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Bursting the Steroid Bubble: Short-term Use Has Its Consequences

Short courses of corticosteroids, also known as “steroid bursts,” are frequently utilized in both pediatrics and adults; however, evidence supporting the safety of these bursts is lacking. Long-term use of oral corticosteroids is associated with a number of serious adverse effects.  New evidence suggests that a steroid burst is not risk-free.

Guest Authors:  Irene Ruiz, PharmD and Kristine A. Parbuoni, PharmD, BCPPS

Music by Good Talk

Don’t Kid Yourself: Broad- versus Narrow-Spectrum Antibiotics in Children

Overuse of broad-spectrum antibiotics can lead to antimicrobial resistance, increased cost, and higher prevalence of adverse drug reactions. Nearly 2 million infections and 23,000 deaths are caused by bacteria that are antibiotic-resistant each year in the United States costing the healthcare system an estimated 20 billion dollars. Moreover, adverse reactions to antibiotics are the most common reason for pediatric patients to visit the emergency department.  Narrow-spectrum antimicrobials are generally preferred, but there are instances where broader coverage is recommended.  A recent study attempts to “clean up” the debate by examining the benefits and risks of using narrow- versus broad-spectrum antibiotics in children with acute respiratory tract infections.

Guest Authors:  Amber Giles, PharmD, MPH, BCPS, AAHIVP  and Paige Hughes, PharmD

Music by Good Talk

Preventing Pediatric Dosing Errors – Is It Time to Dump the Medicine Cup?

Children are often given liquid dosage forms for both prescription and over-the-counter medicines.  Several studies have shown that caregivers unintentionally put children at risk by inaccurately measuring the dose of liquid medications.  In 2015, the American Academy of Pediatrics (AAP) adopted a policy statement which recommends exclusively using milliliters for dosing instructions to prevent dosing errors.  Our guest today critically examines a recent study that examined labeling and dosing tools that may contribute to medication errors.

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