A recently published meta-analysis showed that the risk of perinatal HIV transmission could be reduced by performing elective cesarean delivery in HIV infected mothers. The analysis suggests that labor or rupture of membranes increases the risk of transmission. Primary care physicians cite a multitude of obstacles to varicella vaccine. Due to widespread misconceptions coupled with recently published low immunization rates, the Strong's Children's Research Center at the University of Rochester School of Medicine recently evaluated varicella immunization practices of physicians in Rochester, NY to identify factors that predict whether physicians administer varicella vaccine to children. This vaccination may shift varicella from a predominately childhood illness to an adult illness.
Children already get enough immunizations.
Only immunocompromised individuals and their close contacts should receive the varicella vaccine. Cost-benefit analysis to society perceived unfavorable. After becoming aware of morbidity and mortality rates for varicella-related complications, physicians who did not regularly administer the vaccine indicated that they would be more likely to offer it. Systemic steroids may attenuate middle ear effusions in children with acute otitis media. A recent Finnish study aimed to determine the efficacy of pulsed oral prednisolone as adjuvant therapy for acute otitis media draining through tympanostomy tubes.