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Fluoroquinolone Use In Children

Pediatric EM Morsels

Binz 2015) Remember, dogs grow 18 times as fast an infant in the first year of life. Binz 2015) More recent lamb studies have been performed, where the growth more closely approximates a human child. Jackson 2016) A systematic review of safety data for over 16000 pediatric patients did show MAEs were the most frequently reported event.

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Sternal Osteomyelitis

Don't Forget the Bubbles

Primary osteomyelitis of the sternum in the pediatric age group: report of a new case and comprehensive analysis of seventy-four cases. Pediatr Infect Dis J. 2015 Apr;34(4):e92-e101. Arch Argent Pediatr. Pediatric Acute Hematogenous Osteomyelitis. J Pediatr Orthop. 2015 Sep;35(6):634-9. 2022-01449.eng.

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Clinical Conundrums: Should You Give the First Dose of Antibiotics IV Before Discharging Home on Oral Antibiotics?

RebelEM

Additionally, multiple studies demonstrate increased harm with IV antibiotics such as increased rate of diarrhea ( Haran 2014 ), complications from IV placement ( Li 2015 ), and increased length of stay or cost ( Lorgelly 2010 ). Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

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Discitis

Don't Forget the Bubbles

Clinical Infectious Diseases. Pediatric Radiology. PEDIATRICS. Archives of Disease in Childhood. The Journal of Pediatrics. 2015 Oct 12;28. Diskitis in Children. 1993 Jul 1;17(1). du Lac P, Panuel M, Devred P, Bollini G, Padovani J. MRI of disc space infection in infants and children. 1990 Jan;20.

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Diagnostics: Inflammatory Markers

Taming the SRU

A 2015 prospective, cross-sectional study of 78 Thai patients published in the International Journal of Rheumatic Disease demonstrated a sensitivity of 59% and specificity of 84% for PCT with a cut-off of 0.5 2015 Mar;18(3):352-9. They recommended synovial fluid analysis as essential to the diagnosis [30]. Int J Rheum Dis.

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PEM POCUS Series: Soft Tissue Ultrasound

ALiEM

Read this tutorial on the use of point of care ultrasonography (POCUS) for pediatric soft tissue ultrasonography. Take the ALiEMU PEM POCUS: Soft Tissue Quiz Case Goals List the indications of performing a pediatric soft tissue point-of-care ultrasound (POCUS). Pediatric Soft Tissue POCUS Ultrasound Technique Figure 1.

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Haemolytic Uraemic Syndrome

Don't Forget the Bubbles

In France, another large randomised controlled trial of Eculizumab in typical HUS – ECULISHU ( Ecul izumab in S higa-toxin Related Hemolytic and U remic S yndrome Pediatric Patients) – has just finished. Clinical Infectious Diseases [Internet]. Disease severity of Shiga toxin-producingE. 2015 Nov;46(5):586–9.