Pediatrics
Clinical Inquiries
Does breastfeeding protect against viral GI infections in children <2 years old?
EVIDENCE-BASED ANSWER: While breastfeeding protects against all-cause diarrhea in infants1- 5 (strength of recommendation [SOR]: B, based on...
Q&A
Educational interventions improve outcomes for children with asthma
BACKGROUND: A previously published meta-analysis suggested that asthma education programs for children do not affect asthma-related morbidity or...
Q&A
Naturopathic ear drops minimally effective for acute otitis media
BACKGROUND: Given evidence suggesting that antibiotics provide little benefit for most children with acute otitis media, recent studies have...
Clinical Inquiries
Are nasal steroid sprays effective for otitis media with effusion?
EVIDENCE-BASED ANSWER: Treatment of otitis media with effusion (OME) with nasal steroids is not recommended (strength of recommendation [SOR]=A,...
Q&A
Steroids ineffective for pain in children with pharyngitis
BACKGROUND: Dexamethasone has been shown to be beneficial in several pediatric illnesses such as croup and asthma, and intraoperatively for...
Q&A
Are early exposures linked with childhood peanut allergy?
BACKGROUND: The increase in peanut allergies over recent decades, as well as the potential seriousness of such allergies, prompted the authors to...
Q&A
Admission electronic fetal monitoring does not improve neonatal outcomes
BACKGROUND: No studies have been able to demonstrate that routine electronic fetal monitoring decreases fetal birth asphyxia or its attending...
Q&A
Patients with mild scoliosis have good prognosis
BACKGROUND: Late-onset idiopathic scoliosis arises in otherwise normal children, usually after 10 years of age. Children are often screened for...
Clinical Inquiries
Are tympanostomy tubes indicated for recurrent acute otitis media?
EVIDENCE-BASED ANSWER: For children with recurrent acute otitis media (here defined as 3 or more episodes in 6 months, or 4 or more in a year),...
Clinical Inquiries
How should we manage infants at risk for group B streptococcal disease?
EVIDENCE-BASED ANSWER: Asymptomatic term infants whose mothers received adequate intrapartum antibiotic prophylaxis (defined as intravenous...
Q&A
Breastfeeding reduces pain in neonates
BACKGROUND: Healthy neonates routinely undergo painful minor procedures. Evidence suggests that infants do feel pain, and painful experiences may...