Assessment of current practice of paediatric respiratory and allergy teams in Cambridge University Hospital during the COVID-19 pandemic era and optimisation of the service
Introduction: The paediatric respiratory and allergy teams in Cambridge Hospital see patients with atopic and overlapping conditions, thus increasing travel for patients and hospital footfall. It is a tertiary reference hospital covering East England. Assessment of practice and changes of the service, in view of COVID-19 pandemic.Method: Retrospective assessment of patients: a) referred between the specialties (1/4/19- 31/3/20), investigations booked (lung function, skin prick testing, specific IgE, peak flow, inhaler and nasal spray technique) and patient flow. b) currently being seen by both teams (1/4/18-31/3/20).Results: a)13 patients identified; 10 from respiratory to allergy. 62 days delay between referral and review by secondary team. Referral reasons to allergy: food/drug allergy, asthma, allergic rhinitis/conjunctivitis and from respiratory: asthma, cough, wheeze. In 10, there was no overlap in the investigations. 3 patients were discharged after one review. b) 98 patients being seen by respiratory and allergy. Some overlap between investigations in both clinics. 54% attended the A&E, for an allergy or respiratory reason and 36 had subsequent admission. 79% on inhaled corticosteroids, 51% on montelukast, 42% on LABA, 39% on nasal steroids. 69/98 had one appointment with allergy and 77 had 2 or more with respiratory. 2 month wait from referral.Outcome: Improved communication between the teams, establishment of joint MDT and clinics every 6 months. In the current ...
ConclusionsThe COVID-19 pandemic has exposed the fragility of the medical and social systems that supports families of children with LT-CCCs. These findings are consistent with previous literature that suggest that the COVID-19 pandemic has increased the risk for child maltreatment. It additionally highlights the vulnerability of this patient population.
ConclusionVariations of pH occurred in the majority (79.7%) of patients admitted with COVID-19. The patients experienced all the type of acid –base disorders, notably metabolic and respiratory alkalosis were the most common alterations in this group of patients.
In the season ’s premier of his HBO show “Real Time with Bill Maher,” Maher continued to talk a lot about Covid-19, even though he claimed that “no one cares anymore.”
For the second year in a row, the World Economic Forum’s annual in-person meeting was delayed because of the pandemic. Did anyone miss it? #davos #worldeconomicforum
Argentina, Australia, Egypt, and Israel are among the destinations that are now a Level 4, the highest CDC level for Covid-19 risk.
HELSINKI — Thousands of people gathered in European capitals Saturday to protest vaccine passports and other requirements governments have imposed in hopes of ending the coronavirus pandemic. #helsinki #passportprotests #capitals #requirementsgovernments