This Week in Pediatrics
Pediatricians and health officials are sidestepping Trump's CDC on vaccine advice | HPPR
On Jan. 5, the CDC removed some vaccines from the recommended vaccine schedule for all children — against the advice of major medical groups like the American Academy of Pediatrics.
AAP is ‘advancing the work and defining the future’ of child health, CEO tells leaders | AAP News | American Academy of Pediatrics
The American Academy of Pediatrics is shaping the future of child health through evidence-based medicine, new partnerships and the work of member pediatricians who lead with courage, resilience and an unwavering commitment to children, AAP CEO/Executive Vice President Mark Del Mo...
Pediatricians and health officials are sidestepping Trump's CDC on vaccine advice
On Jan. 5, the CDC removed some vaccines from the recommended vaccine schedule for all children — against the advice of major medical groups like the American Academy of Pediatrics.
Research of the Day
Early Antibiotic Exposure and Neurodevelopmental Outcomes: A Population-Based Cohort Study
This large population-based cohort study examined over 1.2 million children to investigate the association between antibiotic exposure in the first year of life and subsequent neurodevelopmental outcomes. The researchers found a modest but statistically significant association between early broad-spectrum antibiotic use and increased risk of ADHD and autism spectrum disorder diagnoses, though the absolute risk increase remained small.
Key findings include: (1) Children exposed to antibiotics in the first year had a 12% increased relative risk of ADHD diagnosis; (2) The association was stronger with repeated courses of broad-spectrum antibiotics; (3) The effect persisted after adjusting for maternal infections and other confounders.
While the study shows an association, causation is not established. The findings support judicious antibiotic use in infants—prescribing when clinically indicated, but avoiding unnecessary courses.
Popular Beliefs
Remove ticks with a lit match or petroleum jelly
What the evidence shows: These methods can cause the tick to regurgitate into the wound, increasing disease transmission risk. Use fine-tipped tweezers to grasp the tick close to the skin and pull upward with steady pressure. Save the tick for identification if possible.
Cold weather causes colds
What the evidence shows: Colds are caused by viruses, not cold temperatures. The association exists because people spend more time indoors in close proximity during winter, facilitating viral transmission. Additionally, dry indoor air may impair mucosal barriers. Hand hygiene and avoiding sick contacts are the real prevention strategies.
Eating carrots dramatically improves vision
What the evidence shows: While carrots contain vitamin A important for eye health, eating extra carrots won't improve normal vision or eliminate the need for glasses. Vitamin A deficiency can cause vision problems, but this is rare in developed countries with varied diets.
Behaviors
Growth Mindset and Academic Resilience in Middle School
This school-based intervention taught growth mindset principles to 4,000 middle schoolers. Students who internalized growth mindset showed improved grades, greater persistence, and reduced anxiety around academic challenges.
Key findings: (1) 0.3 GPA improvement in intervention group; (2) 25% reduction in test anxiety; (3) Effects largest for initially low-performing students. Teacher reinforcement of messages enhanced effects.
Praise effort over ability when discussing academics with patients. Encourage families to use growth mindset language. Struggle is part of learning, not a sign of inability.
Genetics
Familial Hypercholesterolemia Screening in Childhood: Cascade Screening Effectiveness
Cascade screening for familial hypercholesterolemia starting in childhood identifies affected relatives and enables early statin therapy. Children identified through family screening had better outcomes than those diagnosed after cardiac events.
Key findings: (1) Each identified case led to 3 additional diagnoses in relatives; (2) Early statin therapy (age 8+) reduced lifetime cardiovascular risk; (3) Universal lipid screening at ages 9-11 complementary to cascade screening.
Take family history of premature heart disease seriously. Screen children in affected families by age 2. Universal lipid screening should occur at 9-11 years per AAP guidelines.