{"id":902,"date":"2014-04-06T19:55:20","date_gmt":"2014-04-06T18:55:20","guid":{"rendered":"https:\/\/blogs.bmj.com\/adc\/?p=902"},"modified":"2014-03-25T23:27:44","modified_gmt":"2014-03-25T22:27:44","slug":"the-cabin-of-dr-ladhani","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/adc\/2014\/04\/06\/the-cabin-of-dr-ladhani\/","title":{"rendered":"The Cabin of Dr. Ladhani"},"content":{"rendered":"<p><img decoding=\"async\" alt=\"\" src=\"https:\/\/blogs.bmj.com\/adc\/files\/2014\/03\/030614_1842_TheCabinofD12.jpg\" align=\"left\" \/><span style=\"font-family: Arial\">Hot on the heels of thinking about thresholds for action and inaction comes a really interesting paper looking at the <a href=\"http:\/\/adc.bmj.com\/content\/early\/2014\/02\/19\/archdischild-2013-305565.short\">risk of serious infection<\/a> in children with blood or CSF cultures taken in the South East of England (in 1m \u2013 15y olds).<br \/>\n<\/span><\/p>\n<p><span style=\"font-family: Arial\">Before going on \u2013 what proportion of cultures do you think were positive?<br \/>\n<\/span><\/p>\n<p><span style=\"font-family: Arial\"><a name=\"pd_a_7856961\"><\/a>\n<div class=\"CSS_Poll PDS_Poll\" id=\"PDI_container7856961\" style=\"display:inline-block;\"><\/div>\n<div id=\"PD_superContainer\"><\/div>\n<script type=\"text\/javascript\" charset=\"UTF-8\" src=\"https:\/\/static.polldaddy.com\/p\/7856961.js\"><\/script>\n<noscript><a href=\"https:\/\/poll.fm\/7856961\">Take Our Poll<\/a><\/noscript><br \/>\n<\/span><\/p>\n<p><span style=\"font-family: Arial\"><!--more--><\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-family: Arial\">The study took a prospective approach to the collection of positive samples from all the included microbiology labs, and then came up with what % of cultures, and estimates of what % of admissions, gave a positive result.<br \/>\n<\/span><\/p>\n<p><span style=\"font-family: Arial\">Now \u2013 if half of children are admitted with &#8216;suspected infection&#8217;, if half of those have significant comorbidities (like cancer), and only 2% of all admissions have a microbiologically defined severe infection &#8211; are we using &#8216;suspected infection&#8217; as a catchall to make our admissions sound sensible? Or are we over-admitting, and not using low-risk rules of observation as outpatients? Or should we read this as showing that we&#8217;re pretty good \u2013 just by taking blood cultures you quadruple the proportion with MDI (to ~8%).<br \/>\n<\/span><\/p>\n<p><span style=\"font-family: Arial\">How do you interpret these results?<br \/>\n<\/span><\/p>\n<p><span style=\"font-family: Arial\">Archi<\/span><!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Hot on the heels of thinking about thresholds for action and inaction comes a really interesting paper looking at the risk of serious infection in children with blood or CSF cultures taken in the South East of England (in 1m \u2013 15y olds). Before going on \u2013 what proportion of cultures do you think were [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/adc\/2014\/04\/06\/the-cabin-of-dr-ladhani\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":7,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[79],"tags":[],"class_list":["post-902","post","type-post","status-publish","format-standard","hentry","category-archimedes"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>The Cabin of Dr. Ladhani - ADC Online Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/adc\/2014\/04\/06\/the-cabin-of-dr-ladhani\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The Cabin of Dr. Ladhani - ADC Online Blog\" \/>\n<meta property=\"og:description\" content=\"Hot on the heels of thinking about thresholds for action and inaction comes a really interesting paper looking at the risk of serious infection in children with blood or CSF cultures taken in the South East of England (in 1m \u2013 15y olds). 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