First, we consider current concern about antibiotic resistance and the push for more thoughtful use of antibiotics, both here and abroad. Dr. Jose Rosa-Olivares and colleagues at Nicklaus Children’s Hospital, Pediatric Care Center in Miami, FL, have written “Otitis Media: To Treat, To Refer, To Do Nothing: A Review for the Practitioner,” full of practical advice (and images such as this, showing a large perforation in chronic suppurative otitis media) on how to deal with the changing epidemiology of acute otitis media in the United States. By chance, as the above authors were preparing their review, Drs. Tal Marom and Sharon Ovnat Tamir of the Edith Wolfson Medical Center, in Holon, Israel, expressed interest in offering us an international commentary on the same topic. Thus, in “Acute Otitis Media Perspectives in Israel,” they share their country’s strategy for reducing the medical burden of AOM in the national healthcare system. Both articles should give readers a sample of how a disease is handled differently, yet similarly, depending on the overall therapeutic concerns for a particular global region.
Next, PIR discusses autoimmune disease, which is not easy to comprehend or to diagnose. There are many available tests that can help the general pediatrician diagnose an autoimmune disease but selecting which test to order is confusing, since pediatricians do not generally deal with these diseases on a daily basis. The articles “Autoimmunity and Immunodeficiency” by Dr. Amrita Dosanjh of Rady Children’s Hospital, San Diego, CA, (see Figure 1) and “Laboratory Evaluation in Pediatric Autoimmune Diseases,” by Drs. Austin Dalrymple and Terry L. Moore of Saint Louis University, SSM Health Cardinal Glennon Children’s Hospital, in St. Louis, MO, attempt to help. They do a good job on a difficult topic.
Finally, this month’s In Brief column discusses “Infectious Disease Prevention: Hospital and Office.” Drs. Thomas Flynn and Steven Spencer of Walter Reed National Military Medical Center, Bethesda, MD, review the specifics and rationales for precautions against contact, droplet, and airborne infections, including precautions to specific infections affecting our patients, our staffs … and ourselves!