Pediatrics On Call Pediatrics Research Roundup, Evaluating Children with an Intellectual Disability or Global Developmental Delay – Ep. 260
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Sep 2, 2025 Andrea Cruz, a pediatric emergency medicine physician from Texas Children's Hospital, shares insights on TB trends in California and discusses how pediatricians are prescribing oseltamivir for influenza. Tim Jaleski, a pediatrician and genetics author, delves into genetic evaluation for children with global developmental delay and intellectual disabilities, highlighting key indicators for testing. Together, they emphasize the evolving landscape of pediatric research and its implications for clinical practice.
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Right Test, Right Time, Right Referral
- Target testing and timely referrals are crucial to ensure diagnosed children receive treatment and services.
- Andrea Cruz urges doing the right test for the right child and preventing drop-off after diagnosis.
Tuberculosis Still A Pediatric Concern
- TB remains a significant pediatric threat with higher rates at age extremes and persistent TB meningitis.
- Andrea Cruz highlights recent epidemiology changes and the role of community transmission and BCG gaps during COVID.
Use Antivirals Thoughtfully For Flu
- Consider oseltamivir for children with clear influenza indications but expect variable prescribing by specialty and site.
- Andrea Cruz notes clinicians often know guidelines yet apply them inconsistently and a randomized trial could clarify practice.