Journal of paediatrics and child health
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J Paediatr Child Health · Mar 2013
C-reactive protein versus erythrocyte sedimentation rate, white blood cell count and alkaline phosphatase in diagnosing bacteraemia in bone and joint infections.
Bacteraemia is common in childhood acute bone and joint infections and demands urgent treatment. Blood C-reactive protein (CRP), erythrocyte sedimentation rate and white blood cell count (WBC) are well known and established markers in these infections. Instead, no information is available on serum alkaline phosphatase whose concentration is known to increase in septic conditions. ⋯ None of the markers could reliably diagnose bacteraemia. CRP alone was significantly higher among bacteraemic patients.
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J Paediatr Child Health · Mar 2013
Randomized Controlled TrialBolus fluid therapy and sodium homeostasis in paediatric gastroenteritis.
The study aims to assess the risk of developing hyponatraemia when large-volume bolus fluid rehydration therapy is administered. ⋯ Large-volume bolus rehydration therapy with 0.9% saline is safe. It does not promote the development of hyponatraemia over the short term, but hastens the resolution of baseline hyponatraemia.