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by Stephen C. Eppes, M.D., F.A.A.P. - Jefferson Medical College, Thomas Jefferson University; Professor of Pediatrics; Associate Director of Infectious Diseases, Alfred I. duPont Hospital for Children, Wilmington, DE and Michael J. Muszynski, M.D., F.A.A.P. - Florida State University College of Medicine; Regional Campus Dean and Professor of Clinical Sciences; Staff Physician, Arnold Palmer Hospital for Children, Orlando, FL.
Learning Objectives
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| EDUCATIONAL GAP AND NEEDS ANALYSIS STATEMENT: There is a need to maintain and improve the clinical diagnostic and therapeutic skills of the Primary Care Practitioner in the field of Pediatric Infectious Diseases. The need for review and updates in issues of Pediatric Infectious Diseases is very important in this age of antibiotic resistance, rapidly emerging disease, vaccines, and frequently changing therapeutic regimens. This CME activity addresses these timely and practical issues and how they impact the Practitioners and patients of the Primary Care practice. The topics presented will enhance and improve clinical outcomes through specific changes in physician behavior regarding diagnosis and use of antibiotics.
| | Day 1 |
Pediatric Immunization Update. Antibiotic Update. Serious Infections of the Head and Neck. The Child with “Too Many” Infections. |
| Day 2 |
The Age of MRSA. Cases from the Files of a Pediatric ID Consultant. Chief Complaint: Fever and Rash. Kawasaki Disease. |
| Day 3 |
Acute Otitis Media: Of Pathogens and Patients. Tick-Borne Infections: Hot Spots and Bullseyes. Fever in Infants. Pediatric Lower Respiratory Infections. |
| Day 4 |
Virus X: Ubiquitous, Uncanny, Understandable. Fever: When to Worry, What to Do. Urinary Tract Infections. Infectious Diseases Walking Through Your Office Door. |
| Day 5 |
Pediatric Meningitis Revisited. Cat Scratch Disease: Old and New. Lymphadenopathy in Children: Diagnostic Approach. The Top Pediatric Infectious Diseases Articles of the Year. |
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Pediatric Infectious Diseases: An Evidence-Based Approach
April 27 – May 1, 2009
Location: Hyatt Regency Sarasota, Florida
OBJECTIVES
| OVERALL OBJECTIVES: The overall objective is to provide the participant with practical and clinically relevant information. Upon completion of this CME activity, the physician or healthcare provider should be able to describe the current approach to formulating differential diagnoses, diagnostic, therapeutic, and preventive management of the various disciplines presented. |
| SPECIFIC OBJECTIVES
| | Day 1 | Pediatric Immunization Update. - Upon completion of this session, the participant should be able to:
| 1. | Review recent changes in childhood immunizations and newly available vaccines.
| | 2. | Anticipate future innovations in immunization.
| | Antibiotic Update. - Upon completion of this session, the participant should be able to:
| | 1. | Review recent trends in antibiotic resistance.
| | 2. | Improve empiric antibiotic usage for common pediatric conditions.
| | 3. | Develop strategies to resist further development of antibiotic resistance.
| | Serious Infections of the Head and Neck. - Upon completion of this session, the participant should be able to:
| | 1. | Recognize differences and similarities in the clinical appearance, diagnosis and treatment of peritonsillar, retropharyngeal and parapharyngeal space infections.
| | 2. | Outline the approach to the child with red, swollen eye or cheek.
| | The Child with “Too Many” Infections. - Upon completion of this session, the participant should be able to:
| | 1. | Become familiar with the office evaluation of the child with frequent infections.
| | 2. | Recognize the presentation of the most common causes of recurrent infections in childhood when to consider immune deficiency states, then define the management issues for physician providing pediatric healthcare.
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| | Day 2 | The Age of MRSA. - Upon completion of this session, the participant should be able to:
| 1. | Describe the emergence and development of drug resistance and MRSA in particular.
| | 2. | Appreciate the prevalence and differences in diagnosing and treating both community and hospital acquired MRSA.
| | 3. | Recognize the importance of appropriate and timely diagnosis when confronted with MRSA.
| | 4. | Recognize the alternative therapies recommended when challenged by MRSA.
| | 5. | Identify some practical preventative measures in helping to reduce the incidence of MRSA.
| | Cases from the Files of a Pediatric ID Consultant. - Upon completion of this session, the participant should be able to:
| | 1. | Learn from instructive pediatric infectious diseases cases and be able to construct approaches to a variety of interesting clinical challenges as presented to the ID consultant.
| | 2. | Recognize that non-infectious conditions may masquerade as infectious diseases and that the history is the key to most diagnoses.
| | Chief Complaint: Fever and Rash. - Upon completion of this session, the participant should be able to:
| | 1. | Recognize distinctive clinical illnesses with fever and rash.
| | 2. | Develop an approach to clinical and laboratory diagnosis.
| | Kawasaki Disease. - Upon completion of this session, the participant should be able to:
| | 1. | Recognize clinical/laboratory manifestations of Kawasaki disease.
| | 2. | Prescribe appropriate therapy for the condition.
| | 3. | Recognize the potential for coronary complications.
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| | Day 3 | Acute Otitis Media: Of Pathogens and Patients. - Upon completion of this session, the participant should be able to:
| 1. | Recognize recent trends in resistance in pediatric pathogens.
| | 2. | Appropriately prescribe empiric antibiotic therapy.
| | 3. | Reduce unnecessary antibiotic usage.
| | Tick-Borne Infections: Hot Spots and Bullseyes. - Upon completion of this session, the participant should be able to:
| | 1. | Appreciate the epidemiology of tick-borne infections.
| | 2. | Recognize the clinical/laboratory manifestations.
| | 3. | Appropriately prescribe empiric therapy.
| | Fever in Infants. - Upon completion of this session, the participant should be able to:
| | 1. | Identify the common bacterial pathogens associated with fever in infants < 8 weeks.
| | 2. | Discuss the rationale for current diagnostic evaluation in these patients.
| | 3. | Apply the appropriate treatment options for this patient population.
| | Pediatric Lower Respiratory Infections. - Upon completion of this session, the participant should be able to:
| | 1. | Recognize the association of age, seasonal, clinical presentation, and chest x-ray findings with etiology of pediatric pneumonia.
| | 2. | Describe the diagnostic approach to infants and children suspected to have pneumonia and discuss the treatment options and the implications of emerging bacterial resistance.
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| | Day 4 | Virus X: Ubiquitous, Uncanny, Understandable. - Upon completion of this session, the participant should be able to:
| 1. | Discuss the pathophysiology of Epstein-Barr virus infection.
| | 2. | Recognize the diverse clinical manifestations of EBV infection.
| | 3. | Order appropriate laboratory work-up based on the situation.
| | Fever: When to Worry, What to Do. - Upon completion of this session, the participant should be able to:
| | 1. | Identify biologic reasons for fever.
| | 2. | Develop an approach to fever of unknown origin.
| | 3. | Recognize specific diseases and syndromes associated with fever in children.
| | Urinary Tract Infections. - Upon completion of this session, the participant should be able to:
| | 1. | Describe the clinical situations in which urinary tract infections should be considered.
| | 2. | Identify diagnostic methods for urinary tract infection, characterize their reliability and application, and list their limitations.
| | 3. | Select the most appropriate treatment options and follow up strategies.
| | Infectious Diseases Walking Through Your Office Door. - Upon completion of this session, the participant should be able to:
| | 1. | Prepare for emerging infectious diseases.
| | 2. | Recognize important symptoms and signs.
| | 3. | Formulate a plan for management.
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| | Day 5 | Pediatric Meningitis Revisited. - Upon completion of this session, the participant should be able to:
| 1. | Discuss common presenting features of bacterial and viral meningitis.
| | 2. | Identify the common pathogens and treatment for bacterial meningitis in children.
| | 3. | Recognize the management priorities and potential complications of bacterial meningitis.
| | Cat Scratch Disease: Old and New. - Upon completion of this session, the participant should be able to:
| | 1. | Recognize the classic and more recently described clinical presentations of cat scratch disease and the general approach to diagnosis.
| | 2. | Become familiar with the treatment options for the various clinical conditions associated with Bartonella henselae infection.
| | Lymphadenopathy in Children: Diagnostic Approach. - Upon completion of this session, the participant should be able to:
| | 1. | Differentiate serious from reactive adenopathy.
| | 2. | Approach patient based on location and tempo of adenopathy.
| | 3. | Use appropriate laboratory aids in diagnosis.
| | The Top Pediatric Infectious Diseases Articles of the Year. - Upon completion of this session, the participant should be able to:
| | 1. | Review critical information in the field.
| | 2. | Stimulate discussion among colleagues and effect changes in practice patterns.
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