Antibiotics overprescribed in children with ear, throat infections | Parental immunization protects infants from whooping cough | Nasal live-attenuated flu shot appears safe in young CF patients
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September 16, 2014
AAP SmartBrief
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Antibiotics overprescribed in children with ear, throat infections
An estimated 27% of youths with ear, sinus, throat or upper respiratory tract infections had bacterial diseases, but antibiotics were prescribed in almost 57% of doctors' visits for these infections, according to a study in the journal Pediatrics. Researchers said that more than 11 million antibiotic prescriptions annually for people aged 18 and younger may be unnecessary. HealthDay News (9/15)
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Parental immunization protects infants from whooping cough
When both parents received the tetanus, diphtheria and acellular pertussis vaccine, their babies were 51% less likely to get whooping cough than children of parents who were not immunized, Australian researchers wrote in the journal Pediatrics. Maternal immunization alone was associated with a 42% reduced risk of whooping cough. Reuters (9/15)
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Changing the way families conquer head lice, Licefreee Spray!®, is an easy-to-use, non-toxic head lice treatment that starts killing lice and nits on contact. A recently published preliminary study suggests that Licefreee Spray!® is an effective alternative to traditional OTC permethrin treatments. Request a sample and the study at
Pediatric Health Care
Nasal live-attenuated flu shot appears safe in young CF patients
A Canadian study involving 168 2- to 18-year-olds with cystic fibrosis found that administration of the nasal live-attenuated influenza virus vaccine was not associated with increased incidence of respiratory problems or all-cause hospitalizations. The findings appear in the journal Pediatrics. (9/15)
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Respiratory virus strain spreads to Northeast
The respiratory virus that sickened hundreds of children across the South and Midwest appears to have spread to the Northeast, health officials said. More than 12 children in New York tested positive for enterovirus D68, while two hospitals in Connecticut reported suspected cases of the viral infection. The Washington Post (tiered subscription model)/Morning Mix blog (9/15)
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Socioeconomic factors may affect outcomes in childhood asthma
All children with asthma were prone to behavioral problems, such as poor attention and social skills, but the negative consequences of the condition disappeared in those who were never exposed to poverty and had highly educated parents, a study showed. The findings, based on data from the Early Childhood Longitudinal Study-Birth Cohort, were published in the journal Social Science and Medicine. Science World Report (9/15)
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Focusing on food's visual aspects may curb cravings
A study in Psychological Science says children showed stronger food cravings compared with adolescents and adults, which may be due to a less-developed brain region that governs self-control. However, results showed that participants reduced their food cravings by 16% when they had to imagine the visual aspects of a food rather than its taste. Tech Times (9/15)
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Trends & Technology
HPV knowledge is not indicative of greater vaccination compliance
Parents and teens who knew more about human papillomavirus were no more likely than those with less HPV knowledge to get the vaccine for themselves or their daughters, according to a study in the journal Pediatrics. U.S. researchers surveyed 211 teens and 149 parents and found that slightly fewer than half of them correctly answered the knowledge items, while only about  13% percent of the parents' daughters received an HPV vaccination. News (9/15)
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Study: Multiple births come with more complications, costs
Hospital costs from birth to age 5 were almost $9,000 for twins and $24,411 for higher-order multiples, compared with $2,730 for singletons, according to an Australian report released in the journal JAMA Pediatrics. The odds of still births and infant deaths were higher among multiples, particularly higher-order multiples, than singletons. HealthDay News (9/15)
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Health Policy & Regulations
Obama administration urges active health plan re-enrollment
People who enrolled in a health plan through an Affordable Care Act exchange will be automatically re-enrolled in the same or a similar plan, and insurers are sending their subscribers federally mandated notices of re-enrollment. However, some benchmark plans on which subsidies are based have changed, and some people have had income or other life changes that affect tax credits and cost-sharing subsidies. Consequently, the Obama administration now advises consumers to revisit the online marketplace, update their information and compare available plans. The New York Times (tiered subscription model) (9/15)
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NIMH funds research on services for individuals with autism
The National Institute of Mental Health has awarded $7.9 million in funding to 12 research projects examining services for individuals with autism. Projects will tackle topics such as early identification, transitions, and social- and independent-living skills. Disability Scoop (9/15)
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The Last Word - News from the AAP
Increase adolescent immunization rates
This online course, "Adolescent Immunization Rates: Office Strategies," will help participants identify adolescents in their practices that need immunizations, learn cost-effective ways to bring them to their offices and know how to effectively address family concerns. At just 1 hour, this course is $24 for AAP members, and qualifies for AMA PRA Category 1 Credit(s).
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AAP practice management pearl
Let the AAP help your practice complete and organize the 2011 National Committee for Quality Assurance Standards. The Digital Navigator provides step-by-step guidance through practice transformation into the patient-centered medical home model of care utilizing over 400 forms, templates, sample policies, reports and other resources. Contact to set up a demo of the tool. For more practice-related information, visit the AAP Practice Transformation page.
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I have become my own version of an optimist. If I can't make it through one door, I'll go through another door, or I'll make a door. Something terrific will come no matter how dark the present."
-- Rabindranath Tagore,
Indian writer
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This news roundup is provided as a timely update to AAP members and other health professionals about child health topics in the media. Links to articles are provided for the convenience of pediatricians who may find them of use in discussions with patients or colleagues.
External Resources are not a part of the website. AAP is not responsible for the content of sites that are external to the AAP. Linking to a website does not constitute an endorsement by AAP of the sponsors of the site or the information presented on the site.
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