Journal of paediatrics and child health
-
J Paediatr Child Health · Nov 2008
Diagnosis and management of childhood obesity: a survey of general practitioners in South West Sydney.
To describe general practitioners' (GPs) diagnosis and management of overweight and obesity in children, their attitudes regarding obesity and their awareness of National Health and Medical Research Council (NHMRC) clinical practice guidelines. ⋯ Although NHMRC guideline adherence was far from universal, the GPs in our survey are motivated and aware of the importance of managing childhood obesity. If the primary care approach is to work, then GPs need support and education in an environment where there is greater community awareness of the impact of childhood obesity.
-
J Paediatr Child Health · Nov 2008
Case ReportsSevere iron-deficiency anaemia in adolescents: consider Helicobacter pylori infection.
This article describes the association of severe iron-deficiency anaemia with Helicobacter pylori gastritis. ⋯ This case series highlights the importance of considering H. pylori infection as a cause of refractory iron-deficiency anaemia in adolescents, even in the absence of gastrointestinal symptoms.
-
J Paediatr Child Health · Oct 2008
Comparative StudyEmergency department management of gastro-enteritis in Australia and New Zealand.
Comparison of clinical practice guideline (CPG) recommendations and reported physician management of gastro-enteritis at Paediatric Research in Emergency Departments International Collaborative (PREDICT) network sites as a baseline for further randomised controlled trials. ⋯ CPG recommendations and physician practice for the management of gastro-enteritis were similar across PREDICT sites with a focus on NG for moderate dehydration and IV for severe dehydration. A variety of fluids and administration rates were used. Anti-emetics were used infrequently. The efficacy and safety of newer anti-emetics should be explored in collaborative studies. Collaborative development of new CPGs should be considered to simplify fluid regimens.
-
J Paediatr Child Health · Oct 2008
Letter Review Case ReportsAir leaks in children with acute bronchiolitis.
-
J Paediatr Child Health · Oct 2008
Antibiotic prophylaxis for childhood urinary tract infection: a national survey.
To describe attitudes of paediatricians and paediatric nephrologists regarding antibiotic prophylaxis for urinary tract infection (UTI) and determine the factors associated with its use. ⋯ Opinions of Canadian paediatricians and paediatric nephrologists regarding antibiotic prophylaxis for UTI in children vary widely, probably because of the paucity of solid evidence about prophylaxis.