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Respiratory

Community acquired pneumonia

7 Apr, 08 | by Ian Wacogne

A case-controlled follow up study of 103 children admitted to hospital radiologically confirmed community acquired pneumonia revealed, at an average of 5.3 years after the pneumonia, an increased risk of persistent symptoms and lung function deficits.   Here.

Acute Asthma Management

2 Apr, 08 | by Ian Wacogne

In a review of guidelines and survey of Australasian paediatric emergency departments, there was good consistency in management of mild to moderate asthma, but poor agreement about how to measure severe asthma, which probably reflects paucity of clear evidence.  Here.

Asthma - rattle, purr and whistle

28 Mar, 08 | by Ian Wacogne

In this cohort from Aberdeen, 1371 children were assessed at 2 years and their asthma symptoms subclassified into rattle, purr and whistle.  At five years there was a significant difference between the groups in terms of treatment with asthma medication.  Here. more…

Tuberculosis screening

3 Mar, 08 | by Ian Wacogne

Of 103 children seen for TB contact tracing screening, application of the recent UK NICE guideline, which includes gamma IFN testing, 23 would have had a different treatment to that determined by previous screening methods. Here.

Screening for Cystic Fibrosis

3 Jan, 08 | by Ian Wacogne

Leading article: Balfour Lynn looks at the evidence for, and benefits of, screening at birth for cystic fibrosis. Here.

CPAP in Bronchiolitis

12 Dec, 07 | by Ian Wacogne

In a trial of 29 children with bronchiolitis and hypercapnia, randomised to CPAP versus standard treatment with crossover at 12 hours, those getting CPAP had an average 1 kPa fall in CO2, and those who got CPAP first had a larger CO2 fall than those who got it second. Here.

Asthma and ethnicity

27 Nov, 07 | by Ian Wacogne

In a questionnaire study of children from ethnic backgrounds in London, cultural perspectives had an impact on family understanding of asthma.  Here.

Empyema trends

19 Nov, 07 | by Ian Wacogne

In Scotland the incidence of empyema has risen over the last decade, independent of the incidence of pneumonia.  Here.

Asthma

15 Oct, 07 | by Ian Wacogne

A screening cross-sectional study of 1758 Dutch children aged 7 to 10 found 130 (8%) with previously undiagnosed asthma, of whom a third - characterised as those with more highly educated mothers - declined to take them to a GP for further management. Here.

Cystic Fibrosis

8 Oct, 07 | by Ian Wacogne

In routine bronchoscopy after diagnosis in cystic fibrosis, 20% of 25 children were infected with Pseudomonas, some without symptoms.  Here.

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