This Week in Pediatrics
What's new in pediatrics - UpToDate
Seasonal influenza vaccination for children in 2026 to 2027 (August 2026) Influenza vaccination continues to be an important strategy for preventing serious complications from infection. In a new policy statement, the American Academy of Pediatrics reaffirmed previous recommendat...
Contemporary Pediatrics – Clinical News & Pediatrician Practice Tips
Get back-to-school pediatric guidance ... watch this year. ... Court fight over CDC 2026 childhood vaccine schedule shifts shots to shared decision-making; experts warn lower uptake for Hep A, B, flu, COVID....
FDA news in pediatrics: September 2026 | Contemporary Pediatrics
September 2026 brought a dense ... conditions: Sanfilippo syndrome type A, Alexander disease, MCT8 deficiency, and ataxia-telangiectasia each gained their first FDA-approved therapy during the month....
Research of the Day
Universal Depression Screening in Adolescents: Implementation and Outcomes
This pragmatic trial implemented universal depression screening using PHQ-9 Modified for Adolescents across 50 primary care practices. Universal screening identified 3x more cases of moderate-to-severe depression compared to targeted screening.
Key findings: (1) 18% of screened adolescents had positive screens requiring follow-up; (2) Early identification led to 40% increase in mental health referrals; (3) False positive rate acceptable at 12%.
Implement annual depression screening for all patients 12-21 years. Establish referral pathways and follow-up protocols. Address barriers to mental health access in your community.
Popular Beliefs
Cracking knuckles causes arthritis
What the evidence shows: Studies comparing habitual knuckle-crackers to non-crackers found no increased arthritis risk. The cracking sound is from gas bubble release in synovial fluid. The main consequence may be reduced grip strength and annoyed family members.
Too many vaccines overwhelm a child's immune system
What the evidence shows: Children's immune systems handle vastly more antigens daily from the environment than from vaccines. Today's vaccines contain far fewer antigens than older versions despite protecting against more diseases. Studies show no increased infection rates in vaccinated children—vaccines strengthen, not weaken, immunity.
Chocolate causes acne
What the evidence shows: The relationship between diet and acne is complex. Some studies suggest high-glycemic diets and dairy may worsen acne, but chocolate specifically has not been definitively proven to cause breakouts. Individual responses vary—advise patients to observe their own triggers.
Behaviors
Physical Activity and Academic Achievement: School-Based Intervention Study
This cluster RCT examined whether increasing physical activity during the school day improved academic outcomes in 3,500 elementary students. Schools were randomized to add 30 minutes of daily activity or continue standard curriculum.
Key findings: (1) Intervention students showed 15% improvement in reading scores; (2) Math scores improved 8%; (3) On-task behavior increased and disruptive behavior decreased. Benefits were greatest for students with ADHD symptoms.
Advocate for physical activity in schools—it enhances rather than detracts from learning. Counsel families on the importance of daily active play for cognitive development, not just physical health.
Genetics
Genetic Testing in Hypertrophic Cardiomyopathy: Sports Participation Guidance
Updated guidelines incorporate genetic testing results into sports participation decisions for young athletes with HCM. Some genetically positive but phenotypically negative individuals may safely participate in athletics with appropriate monitoring.
Key findings: (1) Risk stratification improved with genetic markers; (2) Shared decision-making framework more nuanced than previous blanket restrictions; (3) Regular cardiac monitoring essential regardless of sport participation.
Genetic testing can refine, but not eliminate, cardiac risk assessment. Refer to cardiology for any athlete with suspected or confirmed HCM. Shared decision-making with families is appropriate.