Literatura Relevante en Dermatología Pediátrica!

Published in Dermatology

Expert Opinion / Conference Coverage · August 09, 2016

Pediatric Dermatology Literature Year in Review: Report From SPD 2016

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 Sarah L Chamlin MD

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Dr. Kevin Boyd from the University of Alabama in Birmingham reviewed articles published over the past year relevant to pediatric dermatologists.1

Sutter DE, Milburn E, Chukwuma U, et al. Changing Susceptibility of Staphylococcus aureus in a US Pediatric Population. Pediatrics. 2016;137(4): e20153099.

• There are been a declining number of MRSA infections in adults, and this study reports decreasing rates of MRSA in children as well. Notably, susceptibility to oxacillin increased and resistance to clindamycin significantly decreased over the time period studied, 2005 to 2014. This is another wake-up call to avoid the overuse of clindamycin.

Trenchs V, Hernandez-Bou S, Bianchi C, et al. Blood Cultures Are Not Useful in the Evaluation of Children with Uncomplicated Superficial Skin and Soft Tissue Infections. Pediatr Infect Dis J. 2015;34(9):924-927.

• Obtaining blood cultures in immunocompetent children with uncomplicated superficial skin and soft tissue infections (impetigo, abscesses, and cellulitis) is not useful and is not suggested by the authors of this Spanish study.

Fleischer DM, Sicherer S, Greenhawt M, et al. Consensus Communication on Early Peanut Introduction and the Prevention of Peanut Allergy in High-risk Infants. Pediatrics. 2015;136(3):600-604.

• Early introduction of peanut to infants at high risk for peanut allergy (ie, those with a history of egg allergy or severe eczema) is recommended to reduce this risk. The study reported an 11% to 25% absolute reduction in risk of developing peanut allergy in high-risk infants. While dermatologists should be aware of the LEAP trial,2 counseling for infant food introduction is most often left to the primary care provider or an allergist.

Chiu CY, Huang SY, Peng YC, et al. Maternal vitamin D levels are inversely related to allergic sensitization and atopic diseases in early childhood. Pediatr Allergy Immunol. 2015;26(4):337-343.

• Maternal vitamin D levels are inversely related to allergic sensitization and atopic diseases in early childhood. Mothers with deficient vitamin D in this 4-year study had infants with a higher prevalence of allergen sensitization (food and dust mite) before the age of 2 years, and higher vitamin D levels were associated with a lower risk in offspring for asthma and eczema.

References:

1. Boyd K. The Year in Review: Pediatrics. Paper presented at: 42nd Annual Society for Pediatric Dermatology Meeting; July 14-17, 2016; Minneapolis, MN.

2. Du Toit G, Roberts G, Sayre PH, et al. Randomized Trial of Peanut Consumption in Infants at Risk for Peanut Allergy. N Engl J Med. 2015;372(9):803-813.
3. Trenchs V, Hernandez-Bou S, Bianchi C, Arnan M, Gene A, Luaces C. Blood Cultures Are Not Useful in the Evaluation of Children with Uncomplicated Superficial Skin and Soft Tissue Infections. Pediatr Infect Dis J. 2015 Sep;34(9):924-7.
4. Fleischer DM, Sicherer S, Greenhawt M, et al. Consensus Communication on Early Peanut Introduction and the Prevention of Peanut Allergy in High-risk Infants. Pediatrics. 2015 Sep;136(3):600-4.