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Pediatric Infectious Diseases CME

 
 
Pediatric Infectious Diseases: An Evidence-Based Approach

April 26-30, 2010 (8:00am-12:15pm)
Location: Hyatt Regency Sarasota, Florida
20 AMA PRA Category 1 Credits™
20 CME Credits - ACEP AAFP ACOG AAP
Course #SEMLA-2420100426
Price: $645.00 - $795.00

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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NARRATIVE DESCRIPTION: Following this course, the participant should be able to recognize the epidemiology and classify commonly presenting infectious diseases; identify the various serious infections requiring immediate therapy; choose appropriate lab evaluation and identify when to refer to a specialist. This activity is expected to result in increased confidence in making an appropriate diagnosis and providing effective treatment and referral or follow-up care with the overall goal of improving patient outcomes.

The emphasis will be on current guidelines and evidence-based medicine, as indicated within each topic’s specific objectives, with a focus on diagnosis, treatment and when to refer. Since Infectious Diseases is a specialty field of medicine that affects all areas of Primary Care to include: FM, IM, EM and Pediatrics, this course was designed to cover the spectrum of Infectious Diseases essential to all practitioners at the level of a practicing physician.

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. Influenza: What’s New and What You Can 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. Clinical Approach to Congenital Infections.

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Pediatric Infectious Diseases: An Evidence-Based Approach
April 26-30, 2010
Location: Hyatt Regency Sarasota, Florida

SPECIFIC OBJECTIVES
Day 1Pediatric Immunization Update - Upon completion of this session, using information published by the CDC and AAP, the participant should be able to:
1.Describe the relevant epidemiology of specific vaccine-preventable diseases.
2.Appropriately use newer vaccines.
3.Approach the problem of vaccine refusal.
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 bacterial resistance, as recommended by the CDC.
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.Perform an office-based evaluation of the child with frequent infections.
2.Recognize the presentation of the most common causes of recurrent infections in childhood, decide when to consider immune deficiency states, then define the management issues for physician providing pediatric healthcare.

Day 2The Age of MRSA - Upon completion of this session and using the evidence-based guidelines from the CDC, the Pediatric Infectious Diseases Society, and EBM publications, the participant should be able to:
1.Describe the emergence and development of drug resistance that led to MRSA.
2.Discuss the prevalence differences and clinical diagnosis and treatment of community and hospital associated MRSA.
3.Recognize the importance of accurate and timely diagnosis when confronted with the possibility of MRSA.
4.Stratify management according to clinical scenario and severity.
5.Apply practical and proven preventative measures to reduce the risk and 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.Evaluate and manage patients according to AAP/AHA guidelines.
3.Recognize the potential for coronary complications.

Day 3Acute Otitis Media: Of Pathogens and Patients - Upon completion of this session, the participant should be able to:
1.Recognize trends in resistance in pediatric pathogens.
2.Identify key recommendations in AAP/AAFP guidelines.
3.Appropriately prescribe empiric antibiotic therapy.
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 therapy, incorporating recent IDSA guidelines.
Fever in Infants - Upon completion of this session, and using the evidence-based guidelines from EBM publications, the participant should be able to:
1.Identify the common bacterial pathogens associated with fever in infants < 8 weeks of age as compared to older infants.
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, and using the evidence-based guidelines from EBM publications, 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.

Day 4Virus 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 appropriately laboratory work-up based on the situation.
Influenza: What’s New and What You Can Do - Upon completion of this session, the participant should be able to:
1.Identify recent changes in influenza epidemiology.
2.Enumerate recommendations for immunization.
3.Describe options for antiviral prophylaxis and treatment.
Urinary Tract Infections - Upon completion of this session and using the evidence-based guidelines from the AAP, 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.
4.Discuss the controversies concerning follow-up and prevention strategies.
Infectious Diseases Walking Through Your Office Door - Upon completion of this session using the evidence-based guidelines from the AAP and the Red Book, the participant should be able to:
1.Prepare for common and emerging infectious diseases.
2.Recognize important symptoms and signs.
3.Formulate a plan for management.

Day 5Pediatric 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 pathogens and treatment concerning bacterial meningitis in children.
3.Recognize the management priorities and potential complications of bacterial meningitis.
4.Explain the effects of immunizations practices on 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 presentation of cat scratch disease and the general approach to diagnosis.
2.Explain the use and limitations of diagnostic laboratory testing options.
3.Utilize the appropriate treatment 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.
Clinical Approach to Congenital Infections - Upon completion of this session, the participant should be able to:
1.Recognize clinical / laboratory evidence of different infections.
2.Discuss the role maternal serologic testing.
2.Provide therapy and long-term management plans.

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