News you choose ..... to use or loose

Road-to-Health book growth chart

WHO chart

international sample of children (not just USA)

all breastfed (unlike NCHS & CDC charts)

all healthy children

data longitudinal for ages 0-24 months

Z-scores!

same as standard deviations

-2 line ≈ -2 Z-scores ≈ 2 SDs ≈ 3rd centile ≈ “moderate”

-3 line ≈ -3 Z-scores ≈ 3 SDs ≈ 1st centile ≈ “severe”

Infectious diseases

Important paper: Dheda K, et al. Early treatment outcomes and HIV status of patients with extensively drug-resistant tuberculosis in South Africa: a retrospective cohort study. Lancet 2010;375:1798-1807

Global guidelines update: World Health organization. Antiretroviral therapy for HIV infection in infants and children: Towards Universal access. Recommendations for a public health approach, 2010 revision.

http://whqlibdoc.who.int/publications/2010/9789241599801_eng.pdf

Forthcoming conference:3rd International Workshop on HIV Pediatrics, Rome, Italy, 17 – 20 July 2011

Gastroenterology Guidelines and Position Statements

European Society for Paediatric Gastroenterology and Nutrition (ESPGHAN): http://espghan.med.up.pt

Enteral Nutrient Supply for Preterm Infants 2009

Paediatric Gastroesophageal Reflux Clinical Practice Guidelines 2009

Breastfeeding 2008

Complimentary Feeding 2009

North American Paediatric Gastroenterology and Nutrition (NASPGHAN): http://naspghan.org

Evaluation and Treatment of Constipation in Infants and Children 2006

Neurology Great web-site American Academy of Neurology for

Practice Guidelines (strict evidence based data) http://www.aan.com/practice/guideline/

Examples Pharmacologic Treatment of Spasticity in Children and

Adolescents with Cerebral Palsy

(Jan 2010)

Evaluation of the Child with Microcephaly

(Sept 2009)

Diagnostic Assessment of the Child with Status Epilepticus

(Oct 2010)

Evaluation of Children and Adolescents with Recurrent Headache

(Feb 2008)

Critical Care and Heart Diseases

PICU Survivor

I survived sepsis because my doctor ...

1. Recognised my sepsis early;

2. Immediately gave me oxygen;

3. Immediately gave me iv fluids;

4. Immediately gave me antibiotics;

5. Started dopamine early.

Thanks guys, you saved my life!!!!!! You were brilliant, fantastic, supreme….!!

(I was coached to say this!)

Remember the updated

“Surviving Sepsis” Guidelines!!

(www.survivingsepsis.com)

(www.wfpiccs.org)

http://www.survivingsepsis.com/

Nephrology: New protocol for investigations of a UTI

Nephrology Approach to incontinence and enuresis

See updated text in the Oxford Handbook of paediatrics,

7th edition

Recommended reading: Wright, A. Evidence-based

assessment and management of childhood enuresis.

Paediatrics Child Health. 2008;18:561-567

2 day workshop on ‘Bladder Blues” and Incontinence

Presented by the Children’s Continence Society, with

Anne Wright as a invited speaker

Applicable to all

Attached to the Refresher Course 2012

Details to follow

Haematology-Oncology

Paediatric Haem-Onc Shared Care Update … Feb 12 at RCCH

South African Children’s Cancer Study Group (SACCSG) Workshop …

September 2 – 4 in Pretoria

43rd Annual Congress of the International Paediatric Oncology Society (SIOP) …

October 26 – 30 in Auckland, New Zealand

African continental meeting of SIOP in 2012 … March 21 – 23 in Cape Town

Celebrating African Excellence - Celebration de l’excellence Africaine

Pulmonology Update 2010 Bronchiolitis - new SA guidelines SAMJ 2010 Hypertonic saline nebulisation effective to reduce

length of hospital stay and severity of illness Pneumonia in HIV-infected children – new WHO

guidelines Ampi and genta or ceftriaxone as empiric therapy Empiric cotrimoxazole for children 2 mnth to 1 yr Asthma Long acting B2 agonists are preferred add – on therapy

for children over 5 years uncontrolled on ICS (BADGER study NEJM 2010)

Fixed drug combinations preferable

Pulmonology Update 2010 TB New WHO/ IUALTD guidelines in children for TB

treatment higher doses of all drugs 4 drug treatment for PTB in high HIV prevalence

areas or for extensive disease daily (not thrice weekly) treatment in high HIV

prevalence areas WHO new recommendation for TB diagnosis

PCR based test (Gene Xpert) as 1st line investigation for suspected PTB in areas of high drug resistance or high HIV prevalence

New WHO guidelines for prevention of TB in HIV-infected recommend up to 3 yrs of INH prophylaxis in those

who are not symptomatic for TB