The number of American infants, small children, adolescents, and college students who travel abroad, and the number of immigrants and foreign travelers who enter the United States have both increased dramatically over the past decade. This has resulted in an increased awareness and need for pediatricians and child health care providers to expand their knowledge base and clinical acumen about parasitic diseases in general.
The articles in this issue of Pediatric Annals address the major syndromes of infections with parasitic pathogens - fever, eosinophilia, diarrhea, neurologic disturbances and respiratory disorders - as well as providing the practitioner with all current information about the presentation, diagnosis, and management of the most common cutaneous parasites affecting the pediatrie population.
This issue focuses on common parasitic infestations that affect US children, not on the exotic, and provides charts and logarithms helpful in dealing with the common parasites that might be encountered by the practicing pediatrician, especially in children attending day-care centers and living in crowded environments.
HOW TO OBTAIN CME CREDITS BY READING THIS ISSUE
Pediatricians can receive Category I credits for the Physician's Recognition Award of the American Medical Association by reading the following articles and successfully completing the quiz at the end of the issue. Complete instructions are given on the quiz pages.
The Pretest below has been prepared to assist you in studying the following material. It indicates some of the areas to be covered and will make it possible for you to challenge your present knowledge of the material before reading further.
1. The most common helminthic infection seen in the United States is Ascaris lumbricoides, the Intestinal roundworm.
2. Globally, the parasitic disease associated with the greatest human morbidity remains:
3. Itching is the most common presenting complaint in both of the most common cutaneous parasites infesting US children, scabies and pediculosis (lice).
4. Parasitic disease is rarely life threatening.
Answers to the Pretest:
1.B 2.C 3.A 4.A