MCH Updates in Pediatrics Masthead  

        Volume IV
          Issue 17
                                                                         South Florida's  only licensed  free-standing
                                                                           specialty hospital  exclusively for children ...                                                              April 24, 2013 
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FIU Tile Ad April 2013  
Acute necrotising pancreatitis in children

Though acute pancreatitis in children is uncommon it may be associated with significant morbidity and mortality. It is rarely (less than 1% ) complicated by the development of necrosis which is poorly described in the pediatric literature.


A small series of patients (7) over 21 years from Yale new Haven Children hospital outlines the etiology, hospital stay, complications and outcomes.


All patients with ANP present with severe acute abdominal pain and vomiting with a variety of etiological co-morbidities. In general patients present with > 3 times the normal upper limit amylase and lipase activity; low hematocrit, high white blood cell count (mean 23,900/uL); extremely high C-reactive protein (mean 132mg/L) and low serum albumin levels. CT scans show variable degrees of inflammation and necrosis. Blood cultures are negative. Most patients need ICU admission for fluid resuscitation and overall hospital stay ranges from 9-40 days. Complications (respiratory, circulatory, DIC, hyperglycemia, ascites/pleural effusion) are common. In general all survive.


Family dinners & adolescent mental health
A community sample of 20,069 adolescents (aged 11-15 years) participated in a study in which they weekly documented the frequency of family dinners, ease of communication with their parents and five dimensions of mental health (internalizing and externalizing problems, emotional well-being, prosocial behavior and life satisfaction).

Independent of gender and grade level of family affluence, the frequency of family dinners directly enhances adolescent mental health (communicating with one's child is always valuable!).

Journal of Adolescent Health

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Life expectancy of severely brain damaged children


Five year survival data of 42 immobile, chronically ventilated, minimally conscious children (1-21 years of age) in a Pediatric Unit dedicated to their care was examined and a survival profile established.


Independent of the etiology of severe brain damage (hypoxia, brain anomalies, genetic/metabolic disorders, etc), 26.5% of such children die within 2 years, and 52% within 5 years.

Pediatric Neurology  

Video Feature
Pink Eye (Conjunctivitis) | ASKIMOTV
Pink Eye (Conjunctivitis) | ASKIMOTV
via YouTube

Topical moxifloxacin (Vigamox/Moxeza-"Mox") vs. polymxyin B-trimethoprim (Polytrim-"Poly") for acute conjunctivitis


Conjunctivitis is one of the most common non traumatic eye complaints that children present to an Emergency Department. Its causes include viruses, bacteria, allergens and irritants. Viral conjunctivitis appears to occur more frequently in the summer, and bacterial infections more often in the winter. Many causes of conjunctivitis are benign and self limiting.


A prospective study of 114 children (1-18 years of age) with acute bacterial conjunctivitis (diagnosed my culture) treated randomly with either topical ophthalmic Mox or Poly for 7 days indicates that both are clinically equally effective; treatment with Poly however, results in significant cost savings. (Mox is 10 times more expensive.)


Maternal antibiotic use during pregnancy & risk of asthma/eczema in offspring


A study of 411 children born of mothers with asthma who had used antibiotics anytime during pregnancy indicates that their infants/children (compared to a control cohort) have an increased risk of developing asthma and eczema during the first 5 years of life. Changes in the bacterial ecology in the mother or fetus may play a role in the subsequent development of asthma in the child.


The Journal of Pediatrics 

School-age athletic ability following Congenital Clubfoot repair


A study of 30 patients with congenital clubfoot treated conservatively, by tenotomy of the Achilles tendon or extensive soft tissue release, were examined at 8.3 years (mean) and their ability to perform 5 physical tests routinely undertaken nationwide at elementary schools, evaluated and compared to nationwide standards.


Independent of treatment modality 96.6% of school-age children following congenital clubfoot repair function well within the normal range for athletic performance.


Journal of Pediatric Orthopaedics 

For More Information 

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