Paediatrics

The Autism page has been updated, including information about the risk of autism.

The Febrile child page has been updated with additional information about the extremely low yield of blood cultures in otherwise healthy 3-36 month old infants and the most common pathogens identified in the post Streptococcal vaccination era.

The Febrile child page has been updated with information about the investigation and management of selected cases of older neonates with fever.

The Neonatal problems page has been updated with information about normal weight changes in the neonatal period.

The Urinary tract infection in children page has been updated with information about the relative rates of contamination of the various urine collection methods.

The Urinary tract infection in children page has had a few minor modifications.

The Assessment of children page has been updated with additional information about the things little babies do best (see above) following the publication of the following review article: Goldstein, H, Tagg, A, Davis, T, et al. Baby steps: Understanding normal baby behaviour. Emerg Med Australas 2016;28(2):130-2.

The Bronchiolitis page has been updated to include that multiple B lines may be found on thoracic US.

The Paediatric gastroenteritis page has been updated with information about the efficacy of half strength apple juice for ORT in children with only mild dehydration. Freedman, SB, Willan, AR, Boutis, K, et al. Effect of dilute apple juice and preferred fluids vs electrolyte maintenance solution on treatment failure among children with mild gastroenteritis: A randomized … Read more

The Sudden infant death syndrome page has been updated with information about BRUE (Brief resolved unexplained event), the new American Academy of Pediatrics definition replacing ALTE. Tieder JS et al. Brief resolved unexplained events (formerly apparent life-threatening events) and evaluation of lower-risk infants. Pediatrics 2016 May; 137:e20160590.  

The Febrile child page has been updated with additional information about the diagnostic accuracy of PCT in the diagnosis of serious bacterial infection.

A slight change indicating the possible utility of neubulised hypertonic saline in bronchiolitis has been added to the Bronchiolitis page.

A short segment outlining the legal responsibility of reporting non accidental injury has been added to the Non accidental injury page.

The Neonatal skin disorders page has been updated with information about Infantile haemangiomas.

The Non accidental injury page has been updated with information about the rarity of bruising in children < 6 months of age presenting to the ED with presentations not related to NAI (1.3% overall, 0.2% in children presenting without trauma). Pierce MC et al. The prevalence of bruising among infants in pediatric emergency departments. Ann … Read more