- These authors review 10 key articles that highlight the dangers of pediatric medical overuse.
- Areas include probiotics for gastroenteritis, ADHD overdiagnosis, and antibiotic prophylaxis for urinary tract infection (UTI).
Why this matters
- The authors say that avoiding these practices is necessary to prevent avoidable negative sequelae.
- They say that the 10 articles they review should “temper enthusiasm for these interventions.”
- The authors identified 10 articles that reflected the greatest harm from established and emerging practices in pediatric medicine. These included:
- ADHD diagnosis for what is “likely” normal developmental variation.
- Nurse-led home visits posthospital discharge, which are tied to limited outcomes improvement.
- Cardiac screening for athletic participation.
- Probiotics for acute gastroenteritis, which offers no benefit and “may cause harm,” say the authors.
- Antibiotic prophylaxis for UTI, which has modest benefit with risk for infection with multidrug-resistant organisms.
- Pharmacological closure for patent ductus arteriosus in premature infants, which adds little benefit over watchful waiting.
- Authors selected articles based on scores for quality and for magnitude of potential harm and number of patients potentially harmed.
- Funding: Specific funding to authors.
- Based on selected studies.