Archives of Disease in Childhood - Education and Practice Archives of Disease in Childhood - Education and Practice RSS feedThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Neonatal BCG: a time for change
The BCG vaccination programme in the UK is risk based and has usually been given to eligible babies soon after birth. On advice from the Joint Committee on Vaccination and Immunisation, NHS England and Improvement recently revised the timing of this vaccination to 28 days after birth or soon thereafter. In this article, we highlight the change in timing of vaccination, the rationale and barriers to BCG uptake that this change may pose. (Source: Archives of Disease in Childhood - Education and Practice)
Source: Archives of Disease in Childhood - Education and Practice - January 23, 2024 Category: Pediatrics Authors: Pillay, T., Toldi, G., Hussain, A., Magwenzi, M. M., Satodia, P., Radcliffe, R. Tags: Open access, Best practice and Fifteen Minute Consultations Source Type: research

Fifteen minute consultation: Approach to a school age child with suspected learning disability
We present a structured practical approach to assessing the school-aged child who presents with a possible learning disability. (Source: Archives of Disease in Childhood - Education and Practice)
Source: Archives of Disease in Childhood - Education and Practice - January 23, 2024 Category: Pediatrics Authors: Paediatric Research Across the Midlands (PRAM) Network Tags: Best practice and Fifteen Minute Consultations Source Type: research

Fifteen-minute consultation: An approach to the child with nephrocalcinosis
Nephrocalcinosis is a common problem faced in both paediatrics and neonates, which may need referral on to paediatric nephrology. This 15 min consultation aims to look at children of different age groups (neonates, children 1–5 years old and older children) looking particularly at history, examination, causes, initial investigations and management. (Source: Archives of Disease in Childhood - Education and Practice)
Source: Archives of Disease in Childhood - Education and Practice - January 23, 2024 Category: Pediatrics Authors: Beal, F., Patel, A., Hulton, S.-A. Tags: Best practice and Fifteen Minute Consultations Source Type: research

Fifteen-minute consultation: Child with persistent runny nose
A child with persistent runny nose may cause significant parental anxiety and healthcare utilisation. While the most common diagnoses are recurrent acute viral upper respiratory tract infections and allergic rhinitis, a careful history and examination is necessary to exclude other causes and to identify comorbidities. Treatment can then be tailored to the underlying cause. The aim of this article is to provide a systematic approach to such patients. (Source: Archives of Disease in Childhood - Education and Practice)
Source: Archives of Disease in Childhood - Education and Practice - January 23, 2024 Category: Pediatrics Authors: Powell, E., Berk, O., Bewick, J., Zolkipli, Z. Q. Tags: Best practice and Fifteen Minute Consultations Source Type: research

Epistle
As the year comes to a draw and we welcome the new year, we bring you another exciting issue. Hannah Walsh et al highlight how linguistic challenges can be overcome, to potentiate participation in research studies (see page 55). The authors elaborate on the issues involved, suggest potential solutions, and signpost useful existing guidance. Inclusion of a linguistic diverse population in research is absolutely critical for developing policies, tools and strategies to reduce health inequalities. By addressing language barriers, researchers empower diverse communities to be represented and therefore generate more robust evid...
Source: Archives of Disease in Childhood - Education and Practice - January 23, 2024 Category: Pediatrics Authors: Gupta, N. Tags: Highlights from this issue Source Type: research

Widespread rash, leg pain and increased muscle bulk
A 4-year-old girl presented with a 2-year history of rashes on both hands, trunk and knees and an inability to move the right knee with difficulty in walking. On examination, multiple hypopigmented confluent macules were present on the trunk (figure 1A), extensor surfaces of knees (figure 1B), on elbows (figure 1C) and dorsal surface of bilateral metacarpophalangeal and interphalangeal joints (figure 1D). The bulk of the right thigh and calf was increased compared with the left side and reflexes were 2+ throughout. Blood tests revealed an elevated level of creatine kinase (CK) (320 U/L), erythrocyte sedimentation rate was ...
Source: Archives of Disease in Childhood - Education and Practice - November 17, 2023 Category: Pediatrics Authors: Chawla, S., Charan, A., Tanwar, G. S. Tags: Epilogue Source Type: research

Airway management in paediatric emergencies outside of an intensive care setting: a quality improvement project using Lean/Six Sigma methodology
Use of a Lean/Six Sigma methodology in a quality improvement project to reduce variation and improve safety in airway management outside of the intensive care environment in a tertiary paediatric hospital. (Source: Archives of Disease in Childhood - Education and Practice)
Source: Archives of Disease in Childhood - Education and Practice - November 17, 2023 Category: Pediatrics Authors: Pope, J., Boyle, J., Worrall, M. Tags: Quality improvement short report Source Type: research

How to solve a clinical conundrum: Have you tried a trio exome analysis?
The following report describes the clinical journey of a 5-month-old male infant who presented with a significant kidney injury following a diarrhoeal illness. His course was complicated by severe hypertension and a number of acute life-threatening events necessitating periods of time on the intensive care unit, where he received ventilatory support and underwent renal replacement therapy and treatment with a monoclonal antibody therapy. We take the reader on a stepwise journey from presentation through to final diagnosis, discussing important biochemical, haematological and radiological features where learning points are ...
Source: Archives of Disease in Childhood - Education and Practice - November 17, 2023 Category: Pediatrics Authors: Beal, F., Coward, R., Platt, C. Tags: Problem solving in clinical practice Source Type: research

Sore knee - why and when to call a cardiologist
We report the patient’s clinical journey with clinical commentary throughout, underlying the importance of differential diagnosis that may open several scenarios and a different final diagnosis accordingly. Finally, we will discuss the treatment and management of the patient’s final diagnosis. (Source: Archives of Disease in Childhood - Education and Practice)
Source: Archives of Disease in Childhood - Education and Practice - November 17, 2023 Category: Pediatrics Authors: Kendall, I. S., McGinn, C., Sands, A. J. Tags: Problem solving in clinical practice Source Type: research

Chloral hydrate - use as a sedative in paediatric settings
The aim of this article is to discuss chloral hydrate and its place in current therapy in various paediatric settings following the 2021 safety update from the Medicines and Healthcare products Regulatory Agency (MHRA). There are two case studies presented to apply learning relating to the place of chloral hydrate in both paediatric sedation and neurology. 2021 MHRA update When the MHRA issued a drug safety update in October 2021 relating to the use of chloral hydrate and its prodrug cloral betaine in paediatric patients, it sparked concern for families and the paediatric medical community.1 While no new safety concerns we...
Source: Archives of Disease in Childhood - Education and Practice - November 17, 2023 Category: Pediatrics Authors: Wyness, B., Crook, J., D'Silva, P., McCormick, D. Tags: Medicines update Source Type: research

Recommendations for minimising and monitoring adverse effects of long-term supraphysiological corticosteroid use in children and young persons
KEY POINTS Supraphysiological systemic corticosteroids are used commonly in the management of various medical conditions including in children and young persons. These have several side-effects with growth suppression and pubertal delay being specific to this population. Prior to initiating long-term corticosteroids, it is important to take a detailed history and do a physical examination including growth and nutritional statuses, blood pressure and pubertal staging, and do baseline blood investigations as listed in the main text. Although the risks cannot be eliminated completely, there are multiple strategies a clinician...
Source: Archives of Disease in Childhood - Education and Practice - November 17, 2023 Category: Pediatrics Authors: Micallef, C., Chana, S. Tags: Medicines update Source Type: research

Use of pulse oximetry as an investigative test for paediatric respiratory sleep disorders
The article covers the following elements: practical and technological considerations for optimising data collection and output; reference ranges for oximetry parameters across the ages; things to consider when interpreting a pulse oximetry study (eg, sleep/wake times); the ability of pulse oximetry to predict obstructive sleep apnoea; using oximetry as a screening tool for sleep disordered breathing in children with Down syndrome; things to consider when setting up a home oximetry service; and a case of an infant being weaned from oxygen using pulse oximetry studies. (Source: Archives of Disease in Childhood - Education and Practice)
Source: Archives of Disease in Childhood - Education and Practice - November 17, 2023 Category: Pediatrics Authors: Everitt, L., Roberts, P., Evans, H. J. Tags: Editor's choice, Interpretations Source Type: research

Diagnosis and treatment of Lyme disease in children
This article offers up-to-date clinical algorithms for the management of children with suspected or diagnosed Lyme disease. (Source: Archives of Disease in Childhood - Education and Practice)
Source: Archives of Disease in Childhood - Education and Practice - November 17, 2023 Category: Pediatrics Authors: Bahadori, A., Ritz, N., Zimmermann, P. Tags: Review Source Type: research

NICE guideline review: Epilepsies in children, young people and adults NG217
Background Epilepsy is the most common significant long-term neurological condition of childhood. The prevalence in children in the UK is approximately 4 per 1000 children. It affects 1 in 220 children and young people in the UK with on average two children with epilepsy in every primary school and nine in every secondary school.1 The National Institute for Health and Care Excellence (NICE) defines epilepsy as a ‘condition in which a person is prone to recurrent epileptic seizures’ and epileptic seizure as a ‘transient occurrence of signs and or symptoms as the result of a primary change to the electrical...
Source: Archives of Disease in Childhood - Education and Practice - November 17, 2023 Category: Pediatrics Authors: Jones, K. E. A., Howells, R., Mallick, A. A., Paul, S. P., Dey, I. Tags: Guideline review Source Type: research

Medical emergencies in eating disorders
About the guideline Eating disorders are serious mental health disorders that cannot be appropriately managed without both physical and mental healthcare. These illnesses, including anorexia nervosa, have the highest avoidable mortality rates of all mental health conditions. Paediatricians should be aware that the risk of death in children with eating disorders is comparable to that of asthma and diabetes.1 The COVID-19 pandemic and its aftermath have had a significant impact in terms of increased incidence as well as acuity of presentations of children with eating disorders, which has contributed to a 90% increase in hosp...
Source: Archives of Disease in Childhood - Education and Practice - November 17, 2023 Category: Pediatrics Authors: Pennick, H., Cousins, L., Marikar, D. Tags: Guideline review Source Type: research