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News Articles
1990s will be known as the decade of resistance June 1997: Organisms continue to develop resistance to many antimicrobials, and physicians will be key to stopping this trend.
$24 billion set aside to insure poor children November 1997: An estimated 1:7 American children do not have medical insurance.
85 million prescriptions for antibiotics written October 1997: The five most common reasons for the prescriptions were uncomplicated URIs, colds, bronchitis, pharyngitis, sinusitis and otitis media.
ACIP expands VFC coverage for hepatitis B immunization December 1997: Annual estimated public sector vaccine cost could range from $20 million to 50 million.
ACIP revises harmonized immunization schedule for 1998 December 1997: The recommendations for MMR and hepatitis B have been expanded to include catch-up vaccination.
ACIP to include recommendation for use of Comvax in hepatitis B statement April 1997: The ACIP draft document refers specifically to the use of Comvax, but a more general statement can be developed for other combination vaccines.
ACIP updates childhood vaccine recommendations January 1997: New information sheds light on specific vaccines and adverse events.
Adolescent acne treatment varies depending on pathogenesis March 1997
Adolescent health program to require Hep B September 1997: Private practitioners can help increase hepatitis B immunizations among teens.
AIDS epidemic is getting younger June 1997: Current HIV prevention efforts are failing to get the message across to America's Generation X.
Air quality program for schools is an old idea whose time has come September 1997: About 1:5 Americans occupy a school building each day; they are at risk for several infections and chronic conditions.
Antiviral therapy key to improved treatment of chronic viral hepatitis April 1997: Treating chronic viral hepatitis as a long-term disease requires aggressive attempts at early detection.
Be on lookout for aquatic dermatoses May 1997: Aquatic-related infectious dermatoses can be potentially life-threatening to some patients.
Boston Children’s Hospital forced to shut down 16-bed neonatal ICU October 1997: Strain of P. aeruginosa kills four infants in hospital ward; leaves hospital officials guessing.
Cases of dengue fever nearly doubled last year in United States January 1997: U.S. residents returning from travel in the tropics bring the disease home with them. And the mosquito that transmits the disease is finding the U.S. quite hospitable.
CDC establishes guidelines to control staph infection September 1997: In many U.S. hospitals, strains of staphylococci are resistant to all antimicrobials except vancomycin.
CDC reports 30% increase in herpes November 1997: One in five Americans infected; the disease is spreading fastest among teenagers.
Change your thinking to prevent ulcer recurrence April 1997: Ulcer treatment has undergone a fundamental change since Helicobacter pylori was found to be the cause of much peptic ulcer disease.
Children exposed to hepatitis A through government food programs May 1997: Nearly 200 suspected cases occurred among Michigan children participating in school lunch programs; another 9,000 Los Angeles residents also exposed.
Committee recommends remaining components of influenza vaccine April 1997: Ninety-three percent of the influenza isolates for this season have been influenza type A(H3N2).
Conjunctivitis: to treat or not to treat? August 1997: A wide variety of presentations and treatment options are available.
Controlling allergens in the environment effective for controlling allergic disease August 1997: Decreasing exposures to mites and cats are important steps to take to control the indoor environment.
Coping with a new burden: HIV-positive children in the classroom September 1997: Coping with attendance and the disclosure of a child’s health to school officials can be a burden to the family.
Debate continues over whether HIV-positive moms should breast-feed November 1997: Many factors determine what is best for mother and infant in developing countries.
Despite concerns of joint toxicity, quinolones may be safe in children February 1997: Quinolones are not currently indicated for pediatric use because of the possible adverse effects. These effects have occurred in animals, however, not children.
Diagnosis of exclusion needed for evaluating Kawasaki syndrome August 1997: Scarlet fever, Rocky Mountain spotted fever and Epstein-Barr virus are among conditions mistaken for Kawasaki syndrome.
Diarrhea organisms are becoming media stars January 1997: It seems like every time you pick up your newspaper you are reading about another foodborne outbreak.
Don't wait — vaccinate: April 20-26 April 1997: Achieving and sustaining high vaccine coverage rates will require many interventions.
Early intervention is key to suppressing replication of HIV during neonatal period March 1997: Somewhere toward the end of the first week of life may be when intrapartum infected patients become virus positive.
Early on, importance of vaccines was apparent June 1997: Walter A. Orenstein, MD, the head of the National Immunization Program, is taking time to edit a book on vaccines. He took a moment to talk with Infectious Diseases in Children.
Early trial results look promising for CMV vaccine August 1997: CMV can cause severe infections in those with compromised immune systems.
Evaluating blisters and pustules in newborns July 1997: There are three steps: first, think infection, then transient causes and finally, rare causes.
Evaluation is key to treating pneumonias in immunocompromised children February 1997: Pneumonias in immunocompromised children demand immediate evaluation and therapy to reduce the increased risk of respiratory failure.
Evolving concepts in treating urinary tract infections February 1997: The perception of the causes of kidney damage in patients with urinary tract infections continues to evolve and influence treatment.
Exercise-induced asthma entails variety of management techniques August 1997: Salmeterol is an effective, long-acting b-agonist; pre-exercise warm-up may also help.
FDA advisory committee reviews new indication for DTaP-Hib vaccine July 1997: Committee agrees the new combination vaccine is safe and immunogenic for primary immunization series.
FDA approves otitis media detector July 1997: EarCheck Pro uses principles of acoustic reflectometry to detect middle ear fluid, say creators and researchers.
FDA approves topical fluoroquinolone for use in children January 1997: Floxin Otic is approved for use in children with otitis externa and acute otitis media with tympanostomy tubes.
FDA will require warning labels on all unpasteurized juice products October 1997: New control programs feature better labeling as well as consumer education programs about foodborne illnesses that can occur from contaminated juices.
First GAS cluster reported in day care children infected by varicella November 1997: The children were not vaccinated with varicella vaccine; a move to contain the outbreak included vaccination.
GAS infections and varicella have a long-standing relationship August 1997: Increasing reports of group A strep complicating varicella over the last decade.
Georges Peter steps down as editor of the pediatric bible: the Red Book October 1997: Peter joined the American Academy of Pediatrics Committee on Infectious Diseases in 1979.
Go 'under cover' to get to the bottom of painful diaper rash July 1997: The physician must carefully consider the variety of causes of diaper rash before making a diagnosis.
Guidelines for serogroup C meningococcal disease April 1997: 10 steps to follow for management and control of suspected outbreaks.
Gum disease possibly linked to preterm delivery of low birth weight babies January 1997: Because periodontal disease is a silent infection, most people are unaware of the condition.
Have you thought about the weather's effect on your health? February 1997: Changes in climate may mean differences in the rates of allergy, asthma and infectious diseases.
HCV-positive mother infects son during treatment for hemophilia October 1997: Surveys indicate that up to 90% of long-term injecting-drug users test positive for anti-HCV.
Highly contagious strain of TB found in U.S. November 1997: After less than two hours of exposure, some patients had a positive tuberculosis skin test.
HIV counseling and testing should become available for all adolescents April 1997: Services are especially important for high-risk adolescent subgroups including gay, lesbian and bisexual youths.
How to communicate with parents about vaccination for their children June 1997: Pediatricians must learn to explain more effectively the risks and benefits of vaccination.
How to reduce transmission of infectious diseases in a child care center October 1997: You can make a difference by helping parents choose a healthy center.
Ibuprofen may mask onset of NF following varicella November 1997: A study found an association with ibuprofen's use and necrotizing fasciitis, but could not prove causality.
IDSA coalition formed to improve minority education of vaccines November 1997: Immunizations among minority populations are at record levels, but more education is needed, survey says.
IDSA develops treatment options for Lyme disease December 1997: IDSA committee develops practice guidelines for the management and treatment of Lyme disease.
Immunology marks the difference between food allergy and intolerance March 1997: Using distinctly different terms such as food allergy, intolerance and sensitivity interchangeably may lead to the overdiagnosis of food allergy.
Incidence of foodborne illnesses increases with arrival of warm weather May 1997: Be aware of the different illnesses and the treatments for them.
Influenza pandemic planning process needs further work December 1997: With improved surveillance, a three- to six-month "warning period" may occur before the influenza pandemic.
Initial improvements seen after tympanotomy tube insertion August 1997: Children with OME make gains in language and behavior, but no long-term developmental differences from those of healthy control children.
Mandated HIV testing for infants: What is the test really telling us? May 1997: Hospitals in New York have unblinded HIV tests on newborns, but authorities say this is not really providing any useful information.
Many changes in HIV therapy benefit children February 1997: The risk of maternal-infant transmission can be greatly reduced, but implementation may be a problem.
Maternal viral load, CD4 counts are factors in perinatal HIV transmission March 1997: Sullivan and his colleagues came to the conclusion that HIV was being transmitted to infants during two periods — in utero and during intrapartum.
Measles outbreaks still occur among school-age children and travelers May 1997: Outbreaks in schools accounted for 55% of all cases; in four of these outbreaks, children were undervaccinated.
Multidrug-resistant Salmonella emerging in U.S. June 1997: CDC says development of resistance in a strain of Salmonella could have serious public health implications.
Mupirocin helpful in treating impetigo and recurring staphylococcal infections July 1997: Erythromycin-resistant staph rates misleading (in vitro vs. in vivo).
Multiple risk factors affect children with asthma in the inner city May 1997: Environmental risk factors and allergens play key roles for inner-city children with asthma.
Mumps vaccine associated with lowered incidence of a type of heart disease February 1997: Researchers now investigating other vaccines for potential disease-preventing qualities.
Newborn dermatoses are common; most do not require treatment March 1997: Pediatricians must be aware of harmless skin conditions to make a distinction from serious illnesses.
New guidelines recommended for group A streptococcal pharyngitis December 1997: A throat culture should be done to back up a negative rapid test; penicillin is still first-line treatment.
New HIV drug cleared for adults, children May 1997: When used with AZT and 3TC, the protease inhibitor produced a 98% mean reduction in viral load.
New labeling required on drugs used to treat children October 1997: New drug studies would have to include children if the drug represents a therapeutic benefit over existing treatments or if it will be widely used in children.
Number of HIV malignancies in children growing June 1997: Cancer therapy can only be beneficial if the clinical manifestations of HIV can be controlled and disease progression can be avoided.
Observation may be as effective as antibiotic therapy for treating OM February 1997: Researchers recommended withholding antibiotic treatment for four days.
Obstetricians and pediatricians must communicate for optimal patient care March 1997: Important information about the mother, such as syphilis or herpes serologies, that reflect baby's health are not always given to pediatricians.
Offer ZDV to all HIV-infected pregnant women regardless of their CD4 counts February 1997: HIV can be transmitted at any time during a pregnancy; there is no safe maternal CD4 level.
OPV/IPV surveillance shows acceptance of schedule change July 1997: Acceptance of the new recommended schedule varies between the states.
Panel labels pertussis as a 'renewed threat' to children's health June 1997: Parents need to get the message: Vaccines are the best way to protect their children from disease.
Panel reaffirms need for ZDV therapy to reduce perinatal HIV transmission March 1997: Although zidovudine has been shown to reduce perinatal transmission of HIV, a recent study found cancers in the offspring of pregnant mice.
Panel releases new guidelines for diagnosing and treating asthma April 1997: Emphasis placed on patient education, anti-inflammatories and a step-wise approach to medical treatment of those with asthma.
Pediatric asthma more prevalent in urban areas August 1997: Race and socioeconomic factors, family income and place of residence all play key roles in perpetuating the spread of asthma.
Pediatricians continue to face many pressures to prescribe antibiotics September 1997: Antibiotic resistance in the treatment of ear infections in a managed care vs. private care setting.
Perception that pediatric HIV/AIDS is not an American problem is a false one January 1997: Although ZDV can prevent perinatal infection with HIV, physicians should not become complacent. There are still kids with HIV.
President Clinton signs legislation for vaccine tax September 1997: Taxpayer Relief Act of 1997 sets vaccine flat tax
Pseudo-infection outbreaks in Florida and NYC June 1997: Cyclosporiasis and cryptosporidiosis "outbreaks" in two states just false alarms, say health officials.
Rapid strep test may not need culture confirmation June 1997: An office-based, multicenter investigation reveals sensitivity of the OIA test.
Rare flu strain discovered in Chinese youth November 1997: Investigators find no indication that the rare strain, type A (H5N1), has spread.
Recommendations for immunization schedule are constantly changing March 1997: A universal immunization schedule should help end confusion.


Rectal temperature may not be accurate assessment of core body temperature

July 1997: In one study, other methods of recording fever were more accurate than rectal thermometers, the basis of monitoring pediatric fever since the mid-fifties.
Remembering who, what, when, where will help diagnose cat scratch disease August 1997: Most of the 24,000 cases of cat scratch disease occur in children. CSD occurs between July and February depending on the climate.
Researchers look for better ways to assess pediatric lung function July 1997: New non-invasive techniques introduced in tidal breathing and forced flow.
Respiratory and diarrheal illnesses most common in day care setting July 1997: Children in out-of-home child care facilities are three times more likely to develop diarrheal illness than children cared for at home.
Resurgence of b-hemolytic streptococcal pharyngitis: is it becoming a problem? October 1997: Culture the throat and obtain a good specimen before treating infections with antibiotics.
Rise in pediatric asthma linked to range of causes January 1997: Decreased indoor ventilation and broad-spectrum antibiotics may be two factors.
Role reversal: using mosquitoes to fight malaria August 1997: Genetically altered pests could someday be used to transmit a malaria vaccine to their human victims.
Routine skin tests cannot control pediatric TB February 1997: TB skin tests produce too many false-positive results; contact investigations are the key.
Rubber ducky implicated in outbreak of P. aeruginosa in pediatric ward November 1997: These findings demonstrate the potential hazards of water-retaining bath toys in hospital wards treating immunocompromised patients.
Salmonella outbreak following church dinner reported in Maryland December 1997: Outbreak resulted in 746 reported illnesses and one confirmed death.
Seasonal link between viral respiratory infection and allergic airway disease April 1997: School attendance an important factor in hospital admissions for asthma among children.
Secondary infections occur to 'already sick' sinuses January 1997: Sinusitis usually follows a cold or flu-like illness. By that time, the material in the sinus is thick and tenacious.
Senate hears pleas from experts for more vaccine research flexibility September 1997: Government and industry must become partners to continue achieving success with vaccine research and development.
Stinging and biting insects may present a threat to children May 1997: When children invade certain insects' space, they fight back in potentially harmful ways.
Study claims some TB strains that comprise BCG vaccine may have lost their vigor October 1997: The tuberculosis vaccine known as BCG has been given to more people worldwide than any other vaccine, yet its effectiveness remains controversial.
Study suggests epidurals lead to more invasive tests for newborns May 1997: Babies and their mothers who received epidurals during labor have higher temperatures, leading to sepsis testing for infants.
Suspected cases of neonatal herpes require prompt treatment July 1997: Antiviral treatment curtails virus and enhances normalcy at 1 year.
Time needed to determine case of scaling, redness July 1997: Generalized redness and scaling is often nonspecific; primary lesions will offer clues for diagnosis.
Timing of dexamethasone critical in the treatment of meningitis December 1997: To prevent hearing loss, dexamethasone should be given before or with the antibiotic.
Tinea capitis increasing in epidemic proportions among inner-city children February 1997: Steroids should be used cautiously when treating fungal infections.
Toxic fungus suspected in death of three children in Cleveland March 1997: Three infants died and 18 others became ill after breathing toxins from Stachybotrys atra.
Treatment of community-acquired pneumonias must overcome obstacles January 1997: Reconsidered protocols for testing and early intervention may help improve the treatment of community-acquired pneumonias in children.
Unsafe food has officials calling for new methods of processing and storage June 1997: Health officials say food irradiation is one way of ensuring safe meals.
Up-to-date immunizations essential for children traveling abroad December 1997: Children's routine immunizations should be current and special immunizations should be considered.
Vaccination and management are the future of hepatitis prevention and control January 1997: Hepatitis symptoms can be vague and indiscernible, so testing is critical in making an accurate diagnosis.
Vaccination levels for minorities at all-time high November 1997: Disparity in vaccination coverage has more to do with poverty than it does race or ethnicity.
A vaccine against HIV/AIDS could be mixed blessing May 1997: Increased risky sexual behavior could be a negative consequence of a highly efficacious HIV vaccine.
Vaccine cuisine could be the wave of the future January 1997: Future vaccinations against some diseases may be as simple as eating a piece of fruit.

Vaccines for pediatric pneumococcal diseases and RSV are on the way

December 1997: New vaccines to protect infants against serious disease are in various stages of development.
Vancomycin-resistant staph was reported in Michigan and New Jersey October 1997: Last line of antibiotic defense breached by bacterium.
Varicella incidence decreasing in United States July 1997: Cyclic pattern of varicella could be cause of the decline in cases during 1996.
Victims of success, feds face immunization challenge September 1997: Obstacles to vaccine development and delivery must be overcome with the help of the government.

Editorials
Infections in 1997: Good news, bad news December 1997: by Marie Rosenthal
Editor in Chief

Departments
Meetings and courses Listings of seminars and conferences from throughout the U.S. and around the world.


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Copyright 1997, SLACK Incorporated. Revised 14 January 2000.