Significant differences were found among journals with the Journal of Clinical Periodontology Selleck PF-00299804 achieving the highest score, followed by the American Journal of Orthodontics and Dentofacial Orthopedics There was a positive association between quality score and number of authors, involvement of statistician/epidemiologist, and multicentre trials\n\nConclusions The quality scores of RCTs in major dental journals are considered suboptimal in key CONSORT areas This receives critical importance considering that
improved quality of RCTs is a fundamental prerequisite for improved dental care (c) 2010 Elsevier Ltd All rights reserved”
“Background: There are limited data characterizing recurrent staphylococcal disease in children. We sought to define the clinical features and laboratory findings of children with recurrent community-associated Staphylococcus aureus infections presenting Bafilomycin A1 inhibitor to Texas Children’s Hospital in Houston, TX. Methods: Medical records of children with recurrent, culture-proven community-associated S. aureus infections at Texas Children’s Hospital from 8/1/2001 to 7/29/2009 were reviewed, and antibiotic susceptibility patterns were obtained for all S. aureus isolates. Results: Six hundred ninety-four otherwise healthy patients presented
to Texas Children’s Hospital with 2-7 episodes of community-associated S. aureus infection, accounting for 1495 encounters, 823 hospitalizations and 3337 inpatient days. In 90% of patients with smaller than = 12 months separating their initial and recurrent infections, the methicillin susceptibility of the initial and recurrent isolates was the same, compared with 79% of patients with bigger than 12 months separating their infections. The overall antibiotic susceptibility pattern did not change between isolates in 71% of otherwise healthy children compared with only 33% of children with eczema. Ninety-two percent of otherwise healthy children had only recurrent skin and soft tissue infections; 8% had bigger than = 1 non-skin
and soft tissue infections. The location of skin and soft tissue infections varied Nepicastat nmr by age, with children smaller than = 36 months of age being more likely to have bigger than = 1 S. aureus infection located in the diaper area. Conclusions: Our study demonstrates that recurrent staphylococcal disease requiring emergency center or inpatient care is common, accounting for significant utilization of hospital resources. Children with recurrent staphylococcal infections are likely to have repeated infections from the same staphylococcal strain (by antibiotic susceptibility pattern), indicating that persistent colonization, frequent exposure to others who are chronically colonized, or environmental contamination is playing a role in recurrent disease.