Pediatrics - Vaccinations in Special Populations

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MedPulse is a weekly index of key news and features on Medscape's

specialty sites compiled by Medscape's Editors.

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___________________ NEW FEATURE ARTICLES THIS WEEK ____________________

ASK THE EXPERTS - INTRAMUSCULAR VACCINATION IN A HEMOPHILIAC

How does one administer intramuscular vaccinations to a hemophiliac?

Which vaccines should a hemophiliac receive?

http://pediatrics.medscape.com/44776.rhtml?srcmp=ped-110901

ASK THE EXPERTS - VACCINES AND IMMUNOSUPPRESSED PATIENTS

Which vaccines are contraindicated for immunosuppressed patients? Are

there conditions in which those same vaccines would be indicated in an

immunosuppressed patient? Are dosages modified?

http://pediatrics.medscape.com/44800.rhtml?srcmp=ped-110901

ASK THE EXPERTS - TETANUS VACCINE DOSING SCHEDULE FOR AN UNIMMUNIZED 18-MONTH-OLD?

The mother of an 18-month-old toddler refuses all immunizations.

Recently, she requested only the tetanus component of the DTP. What

should be the dosing schedule?

http://pediatrics.medscape.com/44807.rhtml?srcmp=ped-110901

ACADEMY'S POLICY STATEMENT MARKS ITS FIRST ATTEMPT AT EVIDENCE-BASED PRACTICE GUIDELINES FOR ADHD

New treatment guidelines issued by the American Academy of Pediatrics

are intended to assist primary care physicians in managing

attention-deficit/hyperactivity disorder in school-age children.

Brown Univ Child & Adol Behav Ltr 17(11):1, 3-4, 2001

http://pediatrics.medscape.com/44795.rhtml?srcmp=ped-110901

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___________________________________ NEWS ______________________________

TWIN PRETERM DELIVERIES RISE AS STILLBIRTHS DECLINE

Improved medical technology and the use of labor induction and Cesarean

section have led to a decline in the number of twins who die at birth,

but may also be associated with higher rates of preterm delivery.

http://pediatrics.medscape.com/44744.rhtml?srcmp=ped-110901

VITAMIN K SUPPLEMENTATION FOR PREMATURE INFANTS MIGHT NEED TO BE REDUCED

At 2 weeks of age, premature infants have high plasma vitamin K levels

because of supplementations.

http://pediatrics.medscape.com/44725.rhtml?srcmp=ped-110901

ACELLULAR PERTUSSIS VACCINATIONS IN INFANCY PROVIDE PROTECTION UP TO AGE 6

The protection against pertussis afforded by three doses of

diphtheria-tetanus-acellular pertussis vaccine (DTaP) administered at 2,

4 and 6 months of age persists through 6 years of age.

http://pediatrics.medscape.com/44823.rhtml?srcmp=ped-110901

PRE- AND POSTNATAL PCB EXPOSURE TIED TO POOR INFANT COGNITIVE

DEVELOPMENT

Previous reports have indicated that prenatal but not postnatal exposure

to polychlorinated biphenyls (PCBs) has an adverse effect on childhood

cognitive development.

http://pediatrics.medscape.com/44896.rhtml?srcmp=ped-110901

INSULIN LISPRO AN OPTION IN YOUNG CHILDREN WITH TYPE 1 DIABETES

Insulin lispro given before or after meals is well tolerated, safe and

significantly lowers postprandial glucose levels in prepubertal children

with diabetes.

http://pediatrics.medscape.com/44668.rhtml?srcmp=ped-110901

DIVALPROEX SAFE, EFFECTIVE AS MIGRAINE PROPHYLAXIS IN PEDIATRIC PATIENTS

Divalproex appears to be safe and efficacious for migraine prophylaxis

in pediatric patients with migraine alone or with comorbid epilepsy.

http://pediatrics.medscape.com/44609.rhtml?srcmp=ped-110901

ASTHMA STRONGLY LINKED TO TOBACCO EXPOSURE IN INNER-CITY CHILDREN

More than one quarter of inner-city children have asthma, and most

report active or passive tobacco exposure.

http://pediatrics.medscape.com/44676.rhtml?srcmp=ped-110901

TRIAMCINOLONE CUTS AIRWAY INFLAMMATION IN ASTHMATIC CHILDREN

Treatment with inhaled triamcinolone acetonide reduces levels of serum

markers of inflammation and improves lung function in children with

atopic asthma.

http://pediatrics.medscape.com/44817.rhtml?srcmp=ped-110901

MOLD SENSITIVITY ELEVATES ADENOID HYPERTROPHY RISK IN CHILDREN WITH

ALLERGIC RHINITIS

Sensitivity to mold allergens increases the risk of adenoid hypertrophy

in children with allergic rhinitis

http://pediatrics.medscape.com/44739.rhtml?srcmp=ped-110901

IMMUNE RECONSTITUTION SEEN IN HAART-TREATED CHILDREN WITH ADVANCED HIV DISEASE

HIV-1-infected children with moderately to severely advanced disease who

receive highly active antiretroviral therapy are able to reconstitute

their immune system to the level seen in children with stable HIV-1

infection.

http://pediatrics.medscape.com/44826.rhtml?srcmp=ped-110901

<a href="http://pediatrics.medscape.com/44826.rhtml?srcmp=ped-110901">

Read it Here</a>

FATTY INFILTRATION OF LIVER COMMON IN FATAL PEDIATRIC BURNS

The development of fatty liver is common in severely burned pediatric

patients and also appears to be associated with increased incidence of

sepsis.

http://pediatrics.medscape.com/44831.rhtml?srcmp=ped-110901

S. PYOGENES A FREQUENT CAUSE OF COMPLICATIONS IN CHILDREN WITH VARICELLA

Although infectious complications represent about a third of severe

complications experienced by previously healthy children with varicella,

Streptococcus pyogenes involvement represents approximately half of

cases with chronic sequelae.

http://pediatrics.medscape.com/44899.rhtml?srcmp=ped-110901

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BIOTERRORISM RESOURCE CENTER: ARE WE PREPARED FOR A BIO-TERRORIST

ATTACK?

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 ANTHRAX: WHAT EVERY CLINICIAN SHOULD KNOW

This recording of the live webcast from the CDC presents clinical

guidelines and procedures for the early recognition, diagnosis,

treatment, and reporting of anthrax exposure. A panel of experts from

the CDC provide an overview of clinical, laboratory and public health

preparedness for potential Bacillus anthracis incidence. Sponsored by

the American Hospital Assn., American Medical Assn., Public Health

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ALL INFORMATION, DATA, AND MATERIAL CONTAINED, PRESENTED, OR PROVIDED HERE IS FOR GENERAL INFORMATION PURPOSES ONLY AND IS NOT TO BE CONSTRUED AS REFLECTING THE KNOWLEDGE OR OPINIONS OF THE PUBLISHER, AND IS NOT TO BE CONSTRUED OR INTENDED AS PROVIDING MEDICAL OR LEGAL ADVICE.  THE DECISION WHETHER OR NOT TO VACCINATE IS AN IMPORTANT AND COMPLEX ISSUE AND SHOULD BE MADE BY YOU, AND YOU ALONE, IN CONSULTATION WITH YOUR HEALTH CARE PROVIDER.