residents’ knowledge and perceived confidence related to breastfeeding significantly increased.


PEDIATRICS ◽  
1973 ◽  
Vol 52 (4) ◽  
pp. 627-629

AMERICAN ACADEMY OF PEDIATRICS RESIDENCY FELLOWSHIPS STIPULATIONS: To enable young physicians to complete their pediatric training, the American Academy of Pediatrics will grant fellowships of $500 to $1,500 each to pediatric interns and residents for the year beginning July 1. Candidates must meet the following requirements: 1. Legal residents of the United States or Canada; 2. Have completed, or will have completed by July 1, a qualifying approved intership (P1-0) or have completed a P1-1 program, and have made a definite commitment for a first-year pediatric residency (P1-1 or P1-2) acceptable to the American Board of Pediatrics;


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