ABSTRACT
INTRODUCTION: Social adversities such as financial insecurity, poor access to healthcare, shortage of food, and housing concerns can significantly impact health, especially for pediatric patients. The American Academy of Pediatrics recommends that pediatricians address social risks and provide interventions. This is a study where a social needs assessment screening tool was implemented at a general pediatrics clinic in Sioux Falls, South Dakota, to determine the needs of patients in the community with secondary outcomes evaluating ethnic differences in social needs. METHODS: Caregivers of pediatric patients being seen for a well-child examination were asked to participate by completing a social needs assessment form. If social needs were indicated, the clinic's health coach or the integrative health therapist contacted families to address the social need with resources available in the community. RESULTS: Caregivers completed 240 forms. Sixty-eight (31 percent) of caregivers had at least one need, house utilities being the most common followed by childcare. Total number of needs was significantly affected by race and insurance status with more needs identified in American Indian and Black ethnicities and those with public insurance. CONCLUSIONS: This was a successful implementation of a social needs assessment tool at a General Pediatric clinic. Further development and implementation of screening tools is necessary to continue to determine social needs of patients.
Subject(s)
Accidental Falls , Pediatrics , Accidental Falls/prevention & control , Caregivers , Child , Child Care , Humans , Needs AssessmentABSTRACT
We present a case of endogenous endophthalmitis in a 13-year-old boy with methicillin-resistant Staphylococcus aureus sepsis. The patient underwent magnetic resonance imaging of the brain after intermittent anisocoria was noted on examination, leading to a diagnosis of endophthalmitis with a chorodial abscess.
Subject(s)
Bacteremia/microbiology , Endophthalmitis/microbiology , Eye Infections, Bacterial/microbiology , Leg Injuries/microbiology , Methicillin-Resistant Staphylococcus aureus/isolation & purification , Staphylococcal Infections/microbiology , Abscess/diagnosis , Abscess/drug therapy , Abscess/microbiology , Adolescent , Anti-Bacterial Agents/therapeutic use , Bacteremia/diagnosis , Bacteremia/drug therapy , Basketball/injuries , Endophthalmitis/diagnosis , Endophthalmitis/drug therapy , Eye Infections, Bacterial/diagnosis , Eye Infections, Bacterial/drug therapy , Humans , Intravitreal Injections , Leg Injuries/diagnosis , Magnetic Resonance Imaging , Male , Staphylococcal Infections/diagnosis , Staphylococcal Infections/drug therapy , Vancomycin/therapeutic useABSTRACT
Respiratory tract infections (RTIs) are common in the pediatric population and contribute to a large portion of health care expenditure. A variety of modalities currently exist for testing for these pathogens in patients and as technology advances new, more efficient and specific tests are becoming available. This article reviews the most common causes of respiratory tract infections and the available testing modalities.
Subject(s)
Microbiological Techniques/methods , Respiratory Tract Infections/diagnosis , Child , Health Care Costs , Humans , Respiratory Tract Infections/economics , Respiratory Tract Infections/microbiologyABSTRACT
We present two children diagnosed with spontaneous pneumomediastinum. The first case is a 9-year-old male who developed neck pain with a history of poorly controlled asthma and recently diagnosed right middle lobe pneumonia. The second case is a 14-year-old male who developed chest pain with a history of cough and congestion for four days. We describe their clinical courses and discuss briefly the epidemiology, pathophysiology, diagnosis, and treatment of spontaneous pneumomediastinum. Though relatively rare in occurrence, we present these cases of spontaneous pneumomediastinum to demonstrate the variation in presentation.
