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2015 ; 61
(11
): 949-55
Nephropedia Template TP
gab.com Text
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Twit Text #
English Wikipedia
Rourke Baby Record 2014: Evidence-based tool for the health of infants and
children from birth to age 5
#MMPMID26564653
Riverin B
; Li P
; Rourke L
; Leduc D
; Rourke J
Can Fam Physician
2015[Nov]; 61
(11
): 949-55
PMID26564653
show ga
OBJECTIVE: To update the 2011 edition of the Rourke Baby Record (RBR) by
reviewing current best evidence on health supervision of infants and children
from birth to 5 years of age. QUALITY OF EVIDENCE: The quality of evidence was
rated with the former (until 2006) Canadian Task Force on Preventive Health Care
classification system and GRADE (grading of recommendations, assessment,
development, and evaluation) approach. MAIN MESSAGE: New evidence has been
incorporated into the 2014 RBR recommendations related to growth monitoring,
nutrition, education and advice, development, physical examination, and
immunization. Growth is monitored with the World Health Organization growth
charts that were revised in 2014. Infants' introduction to solid foods should be
based on infant readiness and include iron-containing food products. Delaying
introduction to common food allergens is not currently recommended to prevent
food allergies. At 12 months of age, use of an open cup instead of a sippy cup
should be promoted. The education and advice section counsels on injuries from
unstable furniture and on the use of rear-facing car seats until age 2, and also
includes information on healthy sleep habits, prevention of child maltreatment,
family healthy active living and sedentary behaviour, and oral health. The
education and advice section has also added a new environmental health category
to account for the effects of environmental hazards on child health. The RBR uses
broad developmental surveillance to recognize children who might be at risk of
developmental delays. Verifying tongue mobility and patency of the anus is
included in the physical examination during the first well-baby visit. The 2014
RBR also provides updates regarding the measles-mumps-rubella, live attenuated
influenza, and human papillomavirus vaccines. CONCLUSION: The 2014 RBR is the
most recent update of a longstanding evidence-based, practical knowledge
translation tool with related Web-based resources to be used by both health care
professionals and parents for preventive health care during early childhood. The
2014 RBR is endorsed by the Canadian Paediatric Society, the College of Family
Physicians of Canada, and the Dietitians of Canada. National and Ontario versions
of the RBR are available in English and French.