Human Immunodeficiency Virus(HIV)… VACCINATION in HIV 26 Feb 202321 Feb 2023 All recommended childhood immunizations should be administered to HIV-exposed infants. In a child with HIV infection, all inactivated vaccines can be administered safely. Live attenuated vaccines are contraindicated in severely…
Congenital Torticollis… Congenital Torticollis: Management 29 Jan 202320 Jan 2023 Previous Post: Congenital torticollis- Diagnosis and Assessment Management of Congenital Torticollis Investigations Routine neck imaging is not recommended If a mass is present but not characteristic of SCM, ultrasound (US)…
Congenital Torticollis… Congenital Torticollis 22 Jan 202320 Jan 2023 Congenital torticollis is usually diagnosed within the first month of life. Diagnosis after 6 months is rare and other causes should be considered. There are 2 types: Muscular: Tightness of…
Human Immunodeficiency Virus(HIV)… Co-trimoxazole (CTX) Preventive Therapy (CPT) for HIV-Exposed/Infected infants and Children 11 Dec 20228 Dec 2022 Co-trimoxazole Preventive Therapy (CPT) protects the infant from Pneumocystis jiroveci pneumonia (PCP), toxoplasmosis and other bacterial diseases. It is the standard component of HIV care to reduce the morbidity and…
QUICK REFERENCES References & Guidelines 13 Oct 202211 Oct 2022 Dear Colleagues and all our readers and followers, In addition to our regular posts/blogs on small snippets useful for a general pediatrician in day to to day office practice, we…
PEDIATRIC DRUG THERAPY… Esomeprazole 18 Sep 202217 Sep 2022 Usage in Neonatal age group GERD Routine use is not recommended in preterm neonates Term and preterm neonates: Oral: 0.5 mg/kg/dose once daily. DURATION of therapy in symptomatic GERD : Guidelines…
INFECTIOUS DISEASES… When it is NOT congenital syphilis 21 Aug 202220 Aug 2022 Congenital syphilis is unlikely in following scenario- Any neonate who has a normal physical examination and a serum quantitative nontreponemal serologic titer (VDRL) equal to or less than four-fold the…
The Fetus and the Neonatal Infant APT Test For Swallowed Maternal Blood 18 Aug 202216 Aug 2022 In a newborn infant with rectal bleeding or a blood streaked gastric aspirate, we need to determine whether the blood originated from infant’s gut or whether it’s the swallowed maternal…
Antimicrobials… Trimethoprim-Sulfamethoxazole 14 Aug 202214 Aug 2022 Always used as a fixed dose combination of Trimethoprim-Sulfamethoxazole in ratio of 1:5. Dose of Trimethoprim(TMP) is used for calculation purposes. Mild to Moderate Infections 4 mg TMP/kg/dose PO - 12…
Anti Parasitic Drugs… Permethrin- Therapeutic uses 7 Aug 202212 Aug 2022 Scabies Infants ≥2 months, Children, and Adolescents: Topical Permethrin 5% cream : Apply and massage in cream from head to toe (average adult requires 30 g); leave on for 8 to 14…