| Child abuse, sudden infant death syndrome, infectious disease, and vaccinations. | |
| | |
MedLine Citation:
|
PMID: 8032405 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Clinicians all too often face the difficult dilemma of deciding whether a bone fracture in a young child was intentional. A structured expert consensus process suggests that all rib fractures; midshaft or metaphyseal fractures of the humerus; and fractures of the radius, ulna, tibia, or fibula in children younger than 1 year of age are highly likely to have been caused by abuse. Abused children are more likely to have negative social relationships with other children than their school-aged peers. Research on the causes of sudden infant death syndrome is still confounded by the likelihood that some deaths for which the label was misapplied are included in many studies; however, the presence of smokers in the household in the postnatal period appears to be yet another factor associated with increased risk. Congenital syphilis is on the rise. Detection of infants who have been infected is incomplete. Lack of prenatal care is strongly associated with infection. Cord serology is not sensitive enough to detect all possible cases. Testing of both maternal and neonatal sera results in detection of more infants at risk. Current tests still result in the treatment of some infants who are not themselves infected. Amoxicillin clavulante given twice daily rather then thrice, cefixime given once a day, and a single intramuscular dose of ceftriaxone have all shown acceptable--though not exceptional--cure rates for otitis media. Price is a consideration. Fewer courses of antibiotics would be necessary if more infants were breastfed. Exclusively breastfeeding to at least 4 months cuts the number of bouts of otitis media almost in half.(ABSTRACT TRUNCATED AT 250 WORDS) |
| | |
Authors:
|
A Walker; R Chernoff; A Joffe; M E Wilson |
Related Documents
:
|
8476485 - Survival in an infant with a prenatally diagnosed meckel syndrome variant. 14599075 - Neonatal hypotonia: don't forget the prader-willi syndrome. 18690165 - Tumor necrosis factor receptor-associated periodic syndrome (traps) or familial hiberni... 18474065 - Neonatal outcome of 58 infants exposed to maternal buprenorphine in utero. 9345615 - Testing for interaction between maternal smoking and tgfa genotype among oral cleft cas... 2750825 - Neonatal mortality in normal birth weight babies: does the level of hospital care make ... |
Publication Detail:
|
Type: Journal Article; Review |
Journal Detail:
|
Title: Current opinion in pediatrics Volume: 6 ISSN: 1040-8703 ISO Abbreviation: Curr. Opin. Pediatr. Publication Date: 1994 Apr |
Date Detail:
|
Created Date: 1994-08-16 Completed Date: 1994-08-16 Revised Date: 2008-11-21 |
Medline Journal Info:
|
Nlm Unique ID: 9000850 Medline TA: Curr Opin Pediatr Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 225-31 Citation Subset: IM |
Affiliation:
|
Johns Hopkins University, School of Medicine, Division of General Pediatrics, Baltimore, MD 21205. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Bacterial Capsules Breast Feeding Child Child Abuse* / diagnosis, prevention & control, statistics & numerical data Child, Preschool Haemophilus Infections / epidemiology, prevention & control* Haemophilus Vaccines* Haemophilus influenzae* Humans Infant Infant, Newborn Office Visits* Otitis Media* / diagnosis, epidemiology, prevention & control, therapy Polysaccharides, Bacterial* Risk Factors Sudden Infant Death* / diagnosis, etiology, prevention & control Syphilis, Congenital* / diagnosis, epidemiology, therapy United States / epidemiology |
| Chemical | |
Reg. No./Substance:
|
0/Bacterial Capsules; 0/Haemophilus Vaccines; 0/Haemophilus influenzae type b polysaccharide vaccine; 0/Polysaccharides, Bacterial |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: "Above all do no harm:" horizons in pediatric oncology.
Next Document: Achieving sustained quantifiable results in an interdepartmental quality improvement project.