Journal of paediatrics and child health
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J Paediatr Child Health · Nov 2019
Management and outcomes of patients presenting to the emergency department with croup: Can we identify which patients can safely be discharged from the emergency department?
Croup is a major cause of emergency department (ED) presentations, but there remains a paucity of evidence to guide clinical decision-making around which patients require admission. We aimed to describe the clinical characteristics, management and outcomes of patients presenting to the ED with croup and to identify characteristics associated with a need for further intervention. ⋯ Only 19% of patients admitted following two doses of nebulised adrenaline in the ED required further interventions. Older patients without a chronic medical condition who have a normal heart rate, temperature and no stridor may be suitable for outpatient management.
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J Paediatr Child Health · Nov 2019
Paediatric use of antibiotics in children with community acquired pneumonia: A survey from Da Nang, Vietnam.
To characterise paediatricians' antibiotic-prescribing behaviour when managing community acquired pneumonia. ⋯ Paediatricians recognised an urgent need for more effective regulation and antibiotic stewardship in Vietnam. Routinely completing a full course of intravenous antibiotics leads to unnecessary and prolonged hospitalisation.