Abstract:
:In February 1981, a measles outbreak occurred in a pediatric practice in DeKalb County, GA. The source case, a 12-year-old boy vaccinated against measles at 11 1/2 months of age, was in the office for one hour on the second day of rash, primarily in a single examining room. On examination, he was noted to be coughing vigorously. Seven secondary cases of measles occurred due to exposure in the office. Four children had transient contact with the source patient as he entered or exited through the waiting room; only one of the four had face-to-face contact within 1 m of the source patient. The three other children who contracted measles were never in the same room with the source patient; one of the three arrived at the office one hour after the source patient had left. The risk of measles for unvaccinated infants (attack rate 80%, 4/5) was 10.8 times the risk for vaccinated children (attack rate 7%, 2/27) (P = .022, Fisher exact test, two-tailed). Airflow studies demonstrated that droplet nuclei generated in the examining room used by the source patient were dispersed throughout the entire office suite. Airborne spread of measles from a vigorously coughing child was the most likely mode of transmission. The outbreak supports the fact that measles virus when it becomes airborne can survive at least one hour. The rarity of reports of similar outbreaks suggests that airborne spread is unusual. Modern office design with tight insulation and a substantial proportion of recirculated ventilation may predispose to airborne transmission.
journal_name
Pediatricsjournal_title
Pediatricsauthors
Bloch AB,Orenstein WA,Ewing WM,Spain WH,Mallison GF,Herrmann KL,Hinman ARsubject
Has Abstractpub_date
1985-04-01 00:00:00pages
676-83issue
4eissn
0031-4005issn
1098-4275journal_volume
75pub_type
杂志文章相关文献
PEDIATRICS文献大全abstract:OBJECTIVES:To evaluate whether preterm thrombocytopenia within 24 hours of birth is associated with delayed closure of patent ductus arteriosus (PDA) and higher proportion of hemodynamically significant PDA (Hs-PDA). METHODS:Neonates (gestation 260/7-336/7 weeks, age <24 hours) with known platelet count and PDA on ech...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2016-1627
更新日期:2016-10-01 00:00:00
abstract::A sample of 90 children with Down's syndrome were measured for recumbent length and weight from birth to age 36 months at the Children's Hospital Medical Center in Boston. At birth, means for both length and weight were reduced by about 0.5 SDs from the control group means. By 36 months, mean recumbent length was grea...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1978-04-01 00:00:00
abstract:OBJECTIVE:To determine the sensitivity, specificity, predictive value, and accuracy of a program of pulse oximetry screening of asymptomatic newborns for critical congenital cardiovascular malformation (CCVM). METHODS:Pulse oximetry was performed on asymptomatic newborns in the well-infant nurseries of 2 hospitals. Ca...
journal_title:Pediatrics
pub_type: 杂志文章,多中心研究
doi:10.1542/peds.111.3.451
更新日期:2003-03-01 00:00:00
abstract:OBJECTIVES:To describe the prevalence and secular trends of high weight-for-length among infants (ages, 3-23 months) in the biennial US Department of Agriculture Women, Infants, and Children Program and Participants Characteristic (WIC-PC) Survey from 2000 through 2014 (n = 16 927 120). METHODS:Weight-for-length was c...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2016-2034
更新日期:2017-01-01 00:00:00
abstract:OBJECTIVE:To test how prevalence estimates and characteristics of children vary by the way that disability is defined. Specifically, to determine 1) the proportions of children identified as disabled by one particular operationalization of disability based on parental reports of three types of consequences (i.e., funct...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.101.6.1025
更新日期:1998-06-01 00:00:00
abstract:OBJECTIVE:In 1982, Tolarova(4) found a reduction in the recurrence rate of isolated cleft lip (CL) with or without cleft palate (CP; CL +/- CP) after periconceptional supplementation with a multivitamin including a very high dose (10 mg) of folic acid. The Hungarian randomized, double-blind, controlled trial of pericon...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.104.6.e66
更新日期:1999-12-01 00:00:00
abstract:OBJECTIVE:A prospective study was performed to assess the relationship between the appearance of cerebral MRI at term and the cognitive functioning at 9 years old in very preterm born infants. METHODS:Seventy-six very preterm born infants (birth weight <1500 g or gestational age ≤32 weeks) obtained cerebral MRI at ter...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2011-1735
更新日期:2012-05-01 00:00:00
abstract:OBJECTIVES:To examine: 1) the relationship between residents' responses toward caring for underserved children and families during residency and their perceptions of their continuity clinic experience; and 2) which characteristics are related to continuing to care for the underserved after completion of training. DESI...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.106.5.1022
更新日期:2000-11-01 00:00:00
abstract::The case history of a baby with neonatal pemphigus vulgaris is presented. This is the 13th case of pemphigus vulgaris during pregnancy reported in the literature. The correlations between the clinical, histologic, and immunofluorescent findings are discussed and a review of all previously reported cases is presented. ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1986-12-01 00:00:00
abstract::In this report we describe the outcome of a consensus meeting that occurred at the National Institutes of Health in Bethesda, Maryland, March 12 through 14, 2005. The meeting brought together 39 specialists from multiple clinical and research disciplines including developmental pediatrics, neurology, neurosurgery, ort...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2005-3016
更新日期:2006-11-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Physicians have a major influence on parental vaccine decisions. We tested a physician-targeted communication intervention designed to (1) reduce vaccine hesitancy in mothers of infants seen by trained physicians and (2) increase physician confidence in communicating about vaccines. METHODS:W...
journal_title:Pediatrics
pub_type: 杂志文章,随机对照试验
doi:10.1542/peds.2014-3199
更新日期:2015-07-01 00:00:00
abstract::Experience with ten children with superior vena cava obstruction is reported. Five patients had non-Hodgkin's lymphoma, two had Hodgkin's disease, two had benign lesions, and one patient was suspected on clinical and radiologic basis to have a lymphoma. The clinical situation at presentation was often critical and req...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1983-03-01 00:00:00
abstract::The findings reported in this article are based on a nationwide survey of the attitudes and practices of pediatric surgeons and pediatricians with respect to some of the difficult ethical choices confronting them in medical practice. Four hundred fifty-seven physicians completed a questionnaire in the spring of 1975 i...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1977-10-01 00:00:00
abstract:OBJECTIVES:To compare survival rates and age at death among very preterm infants in 10 national and regional neonatal networks. METHODS:A cohort study of very preterm infants, born between 24 and 29 weeks' gestation and weighing <1500 g, admitted to participating neonatal units between 2007 and 2013 in the Internation...
journal_title:Pediatrics
pub_type: 杂志文章,多中心研究
doi:10.1542/peds.2017-1264
更新日期:2017-12-01 00:00:00
abstract:BACKGROUND:There is an increase in the incidence of type 2 diabetes in children and adolescents. Absence of known diabetes autoimmune markers is sometimes required to confirm the diagnosis. OBJECTIVE:To identify clinical and autoimmune characteristics of type 2 diabetes in a pediatric population. METHOD:We report an ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.107.6.e102
更新日期:2001-06-01 00:00:00
abstract:OBJECTIVE:To mitigate the risks of fatigue-related medical errors, the Accreditation Council for Graduate Medical Education introduced work hour limits for resident physicians in 2003. Our goal was to determine whether work hours, sleep, and safety changed after implementation of the Accreditation Council for Graduate ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2007-2306
更新日期:2008-08-01 00:00:00
abstract::Human granulocytic ehrlichiosis (HGE) is an emerging infectious disease that primarily affects adults. Typical clinical features include fever, headache, and myalgias. This case represents the youngest reported patient with HGE. Her clinical presentation was unusual in that she presented with severe abdominal pain. In...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.106.3.602
更新日期:2000-09-01 00:00:00
abstract:OBJECTIVE:We measured physical activity changes among 10-year-old British children over 12 months and assessed biological and demographic determinants. METHODS:Physical activity was measured with accelerometers (counts per minute) over ≥3 days at baseline and 1 year later in a prospective study of 844 children (41.6% ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2010-0048
更新日期:2010-10-01 00:00:00
abstract:OBJECTIVE:We sought to determine the correlates of intent to breastfeed and of successful lactation and nursing at the breast in mothers of very low birth weight (VLBW; <1.5 kg) infants. METHODS:We conducted a prospective observational study of 119 mothers of singleton VLBW infants (mean birth weight: 1056 g; mean ges...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.109.4.e57
更新日期:2002-04-01 00:00:00
abstract:OBJECTIVE:The goal was to identify, among extremely low birth weight (
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2008-2742
更新日期:2009-07-01 00:00:00
abstract:OBJECTIVE:To determine if high levels of somatization symptoms in 13- to 16-year-olds from the general population predict risk of major depression and other psychiatric disorders 4 years later. METHOD:Cohort study, using interview and self-report survey data from the 1983 Ontario Child Health Study (OCHS) and 1987 OCH...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.103.6.1203
更新日期:1999-06-01 00:00:00
abstract::Cocaine use during pregnancy was assessed by interviews and urine assays obtained prenatally and immediately postpartum from 679 urban women enrolled in prenatal care. Of these, 17% were found to have used cocaine at least once during pregnancy. Eight percent had urine assays positive for cocaine metabolites using the...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1988-12-01 00:00:00
abstract:OBJECTIVE:To determine the impact of antibiotic resistance on the frequency, clinical features, and management/outcome of mastoiditis attributable to Streptococcus pneumoniae. DESIGN:Retrospective review of the medical records of children with mastoiditis caused by S pneumoniae from September 1993 through December 199...
journal_title:Pediatrics
pub_type: 杂志文章,多中心研究
doi:10.1542/peds.106.4.695
更新日期:2000-10-01 00:00:00
abstract::Photoisomerization of native bilirubin to more polar configurational isomers (Z,E-bilirubin) and structural isomers (lumirubin) was studied in 20 premature infants with physiologic jaundice to determine the effect of low-dose (6 microW/cm2/nm) v high-dose (12 microW/cm2/nm) phototherapy. Patients were assigned prospec...
journal_title:Pediatrics
pub_type: 临床试验,杂志文章
doi:
更新日期:1985-03-01 00:00:00
abstract:OBJECTIVE:To determine the frequency of child abuse and unintentional injury as a cause of infant and toddler subdural hemorrhage (SDH). METHODS:A prospective case series of a level I regional trauma center, regional children's hospital, and county medical examiner's office assessed consecutive children who were =36...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.108.3.636
更新日期:2001-09-01 00:00:00
abstract:OBJECTIVE:In 1996, the Residency Review Committee-Pediatrics recommended doubling time in continuity clinic to 2 half days per week. It has yet to be demonstrated that increased time in clinic yields greater continuity of care. The objective of this study was to determine whether increasing the number of half days spen...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2003-0280-L
更新日期:2004-10-01 00:00:00
abstract:OBJECTIVE:Tuberculosis (TB) control programs have been less successful among children than among adults in the United States. Between 1992 and 1997, the rate of decline of TB cases among 0- to 14-year-old children was less than the rate of decline among any other age group of US-born persons. Because of the higher prev...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.106.1.e1
更新日期:2000-07-01 00:00:00
abstract:OBJECTIVE:To evaluate a healthy lifestyle intervention to reduce adiposity in children aged 5 to 9 years and assess whether adding parenting skills training would enhance this effect. PARTICIPANTS AND METHODS:We conducted a single-blinded randomized controlled trial of prepubertal moderately obese (International Obesi...
journal_title:Pediatrics
pub_type: 杂志文章,随机对照试验
doi:10.1542/peds.2009-1432
更新日期:2011-02-01 00:00:00
abstract::High-grade reflux commonly lasts longer than moderate reflux, which disappears with maturation of the ureterovesical junction. It is known that ureteral function is affected by urinary tract infection from studies in experimental animals, as well as through clinical findings in patients with upper tract infection. Whe...
journal_title:Pediatrics
pub_type: 杂志文章,评审
doi:
更新日期:1988-07-01 00:00:00
abstract:BACKGROUND:Significant lead poisoning has been associated with imported nonpaint products. OBJECTIVES:To describe cases of pediatric lead intoxication from imported Indian spices and cultural powders, determine lead concentrations in these products, and predict effects of ingestion on pediatric blood lead levels (BLLs...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2009-1396
更新日期:2010-04-01 00:00:00