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Fast Fact
More than 100 different types of Group A Beta Strep have been identified.
Common sites of infection include the upper respiratory tract; scarlet fever, which includes skin involvement and can be very mild or extremely serious; strep pneumonia (which can also be quite serious); strep skin infections (such as impetigo); strep vaginitis in pre-pubertal girls; and strep bacteremia (or strep in the bloodstream), which can then lead to meningitis, brain abscess, bone infections, joint infections, or even endocarditis (an infection of the valves of the heart).
Strep pharyngitis (commonly known as “strep throat “) is one of the most common strep infections. Strep throat is contagious until antibiotic therapy has been in place for at least 24 hours. It is spread by close contact, both via respiratory droplets and by touch.
The diagnosis of a systemic strep infection should at least be entertained when there is vomiting lasting longer than 24 hours, a high fever, and an elevated white blood count in an ill-appearing child.
The presence of strep infection can be confirmed by performing a culture of the suspected site. Depending on a child’s symptoms, a throat culture, wound culture, blood culture, and/or a blood test may be obtained to evaluate for strep infection.
In the case of strep throat, rapid strep tests can give almost immediate results in the doctor’s office but may miss 10 to 20% of infections. Throat cultures may take 1 to 2 days, but are able to detect infection 95% of the time.
Given the opportunity, starting your baby off with good eating habits is a great way to go. Even if it's too late for that now, an important lesson from the first feedings still applies: New tastes can be acquired! This is good news for vegetable-haters everywhere.
If you drink coffee, you probably remember the first time you took a taste. It was horrible! How could anyone like that disgusting stuff! Many baby foods that we consider very bland have the same impact on children. Children have extremely sensitive taste buds. Their vision may have slightly soft focus, but their senses of taste and smell are much sharper than ours. When it comes to introducing new foods, breast-fed babies have an advantage because the taste of mom's milk varies depending on what she has eaten. Formula-fed babies get the exact same taste every time they drink a bottle, and the introduction of new foods can be more difficult for them. Whichever milk they are fed, new tastes can be acquired.
"My baby hates peas!"
I can't tell you how many times I've heard it.
In an exciting study of babies with a demonstrated dislike for peas (perhaps you can picture the expressive faces of the babies enrolled in the study), each was fed peas as the first bite of solid food for the day. If the baby made a disgusted face or spewed the peas, the peas were not continued that day, in favor of other foods the baby liked. The peas were not force-fed. By the end of only 10 days, 85% of the pea-haters had become pea-lovers! They literally giggled at the sight of peas! Take the time early on to give your bundle of joy a delight in peas, green beans, carrots, squash, and sweet potatoes.
The best way to get your infant to eat any new food is to desensitize him or her to the taste. You can accomplish this by using the new food for the first bite of solids each day for 10 days straight.
Never force a child to eat more of a new food than she or he is ready for, but always be ready to scoop up more if the child is still interested! Some new tastes take longer to acquire than others, but continuing to expose your child to small amounts of healthy foods (that the adults in your family eat) will pave the way for good eating habits in the years to come.
The best way to avoid bee stings is prevention. Effective prevention means not attracting bees and not frightening them if they are present. Click here for Dr. Greene’s tips on avoiding bees.
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