Children's Hospitals Today - Spring 2017 - 6

ROUNDS / INNOVATION

A smart pill to swallow

Tiny, ingestible smart pills are monitoring patients'
health and ensuring medication compliance.

I

zayah was 13 when he had a kidney
transplant. "We had to make sure he
was taking meds on time, so we would
both set alarms on our phones," says
his mother, Tara Chamberlain. Izayah,
now 15 and two years post-transplant,
is doing well, but needs medications at
regular intervals to help keep his body
from rejecting his kidney. But now,
a groundbreaking new technology is
helping him stay on task: smart pills.
Smart solution. Izayah's daily medications include a tiny sensor that, when
ingested, transmits a signal to a patch
he wears on his torso. The information
is sent to his tablet, his mom and doctors at Children's Health in Dallas so
everyone knows he took his medicine.
Better care. The technology also allows
Izayah's team at Children's Health to
monitor his heart rate, sleep levels and
measure his physical activity. Izayah's
tablet alerts him if he misses a dose,
and it flags his care team of any missed
or inaccurate doses. "This is the future
of medicine," says Dev Desai, M.D.,
chief of pediatric transplantation at

Children's Medical Center Dallas. "This
is an example of technology enabling
better and more
efficient care."
Expanding its use
to more patients.
The hospital is
planning to treat
75 organ transplant
patients
with the smart
pill. This technology could also
benefit patients with chronic medical
conditions that require regular medication, but Desai sees a profound impact
particularly for transplant medicine.
"It's well studied that the number one
reason teenagers and young adults
lose their transplanted organs is due
to medication non-adherence," Desai
says. "The goal is to have these children
keep their organs healthy for a long
time. If they don't follow care plans or
take medications as they should, we
see complications, which potentially
result in a patient needing a second
transplant." Desai says he's received

DATA DIVE
ANTIBIOTIC USE BY
THE NUMBERS

The winter 2000 issue of Children's
Hospitals Today reported on the growing
consensus for stricter antibiotic-use
policies. To combat overprescribing
and the alarming rate of antibiotic
resistance, children's hospitals began
investing in antimicrobial stewardship
programs. Here's a look at the numbers
among all patients, then and now.

inquiries from other children's hospitals about the smart pill. He believes
widespread adoption of the technology
could have far-reaching effects.
Helping to put families at ease. For
Chamberlain, the smart pill provides her
with a healthy dose of reassurance. "It's
something he can control and take care
of himself, so when I'm not around, he
knows exactly what to do," Chamberlain
says. "That's a big benefit, because I don't
have to worry." -Megan Busenbark
Send questions or comments to
magazine@childrenshospitals.org.

Outpatient antibiotic
prescriptions

Unnecessary antibiotic
prescriptions

Cost of antibiotic
resistant infections

2000

105

50

$4.5

2014

266

90

$20

million

million

million

million

billion

billion

Source: CDC

6

CHILDREN'S HOSPITAL S TODAY Spring 2017



Table of Contents for the Digital Edition of Children's Hospitals Today - Spring 2017

Contents
Children's Hospitals Today - Spring 2017 - Cover1
Children's Hospitals Today - Spring 2017 - Cover2
Children's Hospitals Today - Spring 2017 - Contents
Children's Hospitals Today - Spring 2017 - 2
Children's Hospitals Today - Spring 2017 - 3
Children's Hospitals Today - Spring 2017 - 4
Children's Hospitals Today - Spring 2017 - 5
Children's Hospitals Today - Spring 2017 - 6
Children's Hospitals Today - Spring 2017 - 7
Children's Hospitals Today - Spring 2017 - 8
Children's Hospitals Today - Spring 2017 - 9
Children's Hospitals Today - Spring 2017 - 10
Children's Hospitals Today - Spring 2017 - 11
Children's Hospitals Today - Spring 2017 - 12
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Children's Hospitals Today - Spring 2017 - 14
Children's Hospitals Today - Spring 2017 - 15
Children's Hospitals Today - Spring 2017 - 16
Children's Hospitals Today - Spring 2017 - 17
Children's Hospitals Today - Spring 2017 - 18
Children's Hospitals Today - Spring 2017 - 19
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Children's Hospitals Today - Spring 2017 - 21
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Children's Hospitals Today - Spring 2017 - 25
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Children's Hospitals Today - Spring 2017 - 32
Children's Hospitals Today - Spring 2017 - Cover3
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