492 e-Letters

published between 2005 and 2008

  • results grossly misleading
    Peter wasswa

    Dear Sir, The results of the Sheffield paediatric ST interviews are misleading and unlikely to reflect the prescribing skills of junior doctors. I have outlined my reasons below

    1. At the interview, the prescriptions are done in a highly pressurised environment with a lot at stake ie careers/dreams. Its a known that highly capable candidates are likely to perform sub optimally when anxious and stressed. It can b...

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  • Tuberous sclerosis: what's new...the role of gene testing
    Maya Chopra

    Dear Editor,

    In regard to “Tuberous sclerosis: what’s new?” 1, we agree with the authors’ assertion that gene testing has limited diagnostic value (sensitivity of 75%2). Diagnosis of tuberous sclerosis (TSC) is based on established clinical and radiological criteria3. In our experience, TSC gene testing has an important adjunct role.

    Currently, parents of an index case are assessed for signs of TSC, i...

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  • If junior doctors can't prescribe, who can?
    veena bisht

    Perhaps prescribing should be mandatory part of MRCPCH Part I examination or part of selection process of ST trainees!

    It seems to be one of the oft repeated themes and a favourite audit topic for SHOs every 6 months.The prescribing practice has improved significantly over past few years in our trust since it is part of mandatory training during SHOs induction and also the awareness that somebody or the other m...

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  • Not off the top of the head
    Anthony R Hart

    I thank Dr Wilson for his e-letter about our letter on prescribing skills in junior doctors. I have outlined answers to his questions below.

    All candidates had access to a BNF and calculator. Whether a drug dose, such as salbutamol, was written on the PRN side or the regular side of the drug chart did not influence marking, so those with no previous experience of the chart or our usual prescribing habits wer...

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  • Off the top of their heads?
    Dylan M Wilson

    While there can be no excuses for failing to sign, print, date, and recognise allergies, I do take issue with some points raised in this letter.

    First, there is no mention of whether a BNF for Children was made available. It is a little unfair to criticise for incorrect doses if a suitable reference was not made available. While it could be argued that the doses of the drugs required to be prescribed are freque...

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  • Pneumocystis jiroveci pneumonia can be a clue to underlying primary immunodeficiency disease
    Sujoy Khan

    Dear Editor: The report by Jeena PM and colleagues highlights the need for HIV PCR testing in children with Pneumocystis jiroveci pneumonia with acute respiratory failure [1], but do not report whether primary immunodeficiency syndromes were considered in 14 of 38 retrovirus-negative children. It is worth noting from studies that survival of HIV-infected patients with Pneumocystis jiroveci pneumonia appears independent of...

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  • A first step towards safer drugs in children: Angelini updates paracetamol SPC
    Jenny Bua

    Sir, with regard to the article we recently published on “wrong-label” drugs in Italy (1), we are very pleased to communicate that very recently Angelini, the pharmaceutical company producing paracetamol and appearing in our article because of its “wrong-label”, finally updated its Summary Product Characteristics (SPC). The updated SPC now reports appropriate dosages per kilogram, per narrower age ranges, together with the...

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  • Differentiation between low birth weight and gestational age - effects on blood pressure
    Michiel F Schreuder

    Recently, Liew et al. studied the differential contribution of birth weight and gestational age to blood-pressure (BP) levels in 6-year old children [1]. They conclude that low birth weight, rather than prematurity, is the main basis for programming of BP in later life. This is a very important research question, as the initial epidemiological studies that formed the basis of the developmental origins of health and dise...

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  • letter in response to How do we ensure safe prescribing for children
    SW Nicholls


    Your recent Perspective, ‘How do we ensure safe prescribing for children’ (1) highlighted an important and potentially avoidable cause of morbidity and mortality in childhood. We would like to add that significant errors in paediatric prescribing happen at the dispensing stage too, with between 2 and 58% of drug errors being related to dispensing errors (2). We briefly describe a case which highlights this...

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