Stories about: Pediatric Dose March 2015

Expert’s Corner: Fecal transplants for C-diff infections

C-diff fecal transplant inforgraphic
Results of a recent study looking at pill-based fecal transplants for C-diff infections. (Click to expand.)

The fecal microbiota transplantation (FMT) movement is catching the attention of scientists, researchers and the media nationwide. Currently, fecal transplantation delivers pre-screened, healthy human donor stool to a patient via colonoscopy or by nasogastric tube. It’s prescribed as an effective alternative to long-term antibiotic use in treating debilitating infectious diseases such as Clostridium difficile, also known as C-diff.

But research published in Journal of the American Medical Association says there is a third, less invasive, less expensive option to treat C-diff: poop in a pill. …Read More

Clinical Consult: Miralax and other options for treating constipation

pediatric constipation Miralax alternatives

Functional constipation continues to be a common childhood problem, affecting 3 percent of children worldwide. While not a serious medical condition, functional constipation causes painful bowel movements, abdominal pain, fecal incontinence, and individual and family stress.

To ease the discomfort of chronic childhood constipation, pediatricians often recommend the over-the-counter laxative Miralax (polyethylene glycol 3350.)

The odorless, tasteless powder is typically mixed with 8 ounces of water and prescribed to children once or twice daily. Common side effects include loose bowel movements and sometimes diarrhea, bloating or nausea. These side effects typically improve when dosing is adjusted.

Miralax has lately become a topic of discussion—and scrutiny—among pediatricians, parents and the media because the Food and Drug Administration has not approved it for use in children.

…Read More

Implementing national benchmarks for pediatric care quality

Child HCAHPS patient experience survey Mark Schuster Sara Toomey CEPQM

You can’t improve what you can’t measure: This is the core principle of national, state and local efforts to increase health care quality and safety. While adult health care has benefitted for many years from a variety of measures of quality and safety, though, pediatrics has generally lagged behind.

In 2011, the Agency for Health Care Research and Quality and the Centers for Medicare & Medicaid Services (CMS) launched the Pediatric Quality Measures Program (PQMP), a group of seven centers of excellence tasked with developing measures and measurement tools for different aspects of pediatric care. Those measures are starting to come online, with a survey developed by the Center of Excellence for Pediatric Quality Measurement (CEPQM) at Boston Children’s Hospital being one of the first out of the gate. …Read More