👉AGA Clinical Practice Guidelines on the Role of Probiotics in the Management of Gastrointestinal Disorders.
📌 First, the Institute found moderate evidence that probiotics do not reduce the
duration or severity of diarrhea in children with acute infectious gastroenteritis. It is ironic that
diarrhea in children was one of the original indications for potential therapy using probiotics over 100 years ago. However, only a minority of the studies tested strains of Bifidobacteria
suggested by Tissier. In contrast, there was moderate to high level of evidence that probiotics
containing different strains of Lactobacillus and Bifidobacterium genera were beneficial in
preventing necrotizing enterocolitis (NEC), the most frequent and devastating gastrointestinal
disease in preterm, low birthweight newborns and mitigating its complications.
🔗https://www.gastrojournal.org/article/S0016-5085(20)34729-6/fulltext
https://www.gastrojournal.org/article/S0016-5085(20)34732-6/fulltext
#probiotics #guidelines #guide #aga
📌 First, the Institute found moderate evidence that probiotics do not reduce the
duration or severity of diarrhea in children with acute infectious gastroenteritis. It is ironic that
diarrhea in children was one of the original indications for potential therapy using probiotics over 100 years ago. However, only a minority of the studies tested strains of Bifidobacteria
suggested by Tissier. In contrast, there was moderate to high level of evidence that probiotics
containing different strains of Lactobacillus and Bifidobacterium genera were beneficial in
preventing necrotizing enterocolitis (NEC), the most frequent and devastating gastrointestinal
disease in preterm, low birthweight newborns and mitigating its complications.
🔗https://www.gastrojournal.org/article/S0016-5085(20)34729-6/fulltext
https://www.gastrojournal.org/article/S0016-5085(20)34732-6/fulltext
#probiotics #guidelines #guide #aga
👉Routine imaging of the preterm neonatal brain
📌Routine brain imaging to detect injuries affecting preterm infants is used to predict long-term outcomes and identify complications that might necessitate an intervention. Although magnetic resonance imaging may be indicated in some specific cases, head ultrasound is the most widely used technique and, because of portability and ease of access, is the best modality for routine imaging. Routine head ultrasound examination is recommended for all infants born at or before 31+6 weeks gestation. For preterm neonates born between 32+0 to 36+6 weeks gestation, routine head ultrasound is recommended only in presence of risk factors for intracranial hemorrhage or ischemia. Brain imaging in the first 7 to 14 days post-birth is advised to detect most germinal matrix and intraventricular hemorrhages. Repeat imaging at 4 to 6 weeks of age is recommended to detect white matter injury.
🔗https://www.cps.ca/en/documents/position/routine-imaging-of-preterm-neonatal-brain
👉open access
#guide #guidelines #imaging #canadian
📌Routine brain imaging to detect injuries affecting preterm infants is used to predict long-term outcomes and identify complications that might necessitate an intervention. Although magnetic resonance imaging may be indicated in some specific cases, head ultrasound is the most widely used technique and, because of portability and ease of access, is the best modality for routine imaging. Routine head ultrasound examination is recommended for all infants born at or before 31+6 weeks gestation. For preterm neonates born between 32+0 to 36+6 weeks gestation, routine head ultrasound is recommended only in presence of risk factors for intracranial hemorrhage or ischemia. Brain imaging in the first 7 to 14 days post-birth is advised to detect most germinal matrix and intraventricular hemorrhages. Repeat imaging at 4 to 6 weeks of age is recommended to detect white matter injury.
🔗https://www.cps.ca/en/documents/position/routine-imaging-of-preterm-neonatal-brain
👉open access
#guide #guidelines #imaging #canadian
👉Management of Community-Acquired Pneumonia in Pediatrics: Adherence to Clinical Guidelines
📌 The choice of antibiotics was consistent with guidelines but treatment duration, indication and length of hospitalization still need to be improved.
🔗https://www.frontiersin.org/articles/10.3389/fped.2020.00302/full
#pneumonia #frontiersin #antibiotics #guidelines #guide
📌 The choice of antibiotics was consistent with guidelines but treatment duration, indication and length of hospitalization still need to be improved.
🔗https://www.frontiersin.org/articles/10.3389/fped.2020.00302/full
#pneumonia #frontiersin #antibiotics #guidelines #guide
🅰️
👉NICE guidelines on neonatal #parenteral #nutrition: a step towards standardised care but evidence is scarce
📌Globally, neonatal conditions are the leading cause of reductions in disability-adjusted life-years and affect outcomes that extend throughout life.
Providing neonatal care to optimise such long-term outcomes is challenging because short-term research outcomes might conflict, even within individual trials.
Evidence-based #guidelines are a welcome tool to translate research into practice and reduce variation in care. Such standardisation of care can improve outcomes for patients. For example, adherence to a standardised guideline for enteral feeding is protective against necrotising enterocolitis, despite the heterogeneity in the content of the individual guidelines.
The latest guideline by the UK's National Institute for Health and Care Excellence (NICE) on neonatal parenteral nutrition is a welcome addition to neonatal practice, and is particularly important given the deficiencies frequently found in the provision of neonatal nutritional care in the UK.
'We must acknowledge that we do not, at present, know the optimal way to provide parental nutrition to neonates and use this clarion call to advocate for high quality research’
🔗https://www.thelancet.com/journals/lanchi/article/PIIS2352-4642(20)30179-6/fulltext
👉NICE guidelines on neonatal #parenteral #nutrition: a step towards standardised care but evidence is scarce
📌Globally, neonatal conditions are the leading cause of reductions in disability-adjusted life-years and affect outcomes that extend throughout life.
Providing neonatal care to optimise such long-term outcomes is challenging because short-term research outcomes might conflict, even within individual trials.
Evidence-based #guidelines are a welcome tool to translate research into practice and reduce variation in care. Such standardisation of care can improve outcomes for patients. For example, adherence to a standardised guideline for enteral feeding is protective against necrotising enterocolitis, despite the heterogeneity in the content of the individual guidelines.
The latest guideline by the UK's National Institute for Health and Care Excellence (NICE) on neonatal parenteral nutrition is a welcome addition to neonatal practice, and is particularly important given the deficiencies frequently found in the provision of neonatal nutritional care in the UK.
'We must acknowledge that we do not, at present, know the optimal way to provide parental nutrition to neonates and use this clarion call to advocate for high quality research’
🔗https://www.thelancet.com/journals/lanchi/article/PIIS2352-4642(20)30179-6/fulltext
🅰️
👉Imaging modalities and treatment of paediatric upper tract urolithiasis: A systematic #review and update on behalf of the EAU urolithiasis #guidelines panel
📌In the initial assessment of paediatric #urolithiasis, US is recommended as first #imaging modality, while non-contrast CT is the second option. SWL is recommended as first line treatment for renal stones <20 mm and for ureteral stones<10 mm. #Ureteroscopy is a feasible alternative both for ureteral stones not amenable to SWL as well as for renal stones <20 mm (using flexible). PNL is recommended for renal stones >20 mm.
🔗https://www.jpurol.com/article/S1477-5131(20)30413-7/fulltext
#nephrology #urology
👉Imaging modalities and treatment of paediatric upper tract urolithiasis: A systematic #review and update on behalf of the EAU urolithiasis #guidelines panel
📌In the initial assessment of paediatric #urolithiasis, US is recommended as first #imaging modality, while non-contrast CT is the second option. SWL is recommended as first line treatment for renal stones <20 mm and for ureteral stones<10 mm. #Ureteroscopy is a feasible alternative both for ureteral stones not amenable to SWL as well as for renal stones <20 mm (using flexible). PNL is recommended for renal stones >20 mm.
🔗https://www.jpurol.com/article/S1477-5131(20)30413-7/fulltext
#nephrology #urology
👉ASCIA Guidelines - Acute management of anaphylaxis
📌These #guidelines for the acute management of severe #allergic reactions (#anaphylaxis) are intended for medical practitioners, nurses and other health professionals who provide first responder emergency care. The appendix includes additional information for health professionals working in emergency departments, ambulance services, and rural or regional areas, who provide emergency care.
🔗https://www.allergy.org.au/hp/papers/acute-management-of-anaphylaxis-guidelines
#allergy
📌These #guidelines for the acute management of severe #allergic reactions (#anaphylaxis) are intended for medical practitioners, nurses and other health professionals who provide first responder emergency care. The appendix includes additional information for health professionals working in emergency departments, ambulance services, and rural or regional areas, who provide emergency care.
🔗https://www.allergy.org.au/hp/papers/acute-management-of-anaphylaxis-guidelines
#allergy
👉#Guidelines on Nephrotic Syndrome: New translations available on the IPNA Website (Portuguese, Japanese and Russian).
🔗https://ipna-online.org/resources/guidelines/
#nephrotic #nephrology #urology
🔗https://ipna-online.org/resources/guidelines/
#nephrotic #nephrology #urology