Establishing clinically relevant standards for tachypnea in febrile children younger than 2 years

Article Abstract:

Higher than normal respiratory rates may indicate pneumonia in children under two years of age with fever. A study of 572 children with fever obtained respiratory rates and compared these with clinical and x-ray diagnoses. Forty-two children were diagnosed with pneumonia, and these children were more likely than the others to have high respiratory rates and high fevers. A respiratory rate above 59 per minute was found to indicate pneumonia in children less than six months old, above 52 per minute for children six to eleven months, and above 42 per minute for children aged one to two years. Seventy-four percent of children with pneumonia had rapid rates of breathing. The use of such respiratory rates may eliminate the need for chest x-rays to rule out pneumonia.

Abnormalities, Diagnosis, Complications and side effects, Fever in children, Childhood fever, Pneumonia in children, Childhood pneumonia, Respiration

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Reactions of pediatricians to the recommendation for universal varicella vaccination

Article Abstract:

Many pediatricians do not routinely vaccinate their young patients against chickenpox. A survey of 345 pediatricians in Washington State found that only 42% adhered to a report by the American Academy of Pediatrics recommending universal vaccination of children with the chickenpox vaccine. Physicians who had experience treating complications of chickenpox were more likely to recommend the vaccine. Physicians who believed complications were rare or that the vaccine did not provide lifelong immunity were less likely to recommend it.

Usage, Practice, Pediatricians

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Parental Attitudes Toward Varicella Vaccination

Article Abstract:

Most parents want a chickenpox vaccine that will prevent rare complications of chickenpox and confer lifelong immunity. This was the conclusion of a survey of 598 parents. Most did not consider vaccination worthwhile if the only benefit was preventing them from losing time at work. Parents were more likely to have a high opinion of the vaccine if their pediatrician recommended it.

Surveys, Beliefs, opinions and attitudes, Parents

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