Experts Corner: How to be an everyday antibiotic steward

Antibiotic resistance-Flett

Antibiotic resistance is not a theoretical problem anymore. We are encountering resistant bacteria that have few antibiotic options. To treat these bacteria, we have to reach for antibiotics that may not work as well and have more frequent toxicities.

Appropriate antibiotic use is often thought of as a balancing act between good patient care and avoiding antibiotic resistance. But, appropriate antibiotic use IS good patient care. Antibiotics have revolutionized medicine, but patients exposed to them are also more likely to develop resistant infections including C. difficile and adverse reactions. Avoiding antibiotics when they are not needed reduces the risk of these harmful events.

As providers, it’s important to consider what we can do to keep patients safe while curbing antibiotic resistance — and have the tools to communicate this to parents. Here are a few simple actions we can take: …Read More

Paper Trail: Asthma, urology advancements, cardiovascular disease and more

Paper Trail-October-2107

Boston Children’s Hospital is at the forefront of clinical research. Stay connected with Paper Trail — a monthly feature highlighting recently published outcomes data and new approaches to the diagnosis, treatment and prevention of pediatric illnesses.

This edition of Paper Trail focuses on the link between sedentary behaviors and BMI in young dancers, lifestyle-based tools to detect cardiovascular diseases in young adults, asthma prevention and management and more.

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Clinical genetics 101: When to refer

Clinical-genetics

Pediatric genetics is a clinical specialty focused on the evaluation and management of children with genetic conditions. Genetic conditions can either be inherited from parents or arise from a new genetic change occurring during fetal development. Conditions vary widely and can affect any organ system of the body. Some diagnoses cause minimal impact on a child’s daily life, while others lead to complex medical needs. Given the breadth of genetic diagnoses, deciding when to refer a child to a genetics clinic can be a challenge.

Several resources outline specific reasons to refer patients to medical genetics. A clear guide written by geneticists and counselors from the American College of Medical Genetics organizes indications by patient age. Building on previously published guidelines, we highlight five practical reasons for referral for genetics evaluation. …Read More

Preventing sports injuries through clinician-to-technician communication

Sports Injury Prevention Prescription SIPRx

For patients who are serious athletes or who have had a history of sports injuries, injury prevention is often a focal point. Advances in technology can now pinpoint where an individual might have a greater risk of injury, allowing injury prevention specialists to prescribe exercises that reduce this risk. For an athlete, learning exercises that may help prevent certain injuries — while strengthening areas of the body that are underdeveloped — not only reduces injury risk, but strengthens their game.

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