| 1999 NEWS ARTICLES |
|
1,061 suspected Escherichia
coli cases in N.Y. outbreak |
October 1999: The outbreak is associated
with contaminated well water at a local fair and is one of the largest
E. coli outbreaks ever recorded in the United States. |
|
AAP: Parents should tell
children about their HIV status |
February 1999: Pilot study outlines
ways to select products as more vaccines are added to the routine schedule.
|
|
AAP revises infant circumcision
policy |
March 1999: The academy's Task Force on
Circumcision said the procedure is not essential to a child's well-being at
birth. |
| AAP says no need to
treat children who have had simple febrile seizures |
September 1999: Neither continuous or
intermittent anticonvulsant therapy is recommended for children with simple
febrile seizures. |
| AAP says parents with
HIV/AIDS should prepare for their children's future |
April 1999: Measures must be taken by
HIV-infected parents to ensure a stable life for their surviving children, says
AAP. |
| ACIP recommends routine use of
pneumococcal conjugate vaccine |
December 1999: The recommendation is
contingent upon licensure of the vaccine. |
| ACIP reverses recommendation for
rotavirus vaccine |
December 1999: Wyeth Lederle voluntarily
pulled RotaShield from the market because of reports of intussusception. |
|
ACIP reverses recommendation for
rotavirus vaccine use |
November 1999: Wyeth Lederle voluntarily
pulled RotaShield from the market because of reports of intussusception. |
|
ACIP revised recommendation
statement for rotavirus immunization |
March 1999: The committee updated
recommendations to encourage rotavirus immunization of premature infants. |
|
Amoxicillin remains first
treatment for AOM; higher doses may be needed |
February 1999: Amoxicillin-clavulanate,
cefuroxime axetil and IM ceftriaxone are useful alternatives for treatment
failures, expert panel says. |
| Antibiotic resistance in children
with pneumococcal bacteremia examined |
May 1999 |
|
Asthma patients need two
treatment plans |
February 1999: One plan should be for
daily management and the other for handling acute exacerbations. |
| Beef implicated in E. coli
outbreak in Illinois; 321 cases reported |
November 1999: People from 12 counties
in Illinois and two other states have become sick. |
| Careful history, physical
examination important in chronic cough diagnosis |
June 1999: Many children have multiple
diagnoses, and it often takes more than one office visit to determine the cause
of their chronic cough. |
|
Cases of acute mastoiditis may
be on the rise; reasons unknown |
March 1999: Oral antibiotics were
prescribed by pediatricians to eight children for AOM within a few days of the
development of acute mastoiditis. |
| Cat scratch disease without
cat scratch |
August 1999 |
| CDC publishes ACIP rotavirus
recommendations |
May 1999: To document the effectiveness
of immunization programs, additional efforts are needed to establish rotavirus
disease surveillance systems. |
|
CDC reports largest U.S.
outbreak of measles since 1996 |
February 1999: Thirty-three cases were
reported in Alaska. The strain was apparently imported from Japan. |
| Combination therapy suggested for
children with HIV |
June 1999: Recent advances in HIV
infection therapy in infants and children show that a combination regimen with
adjunctive immunization may be the best course of action. |
| Committee recommends use of
all IPV schedule |
July 1999: The change will take effect
on Jan. 1, 2000. All children will need to receive four doses of IPV at 2, 4,
6-18 months and 4-6 years of age. |
|
Consider infection risk
before choosing a skin care product |
March 1999: The use of petrolatum
ointment in extremely low birthweight infants might cause candidiasis. |
| Dealing with anger and
mistrust |
November 1999: It is difficult for most
people, particularly an angry parent, to understand that an adverse event may
not be causally related to a recent immunization. |
| Decline in Reye's syndrome
reported among U.S. children |
June 1999: Since 1987, fewer than 37
cases have been reported each year. About 40% of all cases were in children
younger than 5. |
|
Early asthma treatment in
children necessary to preserve lung function |
March 1999: Children with frequent and
severe asthmatic episodes are less likely to outgrow their breathing problem.
|
| Early infection control best defense
against nosocomial GAS infections |
April 1999: The CDC reports that active
surveillance and limited epidemiologic investigation may prevent infections
associated with asymptomatic health care workers. |
| Efavirenz added to treatment
guidelines for children |
April 1999: Because the standard of care
for HIV children is not defined, the guidelines give a range of options. |
| Evidence suggests MMR
vaccine does not cause autism |
August 1999: No relationship found
between onset of autism and age of vaccination in large epidemiological
study. |
| Experimental pneumococcal
vaccine may reduce pneumonia |
October 1999: The vaccine may also
reduce physician visits for otitis media and reduce the need to insert
tympanostomy tubes. |
| Experts review treatment, diagnosis
for URIs |
January 1999: Group A streptococcal
pharyngitis is the most common bacterial cause of acute pharyngitis. |
| FDA advisory
panel recommends approval for pneumococcal conjugate vaccine |
November 1999: The panel found the
vaccine safe and effective for use against invasive disease. |
| FDA approves abacavir to use in
HIV/AIDS combination therapy |
January 1999 |
| FDA approves zanamivir for
adults and adolescents 12 and older |
August 1999: Zanamivir is the first drug
approved for influenza since rimantadine in 1993. |
|
FDA committee recommends
against approval for influenza drug zanamivir |
March 1999: Safety was not the concern.
Panel members raised issue over the drug's efficacy. |
|
Federal budget cuts affecting
immunization infrastructure |
February 1999: The national
immunization program will be short about $56 million in FY 1999. |
|
Fever after travel abroad:
Think malaria! |
March 1999 |
| First Lyme disease vaccine approved
by the FDA |
January 1999: SmithKline Beecham
Biologicals said the vaccine should be available in the first quarter of
1999. |
|
Frozen mamey linked to typhoid
fever outbreak in Florida |
March 1999 |
| HCWs can transmit pertussis
within pediatric emergency units |
November 1999: Health care workers
should be given postexposure prophylaxis if contact with an infected child has
occurred. |
| Hib, HepB vaccinations do not
increase risk of developing type 1 diabetes |
November 1999: The controversy was
fueled by different analyses of the same data. |
| Important to determine
if disease is present in parasitic infections |
July 1999: People may have parasitic
infestations, but not experience any symptoms. |
| Infants of mothers born after
1963 may be at higher risk for measles |
December 1999: Mothers immunized against
measles pass on fewer antibodies, so infants are unprotected earlier in
life. |
| Internet information: tips on
how to tell what is good, what is bad |
December 1999: Sharing this information
with parents will enable them to decipher accurate from false information. |
| Intervention can reduce ED
visits, hospitalizations in asthma patients |
March 1999: Patient education
represents one key to properly control asthma. |
| Intervention, education
help decrease day care infections |
October 1999: The infection-prevention
program consisted of intensified handwashing and directions on the use of
disposable towels. |
| Is TB hiding in your health
facility? |
January 1999: Medical facilities may not
be told if health care workers have a reactivation of tuberculosis. |
| Isolation, surveillance
needed for effective infection control |
December 1999: New study defined four
risk factors regarding assessment of antibiotic resistance in intensive care
units. |
| Keys identified to
effective sinusitis treatment |
December 1999: Distinguishing between
infections and understanding the etiology of a patient's symptoms are
important. |
| Late-onset group B streptococcal
meningitis: still dangerous |
January 1999 |
| Latex allergy may be next major
health concern |
May 1999: There are steps you can take
to reduce your risk in the office and hospital. |
| Low-birth-weight babies
being immunized |
October 1999: Study finds that most
babies get immunized when they should, but low-birth-weight and premature
babies lag slightly behind full-term. |
| Many lice are no longer
susceptible to pyrethroid treatments, study says |
October 1999: Even though lice sampled
from American children showed resistance to permethrin, researchers concluded
that pyrethroid treatments should continue. |
| Many questions remain about
nosocomial infections in PICUs |
September 1999: Although most hospitals
say that they use NNIS definitions for surveillance, there is variation in the
interpretation and application of those definitions. |
| Measles may no longer be
indigenous to the United States |
October 1999: CDC data show that overall
measles cases are down; most cases reported in 1998 were associated with
importation. |
| Medical and home remedies found for
treating 'head lice from hell' |
May 1999: Some lice are resistant to
standard pediculicidal products, and they are a real problem for
physicians. |
| Meningococcal disease
increasing in subgroups of college students |
July 1999: Although rates of the
disease do not appear to be increasing in college students overall, recent data
show an increase in specific subgroups of students. |
| Methicillin-resistant S.
aureus causes infection in healthy patients |
September 1999: Previously, infections
have generally been seen only in high-risk populations. |
| More focused approach
suggested for management of UTI in neonates |
December 1999: An evaluation was
conducted to determine if the current recommended treatment regimen for
nontoxic, febrile neonates with presumptive UTI is justified. |
| Mother has philosophical
objection to vaccine for neonatal tetanus |
January 1999: Application of an
unsterile product to umbilical cord leads to infection. |
| New data indicate pneumococcal
vaccine prevents otitis media |
May 1999: The vaccine was administered
at 2, 4, and 6 months of age with a booster given at 12 to 15 months. |
| New infectious agent discovered in
Malaysia and Singapore kills 111 |
May 1999: Officials have named the virus
"Nipah" after the small Malaysian village where it was first isolated. |
| New oral antifungals effectively
treating infections |
June 1999: Physicians are looking at
newer, broad-spectrum medications to achieve the desired cure rate. |
| New study finds low HBV
immunization rates in Chicago public housing |
December 1999: On-time initiation of
HepB immunization increases the likelihood of children receiving all
immunizations. |
|
New study suggests ways to make
vaccine choices and save money |
February 1999: Pilot study outlines
ways to select products as more vaccines are added to the routine schedule.
|
|
NVAC tackles issues of the
CDC's short-term vaccine stockpiling |
March 1999: Potential long-term supply
problems are not addressed by the current stockpile. |
|
Otitis externa from swimmer's
ear needs attention, proper management |
June 1999: Cases of otitis externa are
often neglected in outpatient pediatric training. However, the swimming season
will require effective diagnosis and treatment. |
| Outbreak of pertussis in New York
termed `smoldering disease' |
November 1999: Nearly 100 cases have
been confirmed, and many more are expected. |
| Outbreak of rubella
reported in Midwestern states |
September 1999: At least 116 cases in
three states have been reported among foreign-born meat workers and
others. |
|
Outpatient IV therapy
should be considered in certain situations |
February 1999: Home IV therapy can be
used when oral antibiotic therapy is not an option because of noncompliance of
the parent or the child. |
|
Parents, residents voice need
for more immunization communication |
June 1999: Parents want more
information about the risks and benefits of immunization. |
| Pediatricians have choices for
treatment, diagnosis of UTIs |
January 1999: Risk factors include
uncircumcised boys, congenital anomalies of the genitourinary tract,
vesicoureteral reflux, indwelling catheters and onset of sexual activity. |
| Pediatricians more likely to
follow varicella vaccine recommendations |
June 1999: Family practitioners are not
as likely as pediatricians to administer vaccine at the recommended age. |
| People, animals and plants use 50
million pounds of antibiotics a year |
April 1999: More prudent use may help
restore the effectiveness of Alexander Fleming's miracle drug. |
| PHS and AAP recommend
removal of thimerosal from all vaccines |
August 1999: Infants and children who
have received thimerosal-containing vaccines do not need to be tested for
mercury exposure. |
| Physicians have several choices
for diagnosing and treating pneumonia |
January 1999: In a recent study,
respiratory rate was better than using a stethoscope in defining which patients
had lower respiratory tract illness. |
| Physicians need to help
maintain the public's trust in vaccination |
July 1999: Let's not use outbreaks as a
way of reminding ourselves about the importance of vaccination. |
| Radiological imaging may have
small role in treating acute sinusitis |
June 1999: The decision to treat
patients is often based on symptoms alone rather than radiographic
findings. |
| Rapid diagnosis of pediatric
nonpolio enterovirus needed |
May 1999: Enterovirus-positive patients
with cerebrospinal pleocytosis had the longest hospital stays. |
| Rate of childhood H.
pylori differs among ethnic groups |
April 1999: Children in the same
socioeconomic class showed different rates of infection acquisition based on
ethnicity. |
|
Reassuring findings released
about infants exposed to zidovudine |
February 1999: Children exposed to AZT
in utero show no cancers or other adverse events. |
| Recommendations proposed
for diagnosis and treatment of UTIs |
July 1999: Children 2 months to 2 years
of age with UTIs are at a greater risk of developing renal damage. |
| Reported Salmonella,
Campylobacter cases declining |
April 1999: FoodNet's preliminary data
show the new inspection system for meat and poultry plants is effective. |
| Researchers find new
cause of human ehrlichiosis in eight cases |
September 1999: Ehrlichia ewingii
may be clinically indistinguishable from E. chaffeensis infection. |
| Resistance concerns prompt
FDA to rethink antibiotic use in poultry |
April 1999: Drug-sponsored companies
need to complete a study to determine whether an antibiotic can be used
safely. |
| Respiratory rate better
method for diagnosing pneumonia in children |
August 1999: It is also important to
listen for wheezing, because high respiratory rates may result from small
airway disease. |
| Right questions from pediatricians
are key to STD treatment |
May 1999: The patient's sexual history
is key to understanding diagnosis, treatment and prevention STDs. |
| Salmonella outbreak in
Pacific Northwest results in 162 cases |
August 1999: Unpasteurized orange juice
was implicated as tge source. Cases continue to be reported. |
| SBHCs help to provide
immediate treatment to school children |
September 1999: Continuity clinics
expose pediatric residents to adolescent medicine and allow them to provide
services ranging from immunizations to well child care. |
| Scraping is the least toxic
method to use when removing a bee's stinger |
June 1999: Bees are a commonly
encountered stinging insect, and will cause harm if their space is
invaded. |
| Screening very important part of
caring for internationally adopted child |
January 1999: More than 10,000
foreign-born children are adopted by U.S. parents each year. |
| Simple drug regimen found
to prevent maternal-fetal tranmission of HIV |
August 1999: One dose of nevirapine to
both the mother and infant reduced transmission rate by half. |
| Six deaths from
varicella reported in Florida in 1998 |
July 1999: The ACIP now recommends all
states require varicella vaccination for children entering child care or
school. |
| Six steps to improving
diagnosis, treatment of OM |
April 1999: The eardrum can take on a
white or a yellow appearance with pus when fluid is present in the middle
ear |
|
Some antibiotics are commonly
associated with skin rashes |
February 1999: One study says
penicillins, sulfonamides and cephalosporins are the oral antibiotics most
likely to result in an adverse reaction in children. |
| Studies show benefits of
maternal immunization for mother and baby |
September 1999: Immunization during
third trimester does not harm mother and enhances infant passive immunity. |
| Teenagers should have
accurate information about their health status |
July 1999: Confidwntiality issues arise
when discussing sexual issues with teenagers. |
| Telephone care: Making the right
call |
April 1999: Telephone care is a
cost-effective way to provide patients with reassurance, good advice and to
direct them to the appropriate clinical setting. |
| The Internet: What's
true and what's false? |
November 1999: Fictitious "urban
legends" are spreading on the Internet; health care officials are waiting to
counter the next AIDS e-mail scare. |
| Tuberculin skin testing
should be selective |
July 1999: Tuberculin skin tests may not
be indicated for children at low-risk of developing disease. |
| Two cases of influenza A(H9N2)
reported in Hong Kong |
May 1999: Influenza A(H9N2) is an avian
virus. This is the first report of human infection with the virus. |
|
USDA to allow irradiation of
meat to improve food safety |
March 1999: Food irradiation uses
radiant energy to reduce or eliminate potentially dangerous microorganisms on
meat and poultry. |
| Use of rotavirus vaccine
suspended by PHS |
August 1999: Available data suggest a
causal association between receipt of rotavirus vaccine and
intussusception. |
| Vaccines cost CDC,
states $608 million in 1998 |
September 1999: How many doses were
wasted? A new project attempts to estimate vaccine wastage and costs
incurred. |
| Vaccines play important role in
preventing infectious diseases |
May 1999: In 1997, coverage among
children 19-35 months exceeded 90% for three or more doses of four
vaccines. |
| Varicella vaccine safe
and effective, but underused |
July 1999: Misconceptions of primary
care physicians are the main reason varicella vaccine isn't routinely
administered. |
| West Nile-like virus found
in 50 NYC residents; causes five deaths |
October 1999: The virus, originally
thought to be St. Louis encephalitis, has never before been found in the
Western Hemisphere. |
| What's Your
Diagnosis? |
September 1999: A monthly case study,
with treatment information and discussion to follow. |
| When parents do not
believe in childhood immunization |
November 1999 |
| Why should physicians consider
hepatitis C in their patients? |
June 1999: Universal precautions and
vaccination against other hepatitis viruses are important for health care
workers. |
| Will the pneumococcal conjugate
vaccine decrease cases of OM? |
November 1999: The pneumococcal vaccine
reduced physician visits for otitis media due to S. pneumoniae in
clinical trials. Will other organisms take its place? |
| Worldwide TB epidemic at a
crossroad |
April 1999: Despite the availability of
an effective cure for tuberculosis, one of every three people are
effected. |
| Young children at
greater risk for rat bites |
October 1999 |
| Zanamivir may help prevent
the spread of influenza in families |
November 1999: Zanamivir reduced the
risk of acquiring influenza by 79% among those living in the same household.
|
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