New guidelines: Introduce peanuts to infants early to prevent allergies

By Rob Goodier (Reuters Health) – Parents may be able to reduce the chance that their children will develop peanut allergies by introducing the food early on, as young as four to six months of age, experts now say. The timing and method should depend on the infant’s risk of a peanut allergy, according to doctors who presented a preview of updated guidelines today in San Francisco at the annual meeting of the American College of Allergy, Asthma and Immunology. “Guidance regarding when to introduce peanut into the diet of an infant is changing, based on new research that shows that early introduction around 4-6 months of life, after a few other foods have been introduced into the infant’s diet, is associated with a significantly reduced risk of such infants developing peanut allergy,” said Dr. Matthew Greenhawt, a pediatrician and co-director of the Food Challenge and Research Unit at Children’s Hospital Colorado in Aurora, Colorado, who coauthored the update.

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Review of Academy of Pediatrics Asthma Care app, meant to promote guidelines – iMedicalApps


iMedicalApps

Review of Academy of Pediatrics Asthma Care app, meant to promote guidelines
iMedicalApps
Asthma is one of the most common chronic conditions in children with a prevalence of over 8% in US children. This translates to over 7 million children in the US have asthma. For over 60% of these children, their asthma is persistent asthma not

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Despite guidelines, half of children with asthma do not receive a management plan – Healio

Despite guidelines, half of children with asthma do not receive a management plan
Healio
SAN DIEGO — Despite an increase in the percentage of children with persistent asthma who have received a written asthma management plan, 49% of patients still did not receive one, with significant variations by race and insurance status.
Researchers from Montefiore and Einstein to Present Findings at Pediatric Newswise (press release)

all 3 news articles »

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Inconsistent Achievement Of Guidelines For Acute Asthma Care In Hospital EDs – Counsel & Heal


Counsel & Heal

Inconsistent Achievement Of Guidelines For Acute Asthma Care In Hospital EDs
Counsel & Heal
A new study compared the care delivered to patients coming to hospital emergency departments (EDs) for acute asthma attacks in recent years with data gathered more than 15 years earlier and found existing inconsistencies in how well hospitals are

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Study finds inconsistent achievement of guidelines for acute asthma care in … – Medical Xpress

Study finds inconsistent achievement of guidelines for acute asthma care in
Medical Xpress
A study comparing the care delivered to patients coming to hospital emergency departments (EDs) for acute asthma attacks in recent years with data gathered more than 15 years earlier finds inconsistencies in how well hospitals are meeting nationally …

and more »

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Study finds inconsistent achievement of guidelines for acute asthma care in … – EurekAlert (press release)

Study finds inconsistent achievement of guidelines for acute asthma care in
EurekAlert (press release)
A study comparing the care delivered to patients coming to hospital emergency departments (EDs) for acute asthma attacks in recent years with data gathered more than 15 years earlier finds inconsistencies in how well hospitals are meeting nationally …

and more »

View full post on asthma – Google News

Variation in the Management of Infants Hospitalized for Bronchiolitis Persists after the 2006 American Academy of Pediatrics Bronchiolitis Guidelines.

Related Articles

Variation in the Management of Infants Hospitalized for Bronchiolitis Persists after the 2006 American Academy of Pediatrics Bronchiolitis Guidelines.

J Pediatr. 2014 Jul 8;

Authors: Florin TA, Byczkowski T, Ruddy RM, Zorc JJ, Test M, Shah SS

Abstract
OBJECTIVE: To describe variation across US pediatric hospitals in the utilization of resources not recommended for routine use by the American Academy of Pediatrics guideline for infants hospitalized with bronchiolitis and to examine the association between resource utilization and disposition outcomes.
STUDY DESIGN: We conducted a cross-sectional study of infants ?12 months hospitalized for bronchiolitis from 2007-2012 at 42 hospitals contributing data to the Pediatric Health Information System. Patients with asthma were excluded. The primary outcome was hospital-level variation in utilization of 5 resources not recommended for routine use: albuterol, racemic epinephrine, corticosteroids, chest radiography, and antibiotics. We also examined the association of resource utilization with length of stay (LOS) and readmission.
RESULTS: In total, 64?994 hospitalizations were analyzed. After adjustment for patient characteristics, albuterol (median, 52.4%; range, 3.5%-81%), racemic epinephrine (20.1%; 0.6%-78.8%), and chest radiography (54.9%; 24.1%-76.7%) had the greatest variation across hospitals. Utilization of albuterol, racemic epinephrine, and antibiotics did not change significantly over time compared with small decreases in corticosteroid (3.3%) and chest radiography (8.6%) use over the study period. Utilization of each resource was significantly associated with increased LOS without concomitant decreased odds of readmission.
CONCLUSIONS: Substantial use and variation in 5 resources not recommended for routine use by the American Academy of Pediatrics bronchiolitis guideline persists with increased utilization associated with increased LOS without the benefit of decreased readmission. Future work should focus on developing processes that can be widely disseminated and easily implemented to minimize unwarranted practice variation when evidence and guidelines exist.

PMID: 25015578 [PubMed – as supplied by publisher]

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Guidelines to Practice: Reducing Asthma Health Disparities Through Guideline Implementation

Condition:   Asthma
Interventions:   Behavioral: Enhanced Clinic+ Unified Plan + CHW;   Behavioral: Enhanced Clinic+ Unified Management Plan;   Behavioral: CHW Home Visit Only
Sponsors:   Public Health – Seattle and King County;   Patient Centered Outcome Research Institute
Not yet recruiting – verified July 2014

View full post on ClinicalTrials.gov: asthma | received in the last 14 days