Pediatrician - New Port Richey
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New Port Richey, FL 34655
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Posts for: October, 2016

By Sheridan Hernandez MD
October 27, 2016
Category: infants
Tags: babies   SIDS  

New AAP SIDS (sudden infant death syndrome) prevention guidelines.                                  

 

The American Academy of Pediatrics (AAP) has recently released a report indicating that studies have shown, that sleeping in the same room as your infant for up to 1 year can significantly reduce the risk of SIDS.

 

Currently, according to the CDC, about 3500 infant deaths a year are attributed to SIDS and other sleep related disorders. Babies are at greatest risk for SIDS from birth to 4 months of age, but are still considered at some risk for the first year of life. Recent research has shown that sleeping in the same room as your infant for at least the first 6 months of life, and ideally the first year of life, can decrease the risk of SIDS by 50%. However, this does not mean having the baby co sleep with parents in their bed. Adult mattresses tend to be too soft, there is too much loose sheeting and blankets that can cause strangulation, and baby can over heat, all of which can increase the risk of SIDS. Your infant should be in a crib or bassinet with a firm mattress, without bumpers, stuffed animals and a lot of loose blankets. Baby should also, always be placed on his or her back.

 

Other things that a parent can do to prevent SIDS is keeping the room temperature between 68 and 72 degrees Fahrenheit, and running a ceiling fan that keeps air flowing. Also, according to the AAP report, breastfeeding significantly reduces risk of SIDS, as does keeping a tobacco smoke free environment. The report also found that pacifier use reduces the SIDS risk and is now recommended for sleep and nap times. Babies should not be left to sleep for long periods in car seats, strollers and swings.

 

Finally, the AAP reports that, so called safety items that are offered and sold to parents, have not been proven to reduce the incidence of SIDS. These include anti SIDS mattresses and home cardiopulmonary monitors. Parents likely should not waste their money on these items. The AAP reports they are unable to offer a recommendation at this time, on bedside sleepers that attach to parents' beds, as there is insufficient research.

 

Fortunately SIDS is relatively rare but it is always tragic when it does occur. Following the AAP guidelines should help parents to feel less anxious, and in spite of having a newborn, may actually help parents to sleep a little better.

 

 

 

Dr. Hernandez

 

 


By Thuy Pham MD
October 17, 2016
Category: Zika

Best Insect Repellents to Protect Against Zika Virus 

 

Zika infection is transmitted by the Aedes mosquito. Prevention plays a crucial role in deterring its spread as there is currently no available treatment. The Center of Disease Control recommends limiting travel to high risk areas, using protective clothing, mosquito control outside and inside the home and applying topical insect repellent. However  choosing the right bug spray can be a challenging and confusing process due to the vast number of products available over the counter.

 

Insect repellents sold in the US are required to be registered with the Environmental Protection Agency. This process requires data documenting the efficacy and safety of the repellent both to humans and to the environment.  Although numerous active ingredients are available on the market, The CDC and the American Academy of Pediatrics recommend DEET(N<N-diethyl-meta-toluamide), picaridin IR3535, oil of lemon eucalyptus, or para-methane-diol. Published literature revealed that DEET at 20% concentration or greater was the most effective insect repellent.

 

According to the EPA, DEET has low toxicity; it can be safely used in children, pregnant women and adults without any age restriction.  The concentration of DEET in an insect repellent is important, since a higher concentration correlates with longer duration of protection.

 

Recently Consumer Reports evaluated and compared several insect repellents against Aedes mosquitoes.  Below is a summary of the most recommended effective products.

 

Products                         Active Ingredients                            Features

 

Off Deep Woods VIII             DEET 25%                              8-hour duration

 

Bens 30% DEET Tick             DEET 30%                              7.5-hour duration

and Insect Wilderness

Formula                                                  

 

Sawyer Family Insect              DEET 20%                              11-hour duration

Repellent                                                                                 Timed-release product

 

Natrapel                                   Picaridin 20%                          8-hour duration

 

Repel Lemon                           Oil of Lemon                           7-hour duration

Eucalyptus                               Eucalyptus 30%

 

 

I hope you find this information helpful. 


Thuy Pham, MD, FAAP




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