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Taking Advantage of our EMR to Take Better Care of our Allergic Rhinitis Patients [Meeting Abstract]

Feldman, Eleanor; Fonacier, Luz; Banta, Erin; Mawhirt, Stephanie; Schneider, Amanda
ISSN: 0091-6749
CID: 4820622

Real Time Assessment of Steroid Use in Patients with Atopic Dermatitis [Meeting Abstract]

Sani, Sonam; Mawhirt, Stephanie; Banta, Erin; Schneider, Amanda; Fonacier, Luz
ISSN: 0091-6749
CID: 4821182

Biologics for the Treatment of Food Allergies

Brar, Kanwaljit K; Lanser, Bruce J; Schneider, Amanda; Nowak-Wegrzyn, Anna
Food allergy is increasingly prevalent and poses a life-threatening risk to those afflicted. The health care costs associated with food allergies are also increasing. Current and emerging treatments for food allergies aim at protecting against reactions caused by accidental ingestion and increasing the food allergen reaction threshold, although this protection is often temporary. In the future, ideal biologic therapies would target key mediators of the type II immune pathway, essential in development of the atopic march to prevent development of food allergies. Biologics offering long-term protection against allergic reactions to food are needed, and several agents are already in development.
PMID: 33012321
ISSN: 1557-8607
CID: 4629932

Utility of an EMR-Tool to Monitor Total Steroid Burden in Patients with Atopic Dermatitis and Asthma [Meeting Abstract]

Sani, S; Banta, E; Mawhirt, S; Noor, I; Schneider, A; Nassau, S; Feldman, E; Fonacier, L
Rationale: Cutaneous, inhaled, intranasal and systemic corticosteroids(CS) are commonly prescribed for the treatment of atopic dermatitis(AD), asthma, and allergic rhinitis. The cumulative burden of these steroids in individual patients are not routinely assessed by providers and can lead to adverse effects. We sought to use an EMR-tool to increase documentation of the total steroid burden(SB) in our patients with atopic dermatitis and asthma.
Method(s): A SB EMR-tool was used for 99 AD encounters and 64 asthma encounters over an 18-month period. Data collected included corticosteroid type, potency, frequency, side effects, interventions and counseling.
Result(s): There were 99 AD encounters assessed in 58 patients(53% female, mean age of 31). Of these 99 encounters using topical corticosteroids(TCS), 24 were using inhaled CS; 12 using intranasal CS and 8 using systemic CS. The most common side effects encountered while on TCS included: pigment changes(n=20), skin atrophy(n=11), easy bruising(n=7), telangiectasias(n=6), striae(n=6), rosacea(n=3), and hair growth(n=2). Twenty-eight encounters(28%) had an intervention: 10 decreased dose, 3 decreased potency and 15 discontinued TCS. 85 encounters(86%) documented patient counseling. There were 64 asthma encounters assessed in 49 patients(63% female, mean age of 56). Of these 64 encounters using inhaled CS, 27 were using intranasal CS and 18 using systemic CS. The most common side effects encountered while using inhaled CS included: candidiasis(n=6) and hoarseness(n=1). Four encounters(6.25%) had an intervention: 3 decreased dose, 1 discontinuation. 62 encounters(97%) documented patient counseling.
Conclusion(s): Using our EMR-tool facilitates the identification and tracking of total SB in patients, associated side effects and leads to meaningful intervention.
ISSN: 1097-6825
CID: 4315122

Is There a Safe and Cost-Effective Method for Early Egg Introduction?

Schneider, Amanda; Ferastraoaru, Denisa E
PMID: 32883497
ISSN: 2213-2201
CID: 4627352

Angioedema following initiation of glecaprevir/pibrentasvir while on sitagliptin

Schneider, Amanda; Ramesh, Manish
PMID: 30779957
ISSN: 2213-2201
CID: 3984262

Thermal burn on denervated skin that developed after sun exposure on black clothing [Case Report]

Schneider, Amanda; Ferastraoaru, Denisa E; Rosenstreich, David L
PMID: 30949566
ISSN: 2352-5126
CID: 3984272

The readability, suitability, and content features of eczema action plans in the United States

Stringer, Thomas; Yin, H Shonna; Gittler, Julia; Curtiss, Paul; Schneider, Amanda; Oza, Vikash S
BACKGROUND/OBJECTIVES/OBJECTIVE:Little is known about the reading grade level (readability), appropriateness of design (suitability), and content variability of written eczema action plans (EAPs), which can impact the effectiveness of these patient education tools. Here, we assess the readability, suitability, and content of EAPs currently used by pediatric dermatologists in the United States. METHODS:This was a cross-sectional study of EAPs submitted by members of the Society for Pediatric Dermatology (n = 26). Readability, suitability, and content of sampled plans were systematically assessed. RESULTS:Mean (SD) reading grade level was 9.0 (2.1); one in five was written at the recommended level of 6th grade or lower. While the majority of EAPs were found to be adequately suitable, one in five was unsuitable and only two superior. Documents scored most poorly in layout/design and learning stimulation. Plans scored best in the categories of content and literacy demand. EAPs focused on similar content themes, though specific recommendations and descriptors of atopic dermatitis (AD) disease states varied considerably. CONCLUSIONS:The health literacy burden of EAPs in the United States could be lowered by improving their readability, incorporating graphics, stimulating reader engagement, and developing standards for how AD flares are defined.
PMID: 30318631
ISSN: 1525-1470
CID: 3367912

Community-Acquired MRSA Pericarditis and Mediastinitis in a Previously Healthy Infant [Case Report]

Sanchez, Joselito; Schneider, Amanda; Tretter, Justin T; Shopsin, Bo; Al-Qaqaa, Yasir; Khaitan, Alka; Chadha, Tanya
Invasive community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) infections disproportionately affect children, but there are few pediatric reports of pericarditis and mediastinitis caused by CA-MRSA in previously healthy children. Here we report a severe case of CA-MRSA pericarditis with extension to the mediastinum and carotid sheath in a previously healthy 8-month-old infant who was successfully treated with surgical interventions and with a combination of daptomycin and vancomycin. The relatively indolent clinical course in this patient was notable given the significant extent of infection. This case highlights the potential virulence of CA-MRSA in previously healthy children and the importance of early diagnosis, prompt drainage, and appropriate antibiotic coverage.
PMID: 31073479
ISSN: 2146-4618
CID: 3919202

Inhaled Corticosteroid for Asthma, A Call for Monitoring in Pediatrics [Meeting Abstract]

Schneider, Amanda; Herzog, Ronit
ISSN: 1097-6825
CID: 2591382