Screening, Anticipatory Guidance and Counseling… Energy drinks are not safe for kid 22 Mar 202017 Mar 2020 Energy drinks are often confused with sports drinks, but they are actually quite different. Energy drinks contain sugar, caffeine, plant extracts such as guarana, herbs such as ginseng, as well as…
ALLERGIC DISORDERS… Antihistaminics in Urticaria 19 Mar 202011 Mar 2020 Depending on the duration of clinical symptoms (the time since the first episode of urticarial wheals), urticaria can be classified as acute (up to 6 weeks) or chronic (over 6 weeks). In acute urticaria second-generation antihistamines are the first choice. For refractory cases, use a combination of H1 and H2…
Anti-histaminics… Antihistaminics in pediatric practice 15 Mar 202011 Mar 2020 Histamine influence immunoregulation of the acute and chronic inflammatory response through 4 different types of receptors, called H1, H2, H3, and H4. Drugs classified in the first generation of antihistamines (“classical” antihistamines) are classified as first generation, include chlorpheniramine, diphenhydramine, promethazine, and hydroxyzine. They are sedating and necessitate multiple daily doses because of relatively short half-lives. The second…
Urinary Tract Infections… Imaging studies after first episode of urinary tract infection (UTI) 12 Mar 202029 Oct 2023 Ultrasound kidneys is recommended in all cases with UTI irrespective of age. Dimercaptosuccinic acid scan (DMSA) should only be done after 3 to 4 months of treatment to detect renal…
INFECTIOUS DISEASES… Laboratory testing of Novel Corona Virus (SARS-CoV-2) 8 Mar 20203 Mar 2020 Testing for Novel Corona virus (SARS-CoV-2) is done by detection Viral RNA detection by PCR Techniques Existing Multiplex PCR kits with respiratory virus panels, such as those manufactured by Biofire…
INFECTIOUS DISEASES… Preventive measures for COVID-19 5 Mar 20203 Mar 2020 Information for Public The best way to prevent infection is to avoid being exposed to this virus and to prevent spread of virus in community from the infected person. Following…
INFECTIOUS DISEASES… Case definitions for surveillance of Novel Coronavirus Disease, COVID-19 1 Mar 20203 Mar 2020 The Novel Corona Virus also refered to as SARS-CoV-2 causes the disease referred to as Corona Virus disease 2019 or COVID-19 The case definitions have been issued by WHO and are…
INFECTIOUS DISEASES… SWINE FLU H1N1 MANAGEMENT 27 Feb 2020 Patients with Flu like illnesses with mild fever, sore throat, diarrhoea and vomiting do not need any testing and should be treated symptomatically and followed as outpatients. They do not…
INFECTIOUS DISEASES… Current guidelines for Rabies Immunoglobulin or Human Monoclonal Antibody use 23 Feb 202023 Feb 2020 RIG provides passive immunization and is administered only once, as soon as possible after the initiation of PEP and not beyond day 7 after the first dose of vaccine. Equine Rabies…
INFECTIOUS DISEASES… Current WHO guidelines on Rabies Vaccine 20 Feb 2020 IAP Advisory Committee on Vaccines & Immunization(ACVIP) endorses the new schedule suggested by WHO in 2018 as below- Pre-exposure prophylaxis (Pre-EP) is recommended in the following two situations. • Children exposed to pets in home. …