Neonatal jaundice, animal-induced injuries, and immunizations

The authors describe recent developments in three areas of pediatrics commo nly encountered by the office practitioner. First, clinical assessment of j aundice remains critically important as "early discharge" of newborns conti nues. Practitioners constantly balance clinical realities with an evidence- based approach in the management and follow-up of neonatal hyperbilirubinem ia. Second, given the frequent exposure of children to animals, a thorough understanding of animal bites, pet-borne infections, and rabies prophylaxis is essential for every pediatrician. Finally, immunization status remains one of our leading health indicators. Recent changes in the routine immuniz ation schedule and a renewed emphasis on vaccine safety provide insight int o the future direction of vaccinology. (C) 2001 Lippincott Williams & Wilki ns, Inc.