eLetters

465 e-Letters

published between 2000 and 2003

  • Treatment of Meningococcal Infection
    Imti Choonara

    Dear Editor

    It is disappointing to see that Welch and Nadel [1] recommend seven days treatment with antibiotics for children with uncomplicated meningococcal infection. An evidence-based approach would support the use of four days intravenous therapy. There have been two clinical trials that have evaluated the duration of therapy. A prospective study of four days treatment with intravenous benzylpenicillin for 50...

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  • Author's reply
    Hugo P Van Bever

    Dear Editor

    We thank Drs Loh et al. for their comment [1] to our letter.[2]

    We wish to clarify that our letter was to share our own experience and it reflected our perspective during a very turbulent period when we had to deal with SARS. It highlighted practices which were carried out at our institution, a tertiary teaching hospital, in tandem with Singapore's efforts against SARS. Although ther...

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  • Weaning infants, encouraging breast feeding.
    Lisa Redfern

    Dear Editor

    The review by Foote and Marriott on infant weaning [1] was of interest especially in the light of the recent adoption by the UK Department of Health of 6 months as the age for the introduction of complementary foods.

    The authors make a number of comparisons between artificial feeding and breast milk that deserve comment. They make the point that the nutrient density of cows milk based f...

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  • Re-focussing training
    Megan Smith

    Dear Editor

    The reflections of Stewart on the state of training for general paediatricians in the acute stabilization of critically ill children will hopefully fuel much needed debate and change. Whilst agreeing with the many shortfalls of the current system which he identifies, however, I believe that the solution should not be focussed around the paediatric intensive care unit (PICU).

    The majority of r...

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  • Training the trainees
    Dr Gautam Kulkarni

    Dear Editor

    As a junior doctor in training, I can’t agree more strongly with Dr Stewart.[1] I am presently a senior house officer in Paediatric Intensive care and I feel strongly that all junior doctors should have an opportunity to work in an Intensive care unit. This is regardless of whether they view themselves as intensivists or general paediatricians in the long run.

    In my opinion training course...

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  • Frequency of child abuse in sudden infant death
    John Wilson

    Dear Editor

    Whilst it is reassuring to know that the numbers of infants dying suddenly in N & E Yorkshire have fallen dramatically, apparently following the introduction of a preventive programme, in my opinion, the prevalence of maltreatment as a cause of sudden infant death remains uncertain.

    I do not think that the method of ascertainment as described in Stanton's paper is sufficiently sensitive to p...

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  • Author's reply to Winrow
    David Stewart

    Dear Editor

    My thanks to Dr Winrow for pointing out that all disciplines are affected by the contraction of training time.[1] Consultants all over the country are struggling to maintain the standards of care for the future in the face of increasing demands on their own time and reduced time in which to train.

    However, rather than obscure the wider issue I hope to draw attention to it. This issue affect...

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  • Re Childhood SARS in Singapore
    Lik Eng Loh

    Dear Editor

    Van Bever et al. have described their experience with Paediatric SARS in Singapore. We are concerned that some facts were not highlighted.

    Their institution, the National University Hospital (NUH) was not designated to be a centre for the care of SARS in Singapore, it was therefore not surprising that they did not encounter any cases. They failed to mention in their detailed summary of th...

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  • Mustard Oil
    Matthew Ellis

    Dear Editor

    The Archivist draws our attention to the widespread application of peanut containing oils in UK infant care practices and recent research linking this to the current levels of peanut allergy. Mustard oils are applied to infants in much of South Asia in the first months of life. In Nepal by my observation this practice is generally carried out daily in direct sunlight as an adjunct to massage. I am not aw...

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  • The problem is greater than PICU training
    Andrew P Winrow

    Dear Editor

    Whilst I agree with much of what Stewart discusses, his leading article is at danger of obscuring a wider malaise in training by its call for all trainees to experience and, by extension, staff regional PICUs.[1] Potentially every specialty within Paediatrics could add its voice in this way resulting in the compartmentalisation of training.

    Consultants working in district general hospitals recogn...

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