Background Rotavirus is the primary cause of gastroenteritis in children worldwide and is a leading cause of gastroenteritis in children,with a significant burden.Rotavirus vaccine became available in Ireland in 2016....Background Rotavirus is the primary cause of gastroenteritis in children worldwide and is a leading cause of gastroenteritis in children,with a significant burden.Rotavirus vaccine became available in Ireland in 2016.This study aimed to investigate hospital admissions and seasonal characteristics of rotavirus gastroenteritis in a pre-and post-vaccination period in a single district general hospital.Methods In the post-vaccination year,from November 18th 2016 to November 18th 2017,all children up to 3 years of age who presented to Mayo University Hospital with vomiting and diarrhea,were recruited and had their stool tested for rotavirus.Retrospective analysis of hospital data of children of the same age during pre-vaccination years(2014–2016)were used for comparison.Results Compared with the pre-vaccination years(2014–2016),the median percentages of reduction of rotavirus positive stool requests and hospital admissions were high,48.5%and 73%,respectively.In the post-vaccination year,the median percentage of reduction of emergency department presentation(stool requests)with gastroenteritis was 9%.No delay in the onset of RV season or reduction of the peak of RV infection was noted in the post-vaccination year.The duration of rotavirus season in 2016/2017 was short.Conclusions Compared with 3 pre-vaccination years,the total number of gastroenteritis presentations,gastroenteritis hospital admissions,and rotavirus positive gastroenteritis cases were all reduced,and the duration of the rotavirus season was shorter.展开更多
Paediatric food allergy is a common problem with a preva-lence of 5%across the UK[1].There are increasing demands of developing allergy services across the health care system in the UK.Establishing new allergy service...Paediatric food allergy is a common problem with a preva-lence of 5%across the UK[1].There are increasing demands of developing allergy services across the health care system in the UK.Establishing new allergy services among district hospitals,run by paediatricians with a special interest in allergy is recommended.Allergy clinics are multi-discipli-nary in their design with emphasis on the role of dieticians and asthma nurses in the management of allergy.Clinicians should always think about tools to improve the quality of allergy clinics.We propose an allergy pro forma to be used in food allergy clinics to improve the quality of the service(Supplementary material 1).展开更多
The coronavirus pandemic is an unprecedented challenge to health care professionals.Central in its management remain social distancing,personal hygiene and wearing proper personal protective equipments.Distant medical...The coronavirus pandemic is an unprecedented challenge to health care professionals.Central in its management remain social distancing,personal hygiene and wearing proper personal protective equipments.Distant medical practising is alien to clinicians.Virtual consultations deploying recent technology have now replaced the normal practice of routine clinics.展开更多
Human adenovirus subgroup F(AdVF)gastroenteritis(GE)occurs throughout the year,with a peak in the summer and predominantly affects children younger than 4 years[1,2].Co-infection with other viruses,mainly rotavirus(RV...Human adenovirus subgroup F(AdVF)gastroenteritis(GE)occurs throughout the year,with a peak in the summer and predominantly affects children younger than 4 years[1,2].Co-infection with other viruses,mainly rotavirus(RV)and norovirus(NoV),is common[2].During 2016/2017,150 stool samples from 150 children<3 years,presented with vomiting and diarrhoea,were tested for AdV and other viruses in our region.Stool samples were tested for AdV DNA genome by polymerase chain reaction(PCR)testing and by reverse transcription real time PCR of RNA genome of other viruses[RV,NoV,Sapovirus(SaV)and astrovirus(AsV)].展开更多
文摘Background Rotavirus is the primary cause of gastroenteritis in children worldwide and is a leading cause of gastroenteritis in children,with a significant burden.Rotavirus vaccine became available in Ireland in 2016.This study aimed to investigate hospital admissions and seasonal characteristics of rotavirus gastroenteritis in a pre-and post-vaccination period in a single district general hospital.Methods In the post-vaccination year,from November 18th 2016 to November 18th 2017,all children up to 3 years of age who presented to Mayo University Hospital with vomiting and diarrhea,were recruited and had their stool tested for rotavirus.Retrospective analysis of hospital data of children of the same age during pre-vaccination years(2014–2016)were used for comparison.Results Compared with the pre-vaccination years(2014–2016),the median percentages of reduction of rotavirus positive stool requests and hospital admissions were high,48.5%and 73%,respectively.In the post-vaccination year,the median percentage of reduction of emergency department presentation(stool requests)with gastroenteritis was 9%.No delay in the onset of RV season or reduction of the peak of RV infection was noted in the post-vaccination year.The duration of rotavirus season in 2016/2017 was short.Conclusions Compared with 3 pre-vaccination years,the total number of gastroenteritis presentations,gastroenteritis hospital admissions,and rotavirus positive gastroenteritis cases were all reduced,and the duration of the rotavirus season was shorter.
文摘Paediatric food allergy is a common problem with a preva-lence of 5%across the UK[1].There are increasing demands of developing allergy services across the health care system in the UK.Establishing new allergy services among district hospitals,run by paediatricians with a special interest in allergy is recommended.Allergy clinics are multi-discipli-nary in their design with emphasis on the role of dieticians and asthma nurses in the management of allergy.Clinicians should always think about tools to improve the quality of allergy clinics.We propose an allergy pro forma to be used in food allergy clinics to improve the quality of the service(Supplementary material 1).
文摘The coronavirus pandemic is an unprecedented challenge to health care professionals.Central in its management remain social distancing,personal hygiene and wearing proper personal protective equipments.Distant medical practising is alien to clinicians.Virtual consultations deploying recent technology have now replaced the normal practice of routine clinics.
文摘Human adenovirus subgroup F(AdVF)gastroenteritis(GE)occurs throughout the year,with a peak in the summer and predominantly affects children younger than 4 years[1,2].Co-infection with other viruses,mainly rotavirus(RV)and norovirus(NoV),is common[2].During 2016/2017,150 stool samples from 150 children<3 years,presented with vomiting and diarrhoea,were tested for AdV and other viruses in our region.Stool samples were tested for AdV DNA genome by polymerase chain reaction(PCR)testing and by reverse transcription real time PCR of RNA genome of other viruses[RV,NoV,Sapovirus(SaV)and astrovirus(AsV)].
