key: cord-0041794-bsbjrb6k
authors: nan
title: Middle Eastern Respiratory Syndrome coronavirus and camels
date: 2014-11-06
journal: J Paediatr Child Health
DOI: 10.1111/jpc.12748_2
sha: 1eacc07342178007be212f5d0e4aa31721374925
doc_id: 41794
cord_uid: bsbjrb6k

nan

Here's some good news! Despite shorter lengths of stay for birth admissions, readmission rates during the first year of life are falling -at least in NSW. A large data-linkage study examined all live births in NSW and subsequent admission to hospital (either public or private) in the first year of life. 1 Data were available for almost 800 000 live births from 2001 to 2009. Readmission rates fell from 18.4 per 100 births in 2001 to 16.5 in 2009, an absolute fall of 1.9 per 100 births or a relative decrease of 10.5% over that period. However, the current rate still means approximately one in six infants were readmitted in 2009. The most common reasons for admission were respiratory infections, viral infections and intestinal infections. Admission rates for jaundice and feeding difficulties increased over the study period. Multivariate analysis found the major independent factors associated with the fall in readmissions were increasing maternal age, decreasing rates of maternal smoking and shorter length of stay during the birth admission. Presumably, policy changes and programmes such as the Early Postnatal Discharge and home midwifery support programmes have also played a major role in reducing readmissions. These local data are valuable, because early post-natal discharge has been an area of controversy, with concerns infant readmission rates could increase as a direct consequence. 2 (2), Escherichia coli (1) and Serratia (1). Six patients grew more than one organism. Two patients grew Mycobacterium abscessus. Infection was cured in 78% of antibiotics with antibiotics alone without removing the rods, but four patients failed medical therapy. Antibiotics were given for a median of 131 days (range 42->597 days). It appears most spinal rod infections can be cured with antibiotics alone with preservation of the implant, although the optimal duration of antibiotics is unknown.

Ethical issues in hypoplastic left heart syndrome

Patient-reported quality of life outcomes for children with serious congenital heart defects

Reviewer: David Isaacs, Children's Hospital at Westmead, david.isaacs@health.nsw.gov.au Reference