Journal of paediatrics and child health
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Duplication of the oesophagus is the second most common duplication of the gastrointestinal tract. Children with oesophageal duplication cyst usually present with dysphagia or as asymptomatic thoracic mass found o incidental chest x-ray. ⋯ Duplication cyst arising from the oesophagus was suggested on CT and MRI. The cyst was surgically excised with resolution of symptoms.
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J Paediatr Child Health · Mar 2010
Perianal abscess and fistula-in-ano in children: aetiology, management and outcome.
We aimed to assess our experience in treatment and outcome of perianal abscess and/or fistula-in-ano in children. ⋯ Treatment of a perianal abscess either through incision and drainage with antibiotics or through antibiotics alone resulted in a high rate (85%) of fistula formation. Fistula-in-ano can be treated either by fistulotomy or by fistulectomy, both of which are associated with a reasonable chance of recurrence of fistula-in-ano formation. We obtained good results in our patients through surgical approach (fistulotomy or fistulectomy), for fistula-in-ano formed following treatment of perianal abscess.
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J Paediatr Child Health · Mar 2010
C1 inhibitor level on neonatal sepsis and its relations with clinical findings.
Generalised oedema is a frequent finding during neonatal sepsis, but its aetiology remains uncertain. ⋯ Despite studies suggesting the role of C1 inhibitor deficiency in vascular leak during sepsis in adults, there is no information in the literature regarding the C1 inh levels of healthy or septic newborns to date. In this study, fC1 inh levels were no different than controls, necessitating the consideration of other factors causing vascular leak and oedema during neonatal sepsis.
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J Paediatr Child Health · Mar 2010
Randomized Controlled Trial Comparative StudyTrimethopim-sulfamethoxazole compared with benzathine penicillin for treatment of impetigo in Aboriginal children: a pilot randomised controlled trial.
We conducted a pilot randomized controlled trial comparing trimethoprim-sulfamethoxazole to benzathine penicillin for treatment of impetigo in Aboriginal children. Treatment was successful in 7 of 7 children treated with trimethoprim-sulfamethoxazole and 5 of 6 treated with benzathine penicillin. Trimethoprim-sulfamethoxazole achieved microbiological clearance and healing of sores from which beta-hemolytic streptococci and community-associated methicillin-resistant Staphylococcus aureus were initially cultured.
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J Paediatr Child Health · Jan 2010
The effect of a PEEP valve on a Laerdal neonatal self-inflating resuscitation bag.
Self-inflating bags are used to provide ventilation during neonatal resuscitation. However, they cannot provide positive end expiratory pressure (PEEP) unless a PEEP valve is attached. The ability of Laerdal neonatal self-inflating bags fitted with PEEP valves to reliably deliver PEEP is unclear. The aim of this study was to measure the delivered PEEP at different set PEEP levels and inflation rates. ⋯ The 240 mL Laerdal self-inflating bag with a PEEP valve delivers PEEP that loses pressure quickly. The level of PEEP delivered is less than that set, particularly at rates below 40/min.