AAP Clinical Practice Guidelines for Sinusitis
The revised Clinical Practice Guideline for the Diagnosis and Management of Acute Bacterial Sinusitis in Children 1-18 updates AAP recommendations previously issued in 2001. Published in PEDIATRICS (July 2013; 132:e262-e280; http://pediatrics.aappublications.org/cgi/doi/10.1542/peds.2013-1071), the evidence-based recommendations are intended for use in a variety of clinical settings, including pediatric offices, emergency departments, and hospitals. The most significant areas of change from the 2001 guidelines are the addition of a clinical presentation designated as “worsening course,” inclusion of new data on the effectiveness of antibiotics in children with acute sinusitis, an option to observe for three days before initiating treatment in children presenting with “persistent” infection, and a review of evidence indicating that imaging is not necessary to identify children who will benefit from antimicrobial therapy.
AAP Fact Sheet on FPIES
A Fact Sheet on Food Protein-Induced Enterocolitis Syndrome (FPIES) was included as an insert in the October 2012 issue of AAP News to further emphasize the importance of improving awareness of this allergic condition. This one-page summary, developed in collaboration with The International Association of Food Protein Enterocolitis, can also be found via the following link: http://www2.aap.org/sections/allergy/FPIES.pdf
New Consultation Resources
The SOAI Task Force for promoting appropriate allergy-immunology consultation has developed a concise brochure describing how the allergy/asthma/immunology specialist can help the primary pediatric practitioner with patient management. This single page document clarifies when consultation is appropriate for obvious allergic conditions, but also stresses the value of having the specialist see patients with recurrent symptoms and infections. It was compiled with input from a focus group of general pediatricians. The goal was to provide an easy-to-read resource for consultation that section members could provide to pediatricians in their area.
A generic consultation template has also been developed which should be useful for any specialist evaluation to help clarify the main concerns and to facilitate good communication between practitioners.
These new consultation resources can be accessed via the AAP Member Center gray box below.