eLetters

465 e-Letters

published between 2000 and 2003

  • Optimal dose of intravenous immunoglobulins in Guillain-Barre syndrome
    Sudhir Kumar

    Dear Editor

    I read with interest the recent article by Trifa et al.[1] and appreciate their efforts to highlight an unusual complication-haemolytic anaemia-related to intravenous immunoglobulin (IVIG) therapy in Guillain- Barre syndrome (GBS). However, I have some concerns regarding the dose of IVIG used.

    The usual cumulative dose of IVIG recommended in children with GBS is 2 grams/Kg.[2-4] This m...

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  • Archimedes Update
    Bob Phillips

    Dear Editor

    Repeating the search strategy in July 2003 has led to no new, relevant trials to answer this question. There has been a further descriptive study which adds to our understanding of the prognostic value of serum albumin levels in critically ill children.

    Durward et al.[1] in this journal have described the incidence of hypoalbuminaemia, its influence on anion gap and prognostic correlation...

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  • Survival analysis by congenital anomaly sub type is needed
    Judith Rankin

    Dear Editor

    We commend the study by Dastgiri and colleagues [1] as both timely and informative. There are few published papers describing the survival of children with congenital anomalies, especially reporting survival beyond the first year of life. Those which do exist mainly describe the survival of children with Down’s syndrome [2] or spina bifida,[3] but there is either limited information based on single...

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  • Ineffective intervention and pointless investigation after childhood urinary tract infection
    Rollo D Clifford

    Dear Editor

    Wheeler and colleagues are to be applauded for putting another nail in the coffin of the routine MCUG, a distressing and potentially harmful intervention which has been imposed on thousands of unhappy children, with the best of intentions, but, unfortunately, based upon assumption, anecdote and extrapolation.

    Unless something has been left out of the reporting of the International Reflux Study (I...

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  • Short course treatment for meningococcus - a warning
    Sam Richmond

    Dear Editor

    I am concerned that Professor Choonara suggests that an evidence-based approach would suggest that a 4-day course of intravenous antibiotic treatment (benzylpenicillin or ceftriaxon) is sufficient for meningococcal meningitis. In support of this recommendation he mentions two studies totalling perhaps 63 patients in all who received antibiotic treatment for 4 days in total and amongst whom there were no r...

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  • Cycle helmets and legislation
    Tony Waterston

    Dear Editor

    Lee and Mann urge paediatricians to be advocates for accident prevention and make the case for legislation for cycle helmet use in children and young people. I am all for advocacy for cycle use but have strong doubts over the role of legislation. At the same time as the June editorial, the Cyclists’ Touring Club magazine was writing a critique of legislation.[1] This is not the first such cri...

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  • Authors Response
    Keith D Foote

    Dear Editor

    We are glad Dr Redfern[1] found our article[2] of interest.

    We agree on most points. For clarity, the fact that there are difficulties inherent in comparing the nutritional adequacy of human milk with that of infant formula does not detract from our main point, namely that more research is required regarding the possible differing nutritional needs of formula versus breast fed infants at t...

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  • Pantoea agglomerans septic arthritis following lemon tree thorn injury
    Rolando Ulloa-Gutierrez

    Dear Editor

    We read with interest the recent report by Kratz et al.[1] about a patient with Pantoea agglomerans septic arthritis following a palm tree thorn injury.

    We would like to add a child we recently attended at the National Children’s Hospital of Costa Rica. A 9-yr-old healthy boy was admitted to our hospital 3 days after suffering a penetrating injury in his left knee with a lemon t...

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  • Short-term versus long-term thromboprophylaxis
    Raffaella Zannolli

    Dear Editor

    We read with great interest the commentary of Dr Thomas concerning our case of a healthy nine-year-old child affected by venous thromboembolism (VTE), with persistent residual venous thrombosis at one year of follow-up.[1] The comments were pertinent and were appropriate for publication at the same time due to the relevance of the case, both for its unique presentation and for the problems it raised regardi...

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  • Prevalence of autism: no evidence for the conclusion
    John Daniel Stone

    Dear Editor

    In view of the widespread British media coverage of this study last week in advance of its publication it is interesting to discover how weak its claims actually are:

    "The prevalence of autism, which was apparently rising from 1979 to 1992, reached a plateau from 1992 to 1996 at a rate of some 2.6 per 1000 live births. This levelling off, together with the reducing age at diagnosis, sugg...

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