OSHs in Paediatrics

Containing detailed summaries on a comprehensive range of clinical scenarios and conditions, and organised according to the different sub-specialities of community paediatrics, this resource is an ideal companion for anyone working with children in the community.Less

Antimicrobial agents either kill (bactericidal) or inhibit (bacteriostatic) the growth of a microorganism by targeting specific unique bacterial sites or metabolic pathways. Common antibiotic adverse effects and toxicities include allergic reactions, numerous possible toxicities, alteration of human flora, drug interactions, and promoting of antibiotic resistance. Presumptive and empirical therapy relies on the clinical syndrome and anatomical site of infection. Factors to consider when choosing empirical therapy include identification of the organism, the estimated benefit to the patient, the probable susceptibility of the isolated (or suspected) pathogen based on laboratory results or local epidemiological parameters, and pharmacokinetic/pharmacodynamic considerations. Host factors, including age, immune deficiency status, and other underlying conditions, should always be considered when choosing an antibiotic. There are few absolute indications for the prophylactic use of antimicrobials, and this is one area where misuse is common. The susceptibility of common pathogens is often predictable, allowing adequate empirical treatment. The main driver for the development of antibiotic resistance is the inappropriate use of antibiotics. Bacteria may be naturally resistant or may acquire resistance by means of DNA mutation or acquisition of resistance-conferring DNA from another source (e.g. plasmids). Mechanisms of antibiotic resistance include chemical modification of antibiotics, reduced uptake into cells, active efflux from cells, target site modification, overproduction of antibiotic target, and metabolic bypass of inhibited reaction. Control of resistance may be achieved through adherence to prescribing guidelines, restriction policies that reduce the use of certain antibiotics, and antimicrobial stewardship programmes.Less

Paediatric gastroenterology, hepatology, and nutrition encompass a wide range of paediatric practice with conditions being managed in a wide variety of settings, dependent upon their complexity. This includes primary care, secondary services, and specialist paediatric practice. Conditions such as abdominal pain and constipation can be assessed in any of these settings. Conditions such as inflammatory bowel disease, intestinal failure, and liver failure require specialist assessment but still shared care within the wider healthcare environment. Nutritional problems are seen by us all in everyday practice with nutritional support being an integral part of the management of any chronic disease. The handbook is intended as a practical reference for practitioners who commonly see such conditions both in training and in clinical practice. The idea is that the clinician can dip in for information on practical management but also background information on specific conditions. The chapters reflect common situations encountered in practice. The handbook includes bullet points, lists, and management guidelines where possible. The references have been limited as much of this is available through the Internet, and websites have been listed where helpful. Only limited information has been included about drug dosing and readers are referred to the British National Formulary for Children for further information.Less

An indispensible and highly-accessible guide for all healthcare professionals faced with the assessment, diagnosis and treatment of children with skin diseases.

Paediatric Endocrinology and Diabetes is aimed at junior doctors in training both as specialists and as general paediatricians, as well as specialist nurses in endocrinology and diabetes, but will also be of interest to consultants in general paediatrics and paediatricians with an interest in endocrinology and diabetes.Less

Divided into sections to allow quick access to the necessary information, this title covers general principles of diagnosis and treatment, short and long term care, and oncological emergencies, before moving on to chapters on specific diseases.Less

Paediatric Intensive Care gives practical and realistic advice for children's doctors and nurses in intensive care.

This pocket handbook of paediatric neurology provides practical advice on the clinical approach, and ‘at a glance’ overviews and aides-memoire, to common and rare disorders and clinical scenarios. Precise and compact, the book includes many helpful tables (on aetiologies and differential diagnoses) and figures (e.g. innervations, neuroradiological anatomy). The book is divided into seven chapters: (1) Clinical approach, (2) Neurodiagnostic tools (both giving practical guidance on an orderly approach to how and why to perform specialist tests and how to interpret the results, along with introductions to neurophysiology and neuroradiology), (3) Signs and symptoms (offering a distinctive clinically oriented systematic approach), (4) Specific conditions, (5) ‘Real-life’ examples of consultations with other services, (6) Emergencies, and (7) A comprehensive, practically orientated Pharmacopeia. The Handbook’s contributors are trainees who have recently got to grips with the subject, and senior colleagues whose long teaching and clinical experience bring a fresh and pragmatic approach to everyday clinical situations This equips general and neurodevelopmental paediatricians with the knowledge they need to meet the neurological needs of the young people they see; provides an ideal introduction and essential reference for trainees on short-term child neurology attachments or subspecialty trainees in neurology, neurodisability, and developmental paediatrics. An international perspective includes North American emphases. The new edition has an expanded neuroimaging section and an increased emphasis on genetic aspects of neurological disease.Less

Looking after children with life-limiting conditions can be very difficult for both parents and health-care professionals. This second edition of Paediatric Palliative Medicine is full of easily accessible, detailed information on medical conditions and symptoms, and includes specific management plans in order to guide the practising clinician through treatment of children requiring palliative care. Using the bestselling Oxford Specialist Handbook format to deliver practical and concise information, this handbook facilitates bedside delivery of effective palliative medicine. It includes detailed information on symptom control and the philosophy and models that support delivery of palliative medicine to children, while also covering practical delivery of palliative medicine relating to other professionals and families, and the learning and coping skills required in palliative care. It also contains a quick-reference drug formulary. Fully updated with an expanded formulary and a new chapter on the intensive care unit, this new edition continues to be the authoritative reference tool in paediatric palliative care.Less

This resource encompasses all aspects of paediatric radiology. It provides an overview of how to approach the imaging of children including the relative values of each of the imaging modalities for paediatric pathology.Less

This new edition covers all areas associated with treating acute or chronic respiratory problems in children. It discusses the approach to clinical problems, specific conditions, supportive care and practical procedures, and includes vital appendices covering specific tests and statistics. Designed as a practical guide, it serves general and specialist paediatricians at both consultant and trainee level. Divided into five parts, it provides a practical approach to acute and non-acute clinical problems;, detailed information about common and more rare clinical conditions, useful information on supportive care, including the use of non-invasive ventilation and the care of a child with a tracheotomy; and details on how to perform several practical procedures, such as ciliary brush biopsy, flexible bronchoscopy, and inserting a chest drain. The appendices provide information on lung function testing and tables of age-corrected normal values for several respiratory parameters.Less

Paediatric Surgery offers a thorough, practical overview of the subject as well as detailed information about a wide variety of unusual and unfamiliar conditions.