Pediatrics November 2017, VOLUME 140 / ISSUE 5

November 2017, VOLUME 140 / ISSUE 5

Immunization, Antibiotic Use, and Pneumococcal Colonization Over a 15-Year Period
Grace M. Lee, Ken Kleinman, Stephen Pelton, Marc Lipsitch, Susan S. Huang, Matt Lakoma, Maya Dutta-Linn, Melisa Rett, William P. Hanage, Jonathan A. Finkelstein
Pediatrics Nov 2017, 140 (5) e20170001; DOI: 10.1542/peds.2017-0001
Immunization status and recent antibiotic use may influence individual risk for serotype-specific pneumococcal colonization.

Changes in Influenza Vaccination Rates After Withdrawal of Live Vaccine
Steve G. Robison, Aaron G. Dunn, Deborah L. Richards, Richard F. Leman
Pediatrics Nov 2017, 140 (5) e20170516; DOI: 10.1542/peds.2017-0516
Effects of the US withdrawal of the recommendation for use of LAIVs were assessed in a matched cohort of Oregon children.

Drinking Water to Prevent Postvaccination Presyncope in Adolescents: A Randomized Trial
Alex R. Kemper, Elizabeth D. Barnett, Emmanuel B. Walter, Christoph Hornik, Natalie Pierre-Joseph, Karen R. Broder, Michael Silverstein, Theresa Harrington
Pediatrics Nov 2017, 140 (5) e20170508; DOI: 10.1542/peds.2017-0508
This trial evaluates whether giving water to drink before vaccination decreases the risk of postvaccination presyncope and describes factors associated with postvaccination presyncope.

State-of-the-Art Review Article
Global Health: Preparation for Working in Resource-Limited Settings
Nicole E. St Clair, Michael B. Pitt, Sabrina Bakeera-Kitaka, Natalie McCall, Heather Lukolyo, Linda D. Arnold, Tobey Audcent, Maneesh Batra, Kevin Chan, Gabrielle A. Jacquet, Gordon E. Schutze, Sabrina Butteris, on behalf of the Global Health Task Force of the American Board of Pediatrics
Pediatrics Nov 2017, 140 (5) e20163783; DOI: 10.1542/peds.2016-3783
Trainees and clinicians from high-income countries are increasingly engaging in global health (GH) efforts, particularly in resource-limited settings. Concomitantly, there is a growing demand for these individuals to be better prepared for the common challenges and controversies inherent in GH work. This is a state-of-the-art review article in which we outline what is known about the current scope of trainee and clinician involvement in GH experiences, highlight specific considerations and issues pertinent to GH engagement, and summarize preparation recommendations that have emerged from the literature. The article is focused primarily on short-term GH experiences, although much of the content is also pertinent to long-term work. Suggestions are made for the health care community to develop and implement widely endorsed preparation standards for trainees, clinicians, and organizations engaging in GH experiences and partnerships.