Posttest counseling and communication with families is critical in reducing possible harm caused by these results. Farrell et al's survey of state programs found that less than half the programs in the United States provide counseling after false-positive results or for the families of heterozygous infants. Few states track the quality of their counseling, and the best practices for postscreening counseling are not yet evident. With Urinary Tract Infections Febrile urinary tract infections in children are common and have the potential for long-term sequelae. After 48 hours, there was no difference in urine sterilization rate, degree of clinical improvement, or subsequent admission rate.
Parenteral ceftriaxone appears to add little to the effectiveness of oral therapy.
Current Practice Patterns Cervical spine injuries, although rare in the pediatric trauma population, are nevertheless catastrophic. Consequently, trauma protocol generally includes cervical spine radiography on many patients to detect the rare child with an unstable fracture. Omran and colleagues surveyed emergency department physicians across the country to determine care patterns for low-risk patients. The variability of care found in the survey documents the need for definitive guidelines based on evidence, and indicates the importance of a large study of cervical spine radiography in injured children. PDF Consensus Statement for the Prevention and Management of Pain in the Newborn Newborn infants routinely experience pain associated with invasive procedures such as blood sampling and circumcision.