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The Informed Parent

What’s Up Doc?

by John H. Samson, M.D., F.A.A.P.
Published on Jan. 11, 2016

ETIOLOGIES FOR SEIZURES AROUND THE TIME OF VACCINATION, by Nienke E. Verbeek, MD, MSc, Floor E. Jansen, MD, PhD, Patricia E. Vermeer-de-Bondt, MD, Carolien G. de Kovek, PhD. Marjan JA van Kempen, PhD, Dick Lindhout, MD, PhD. Nine VAM. Knoers, MD, PhD, Nicoline AT. Van der Maas, MD, and Eva H. Bristra, MD, PhD., PEDIATRICS, vol. 134, Nu. 4, October 2014, pg.658

These authors found that in most cases there was a predisposing or preexisting condition that led to the seizure following the vaccine and the patients had a good outcome.

The good outcome is the important finding of this study. Although a first time seizure following a vaccination is extremely rare, it is reassuring that the outcome is good.

HEALTH CARE-ASSOCIATED INFECTIONS AMONG CRITICALLY ILL CHILDREN IN THE US, 2007 –2012 by Stephen W. Patrick, MD, MPH, MS, Alison Tse Kawai, ScD, Ken Kleinman, ScD, Robert Jin, MS, Louise Vaz, MD, MPH, Charlene Gay, BA, William Kassier, MD, MPH, Don Goldmann, MD, and Grace M. Lee, MD, MPH, PEDIATRICS, vol. 134, nu. 4, October 2014, pg. 705.

Here is some good news at last about the medical care in the United States. It seems that the news media is filled with negative comments on our medical system.

These authors found that between 2007 and 2012 there was a significant decrease in hospital acquired infections in the pediatric age group. Nothing more need be said.

PERTUSSIS IMMUNIZATION IN INFANCY AND ADOLESCENT ASTHMA MEDICATIONN by Hartmut Vogt, MD, PhD, Lennart Brabact, MD, PhD,Anna-Maria Kling, MSc, Maria Grunewald, MSc, PhD, and Lennart Nilsson, MD, PhD, PEDIATRICS, vol 134, Nu 4, October 2014, pg 721.

Some authors feel childhood immunization may predispose the patient to develop asthma later in life. These authors looked at pertussis immunization in infancy. They found that it did not increase the incidence of asthma in adolescents.

I suspect this could be said of the other childhood vaccines. Certainly my experience supports these authors’ findings.

RAPID DIAGNOSTIC TESTS FOR GROUP A STREPTOCOCCAL PHARYNGITIS: A META-ANALYSIS by Wei Ling Lean, MBBS, BMedSc, Sarah Arnup, MSc (Hons), MPhil, MBiostat, Margie Danchi, MBBS, FRACP, PhD, and Andrew C. Steer, MBBS, BMedSc, MPH, FRACP, PhD, PEDICATIRCS, vol. 134, nu 4, October 2014, pg. 771.

They found that the rapid streptococcal tests were accurate in diagnosing STREP infections. No lab backup culture was needed for a negative rapid test result.

Our experience with these tests supports the authors’ findings. The use of rapid strep tests has significantly decreased the unnecessary use of antibiotics for sore throats.

ADHD, STIMULANT TREATMENT, AND GROWTH: A LONGITUDINAL STUDY by Elizabeth B. Harstad, MD, MPH, Amy L. Weaver, MS, Stavica K. Katusic, MD, Robert C. Colligan, PhD, Seema Kumar, MD, Eugenia Chan, MD, MPH, Robert G. Voigt, MD and William J. Barbaresi, MD, PEDIATRICS, vol 134, nu 4, October 2014, pg 809.

We have known this for a long time but the concern always presents itself when discussing stimulant therapy with parents of children with ADHJD. Their findings showed there is no relation between use of stimulant medication and significant difference in adult height.  It’s time we put this concern to rest and provide life changing help to the suffering ADHD patients. 

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