Like hospitals across the country we’ve had lots of children with RSV bronchiolitis and been working hard to implement the new @NICEComms guidance. nice.org.uk/guidance/ng9/c…
Thankfully, most children with bronchiolitis get better on their own so we’ve been trying to ⬇️ unnecessary CXR, blood gases, NG tubes, suction, nebulisers and oxygen therapy.
We’ve also been using the guidance to get children safely back home as a soon as possible.
But sometimes children with RSV also get bacterial pneumonia and I’ve often wondered when it’s appropriate to start antibiotics. Thankfully, one of my colleagues pointed out this is covered in the nice guidance too.
This lead on to a conversation about oral vs IV antibiotics and should we add clarithromycin? When I got home from work, the latest issue of @ArchivesEandP had arrived with a review of NICE Community-Acquired Pneumonia Guideline. All my questions about antibiotics answered!
Bronchiolitis and LRTIs are so common that it is easy to slip into doing what we ‘normally do’ without stopping make sure we’re following the latest guidance. #wiltw
Every week @ESHTNHS the paediatric dept have a grand round when the consultant of the week 🐄 hand over. It’s multidisciplinary and an opportunity to get colleagues advice on complex cases and how me manage common paediatric conditions
The paediatric consultants have got over 100 years of paediatric experience between them😬. I learn something every week - often from the nurses.
The meeting is also a rich source of ideas about how we can improve paediatric services locally and nationally.