326 e-Letters

published between 2007 and 2010

  • cranberry juice might be a safe alternative to antibiotic prophylaxis
    oscar,m jolobe

    The observation that "there is no robust evidence that prophylactic antibiotics reduce the incidence of recurrence of urinary tract infection in children"(1), and that, instead, bacterial resistance can be as high as 67-100% in the antibiotic prophylaxis group as opposed to 0-39% in patients who do not receive antibiotic prophylaxis(1), should be the basis for the use of alternative strategies to prevent recurrence of urin...

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  • Cerebral venous sinus thrombosis Factor V leiden heterozygosity and Infe
    Karthikeyan Palanivelu

    Cerebral venous sinus thrombosis-Factor V leiden heterozygosity and Infection:Double Jeopardy!

    Dear Editor,

    We feel compelled to write this letter regarding the article:cerebral venous sinus thrombosis-a case series including thrombolysis.

    Citation: Archives of Disease in Childhood, 01 October 2009, vol./is. 94/10(790- 794), 0039888

    Author(s): Mallick AA,Sharples PM,Calvert SE,Jones RW...

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  • Prescription error: how to manage?
    professor viroj wiwanitkit

    Editor, I read the recent publication by Ghaleb et al with a great interest. Ghaleb et al concluded that prescribing and medication administration errors are not uncommon in paediatrics, partly as a result of the extra challenges in prescribing and administering medication to this patient group [1]. Indeed, the prescription error is a common problem in pediatrics. Luckily, in a recent systematic review, the rate of error w...

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  • Malnutrition in hospitalised children
    John W Puntis

    Dear Sir,

    Dr. Sullivan makes some important points about screening for malnutrition (1) but inevitably raises questions as to what is meant by "malnutrition" and how definitions might relate to clinical outcomes. The fact that there is no consensus with regard to such fundamental issues must call into question the basis of "screening", now being rolled out in hospitals such as my own. Malnutrition is not easy t...

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  • Does infant GOR really deserve medical attention?
    Valentina Declich
    To the Editor Vanderplas et al.(1) reported the effectiveness of a specially designed bed for postural treatment of gastro-oesophageal reflux (GOR) associated symptoms. This conclusion is in contrast with a Cochrane review that already concluded that supine position with elevation of the head does not have any effect on regurgitation and acid reflux in developmentally normal infants (2). In our opinion the methodological approa...
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  • Adverse effects of cranio-sacral therapy in infants
    Saskia SL Mol
    As your study states, little systematic research has been done on the effects of cranio-sacral therapy in crying infants. I would like to call your attention to serious side-effects to this form of therapy. Two well-proven cases of healthy infants that died during the therapy have been described, one in the Netherlands and one in Germany. It is important to tell parents about this potential side-effect.

    I am not surprised you...

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  • Radiological Investigations after Urinary Tract Infection in Children: Have we changed our practice after NICE?
    Ambika Talwar

    The new guidance from the National Institute for Health and Clinical Excellence (NICE) on the management of urinary tract infection (UTI) in children challenges the association between UTI and the development of renal complications. This has prompted a significant reduction in radiological investigation following uncomplicated UTI.

    The recently published observational study by Mike South has highlighted that A...

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  • Hospital Cross Infection Risk?
    Benjamin Jacobs

    Does this study now preclude cohort nursing of babies with RSV?

    A major finding was: "Infants with dual infections (RSV and hBoV) had a higher clinical severity score and more days of hospitalisation"

    We put babies with RSV infection into a room together and can not be sure none of them are also infected with Bocavirus, so is there a danger that Bocavirus crossinfection will cause significant morbidity?...

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  • Paediatric Medication Safety
    Thomas W Bourke


    This paper reports on an intervention within postgraduate training aimed at improving paediatric prescribing.1 It is commendable that marked improvement in competence has been achieved, but the finding that one in four trainees made a prescribing error must remain a concern for patient safety.

    At Queens University Belfast, nursing students are examined in drug and fluid calculations and must ac...

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  • This may be due to Increased Maternal Testosterone.
    James M. Howard

    It is my hypothesis that the "secular trend," the increase in size and earlier puberty occurring in children, is caused by an increase in the percentage of individuals of higher testosterone. More specifically, I suggest this is due to an increase in the percentage of mothers of higher testosterone with time within the population. This exposes more fetuses to increased maternal testosterone with time within the population....

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