Posts for: September, 2013
Breastfeeding can be safely done while taking a majority of prescription drugs. Many mothers worry or are instructed to discontinue their long term medication unnecessarily. Now, there is a free app for mobile/desktop devices called LactMed that provides up-to-date information on safety of substances while breastfeeding. Website is: http://toxnet.nlm.nih.gov/.
It covers topics including immunization of breastfeeding women, use of psychiatric medications, herbal products, narcotics and more. This is very well written and designed to be an up-to-date resource for everyone.
159+ cases of measles have been reported this year according to the CDC. All have been linked to contact with an imported case, ie. exposure to an infected immigrant child. States most affected are New York (65) and Texas (23) . The measles outbreak of 1989-1991 involved 55,000 cases with 123 deaths.
The CDC has recently reported that vaccine coverage for preshcool children is high with rates at 90-92%, for MMR, polio, hepatitis B and chickenpox (varicella). Rates for DTaP, Hib, and PCV (pneumococcal ) are at 81-83%. 80% of the under/unvaccinated refuse the vaccine due to philosophical, religious or safety concerns. These groups of children would be at risk of contracting measles, for instance, if exposed to an imported case.
Evidence has shown that the majority of children with sore throats receiving medical attention receive antibiotics. However, only approximately 25% of these children have bacterial infection as the cause of the pain. Examination of the throat/tonsillar area has also been shown to not be a reliable indicator of bacterial infection. Most cases of exudative (pus) tonsillitis are in fact caused by viral infection.
Performing a rapid strep test and/or culture is still recommended as the standard in deciding whether to treat with antibiotics. Amoxicillin is the recommended drug. Keflex is recommended in cases of recurrence of strep infection. Keep in mind that prior drug reactions need to be
Sore throats should be evaluated medically because strep throats can lead to serious life-threatening cardiac and kidney disease. This potential probably is part of the reason clinicians will “overtreat” sore throats with antibiotics.