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2001 Articles

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ACIP updates vaccination guidelines for children adopted from overseas January 2001: Vaccination certificates may not necessarily equate with protection against diphtheria and tetanus.
Clinical presentation of many lesions overlap April 2001: It is important to look for subtle differences in the differential diagnosis.
Committee votes against recommending approval of Infanrix combination vaccine April 2001: Committee members felt there wasn't enough data concerning safety and efficacy of the combination vaccine in U.S. children.
Consider RSV in all patients during the winter months January 2001: Surveillance data from the 1999-2000 season show widespread activity occurred from late October 1999 through late March 2000.
Dexamethasone may pose a risk of intestinal perforation in preemies April 2001: Early postnatal doses of dexamethasone are not indicated to prevent lung disease in extremely low birth weight infants.
Dominican Republic hit by polio outbreak linked to OPV strain January 2001: The Western Hemisphere had been free of wild poliovirus since 1991.
Epidemiologists working toward global elimination of measles February 2001: Three of the six regions of the World Health Organization have announced goals to eliminate measles.
FDA looks favorably upon new version of amoxicillin/clavulanate February 2001: An FDA panel recommended the use of Augmentin ES as empiric therapy in a selected high-risk population.
FDA panel requests more safety data, surveillance for LYMErix March 2001: Advisory committee member says accelerated post-marketing data need to prove there are no new safety concerns regarding the vaccine.
Gleanings from a professional lifetime of cleaning out kids' ear canals February 2001: This is a new column for IDC, which will appear every other month.
High-dose amoxicillin-clavulanate may fill an important niche March 2001: Clinical trial data presented to the FDA show the formulation eradicated 98% of S. pneumoniae, including 93% of PRSP.
How do orally inhaled corticosteroids affect growth velocity? February 2001: Although a number of studies have indicated that steroids can inhibit growth to some extent, it appears that this inhibition does not extend into adulthood.
Implications for fluoroquinolone use in children March 2001: If pediatricians presently choose to prescribe fluoroquinolones, it would be wise to discuss their selected use with the patient or caregivers.
Influenza and its effects on infants and children February 2001: The new antiviral drugs may make it feasible both to offer specific therapy for the treatment of influenza and to decrease the need to use antibacterial drugs.
Influenza vaccinations in children reduce disease spread within family January 2001: Unvaccinated household members of vaccinated children had 42% less febrile respiratory illness.
Is there a connection between MMR vaccination and onset of autism? April 2001: Most experts say no. Some physicians and parents disagree. The IOM, CDC and other agencies are looking for answers.
Knowledge of immunodeficiencies now applicable to other diseases March 2001: Clinical lessons in cell function and antibody response from the watershed of immunology.
Latest figures indicate incidence of Lyme disease may be increasing April 2001: Different scenarios may have contributed to reported cases of the disease.
Many approaches exist to diagnose and to treat respiratory infections January 2001: Putting together the right information from history, exam and the laboratory can help determine the best diagnosis and treatment.
Measles-containing vaccines, IBD and autism April 2001: Vaccines have been suspected of a variety of ill effects for many years, and no doubt there will be additional allegations in the future.
Mother-to-child HIV transmission decreasing in developed countries March 2001: Reducing mother-to-child HIV transmission in less developed parts of the world will require much more than just peripartum treatment.
Nevirapine taken after occupational HIV exposure shown to cause toxicity February 2001: The CDC reported two cases of life-threatening hepatotoxicity and 22 other cases of adverse events in health care workers taking nevirapine after exposure.
New bronchodilator approved for maintenance treatment of asthma March 2001: Formoterol fumarate inhalation powder is not indicated for patients whose asthma can be managed by occasional use of inhaled, short-acting ß2-agonists.
Oseltamivir approved for influenza prophylaxis January 2001: Although oseltamivir shows efficacy in flu prevention, vaccination should remain first-line defense.
Patient observation required for test dosing with penicillin allergy March 2001: After 10 years, study showed 30% of children with a penicillin-allergic reaction still had IgE antibodies.
Patients may be allergic to food additives in medicines, not the drug February 2001: Rather than the drug itself, patients may be allergic to flavorings or colorings.
Pertussis January 2001: Some parents believe it is time to stop immunizing. Their position is understandable and it should not be dismissed without discussion.
Pharmacologic therapy for the prevention and treatment of influenza January 2001: Four antiviral agents are available to prevent and/or treat influenza illness.
Pharmacotherapy of tinea capitis in children April 2001: Because of potential resistance to griseofulvin, newer agents that have been used mostly in adults for other fungal infections are attracting the attention of pediatric clinicians.
Selective immunization with HepA has minimal impact on population January 2001: Half of the reported cases of hepatitis A occur in people with no known risk factors.
Shortage of tetanus, diphtheria toxoid-containing vaccines possible March 2001: Sporadic supply, decreasing market share and the loss of two manufacturers jeopardize vaccine supply.
The maintenance of the office otoscope April 2001: Who is responsible for taking care of this important piece of office equipment?
Urban, minority, low-income children face many barriers to good asthma care February 2001: Parental health beliefs should be considered when treating inner city children with asthma.
What is acute bronchitis? March 2001: Children who are brought in because of cough must be evaluated to determine their management even if we have difficulty assigning a diagnosis.
What's Your Diagnosis? Test your diagnostic acumen with a monthly case study, then with treatment information and discussion to follow.
Whether otitis media will develop depends on many different factors March 2001: Recurrent otitis media has many contributing factors, such as day care attendance and genetics.

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Copyright 2001, SLACK Incorporated. Revised 7 May 2001.