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Choosing Wisely – Viral Respiratory Panels in children with respiratory symptoms

Don't Forget the Bubbles

Effect of point-of-care testing for respiratory pathogens on antibiotic use in children. Reducing Unnecessary Respiratory Viral Testing to Promote High-Value Care. Establishing benchmarks for the hospitalized care of children with asthma, bronchiolitis, and pneumonia. 2014 Sep;134(3):555-62.

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Diagnostics: Inflammatory Markers

Taming the SRU

According to a 2014 review in the Journal of Rheumatology, PCT may be useful to determine the presence of bacterial infection in patients with rheumatologic disease because it is highly specific for bacterial inflammation, although it lacks sensitivity and should not be used to rule-out bacterial infection. Epub 2014 Dec 3.

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Antibiotics in the paediatric emergency department

Don't Forget the Bubbles

However, results may take some time and, as such, rapid point-of-care tests are increasingly used. 2014 May;133(5):e1121-1127. A throat culture is the gold standard for confirming a bacterial infection. Beware of false positives from colonisation of the throat with streptococcus. Pediatrics. 2010 Aug 1;126(2):196–203.