News You Can Use

Implementing an Evidence-Based, Asthma Decision Support Tool for Children Younger Than 5 Years Old

Journal of Pediatric Health Care - Wed, 02/27/2019 - 00:00
Asthma is underdiagnosed, particularly for children younger than 5 years old. Clinical practice guidelines have been shown to improve asthma diagnosis and management, but are underutilized. This evidence-based practice project aimed to develop, implement, and evaluate a three-page decision support tool (DST) to improve the asthma diagnosis process among children younger than 5 years old.
Categories: News You Can Use

Catheter-associated bloodstream infections

Paediatrics and Child Health - Wed, 02/27/2019 - 00:00
Each year an estimated quarter million central venous catheters (CVCs) are inserted in the UK for monitoring, delivery of drugs or intravenous feeding and blood sampling in patients receiving critical care. CVCs are indispensable, but the reported rate of catheter associated bloodstream infection (CA-BSI) is high with an incidence varying between 0.46 and 26.5 per 1000 CVC days. CA-BSI is an important cause of adverse clinical outcome, with associated morbidity and mortality, and an additional increased economic cost to the National Health Service.
Categories: News You Can Use

Management of meningococcal disease

Paediatrics and Child Health - Wed, 02/27/2019 - 00:00
In recent years remarkable progress has been made in the development of vaccines against the different disease-causing serotypes of Neisseria meningitidis. Despite this, invasive meningococcal disease (IMD) remains a life-threatening illness with significant mortality, morbidity and long term sequelae. Prompt recognition and early treatment with antibiotics are the first steps in its management. Professionals looking after children with suspected IMD should be familiar with its clinical course, so that progression of the disease can be identified early, and its complications including septic shock, coagulopathy and raised intracranial pressure managed aggressively.
Categories: News You Can Use

When is difficult asthma severe?

Paediatrics and Child Health - Wed, 02/27/2019 - 00:00
Asthma is the commonest childhood chronic disease in the UK. Most children with asthma are classed as having mild to moderate disease. Regular treatment with inhaled steroids and bronchodilators are enough to successfully control the symptoms. A small proportion of asthmatic children continue to have sub-optimal control despite apparent appropriate therapy (problematic asthma). Most of these children have modifiable factors resulting in poor asthma control (difficult asthma). True therapy-resistant asthma is rare in children and the paediatric community should focus on ensuring the correct diagnosis, identifying and managing modifiable risk factors before using the label severe asthma.
Categories: News You Can Use

Pages

Subscribe to Kids Health Matters aggregator - News You Can Use