Penicillin-resistant pneumococci from pediatric patients in the Washington, DC, area

Article Abstract:

The prevalence of penicillin-resistant pneumococci appears to be increasing. These strains also tend to be resistant to other antibiotics as well. Streptococcus pneumoniae are common causes ear infection, sinus infection, pneumonia, blood poisoning, and meningitis. Between 1992 and 1993, 108 different strains of streptococcus were isolated primarily from blood or cerebral spinal fluid from patients at Children's National Medical Center, Washington, D.C. Thirteen percent of these strains were penicillin resistant: 8% had intermediate resistance and 5% had high resistance. In addition, many of these strains were resistance to other antibiotics. All 14 children infected with penicillin-resistant strains were eventually cured. The prevalence of penicillin resistance is similar to that found in two recent studies of Texas children. By comparison, a nationwide study covering 1979 to 1987 found 5% of streptococci strains had intermediate penicillin resistance and 0.02% had high resistance.

Demographic aspects, Drug resistance in microorganisms, Microbial drug resistance, Streptococcus pneumoniae

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Clinical teaching rounds: a case-oriented faculty development program

Article Abstract:

Faculty conferences on teaching technique can improve the quality of teaching by an appreciable amount. A series of one-hour conferences was held as a study which included simulation of a complaint to be learned, discussions on teaching in particular situations, videotapes of clinical teaching, and live clinical teaching. The faculty which attended, some 40% of the total faculty, showed significant improvement in their teaching, according to ratings for feedback and for overall effectiveness.

Methods, Teaching, Training, Medical school faculty, Medical teaching personnel

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Pediatric Resident and Faculty Knowledge of the Denver II

Article Abstract:

All pediatric medical interns should receive training in the use of the Denver II. The Denver II is a screening tool to identify children with developmental problems. It is based on developmental milestones that most children reach as they grow up. In a study of 78 pediatric medical interns, 45 who watched a videotape on the Denver II scored higher on the Denver II Proficiency Written Test than the remaining residents. They also scored higher than some pediatrics faculty members.

Diagnosis, Education, Developmental disabilities, Interns (Medicine), Medical interns

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