Maximilian Pentland, Eyal Cohen, Astrid Guttmann, Claire de Oliveira
Child poverty remains a persistent problem in Canada and is well known to lead to poor health outcomes. The Canada Child Benefit (CCB) is a cash transfer program in effect since 2016, which increased both the benefit amount and number of families eligible for the previous child benefit. While the CCB has decreased child poverty rates, not all eligible families have participated. Clinicians can play an important role in screening for uptake of the program and helping families navigate the application process through several free resources...
July 2021: Paediatrics & Child Health
Ian Mitchell, Daniel Y Wang, Christine Troskie, Lisa Loczy, Abby Li, Bosco Paes, Krista Lanctôt
Objectives: Risk factors for sudden infant death syndrome include premature birth, maternal smoking, prone or side sleeping position, sleeping with blankets, sharing a sleeping surface with an adult, and sleeping without an adult in the room. In this study, we compare parents' responses on sleep patterns in premature and term infants with medical complexity. Methods: Parents of children enrolled in the Canadian Respiratory Syncytial Virus Evaluation Study of Palivizumab were phoned monthly regarding their child's health status until the end of each respiratory syncytial virus season...
July 2021: Paediatrics & Child Health
Courtney Gullickson, Emma Bartlett, Amy Ornstein
Background: In 2007, a Paediatrics & Child Health article characterized the Canadian academic Child and Youth Protection Programs (CYPPs) depicting the wide variation in clinical services and resources across the country as 'a threadbare patchwork quilt'. This study aimed to expand and update the knowledge gained from that original project a decade later. The aim of this research was to understand the current structure, functioning, and experiences of the existing Canadian CYPPs. Methods: A mixed-methods design was utilized and all program directors of Canadian CYPPs were invited to participate...
July 2021: Paediatrics & Child Health
Pavan Kumar Buddala, Venkatesh Chandrasekaran, K T Harichandrakumar
Background: Even though the guidelines on the management of preschool asthma recommend early use of corticosteroids for acute moderate-to-severe exacerbations, considerable variation exists with regard to type and dose of steroids. Objectives: To compare the clinical outcomes and side effect profile between 1 mg/kg/day and 2 mg/kg/day of oral prednisolone when administered for 3 days in preschool children with acute moderate asthma exacerbations. Study Design and Setting: Randomized double-blind noninferiority trial was done in the paediatric emergency of a teaching hospital...
July 2021: Paediatrics & Child Health
Steve Holve, Patricia Braun, James D Irvine, Kristen Nadeau, Robert J Schroth
No abstract text is available yet for this article.
July 2021: Paediatrics & Child Health
Alexandra Ahmet, Anne Rowan-Legg, Larry Pancer
No abstract text is available yet for this article.
July 2021: Paediatrics & Child Health
Nicole M A Le Saux, Jennifer Bowes, Isabelle Viel-Thériault, Nisha Thampi, Julie Blackburn, Melanie Buba, Mary-Ann Harrison, Nick Barrowman
Background: Aminopenicillins are recommended empiric therapy for community-acquired pneumonia (CAP). The aim of the study was to assess treatment over a 5-year period after CAP guideline publication and introduction of an antimicrobial stewardship program (ASP). Methods: Using ICD-10 discharge codes for pneumonia, children less than 18 years admitted to the Children's Hospital of Eastern Ontario January 1, 2012 and December 31, 2016 were identified. Children ≥ 2 months with consolidation were included...
July 2021: Paediatrics & Child Health
Sarah Rogers, Jocelyn Gravel, Gregory Anderson, Jesse Papenburg, Caroline Quach, Brett Burstein
[This corrects the article DOI: 10.1093/pch/pxaa114.].
July 2021: Paediatrics & Child Health
Hilarie Garland, Anna C Gunz, Michael R Miller, Rodrick K Lim
Background and Objective: Bronchiolitis is the most common reason for admission to hospital in the first year of life, with increasing hospitalization rates in Canada. Respiratory support with high-flow nasal cannula (HFNC) is being routinely used in paediatric centres, though the evidence of efficacy is continuing to be evaluated. We examined the impact of HFNC on intubation rates, hospital and paediatric critical care unit (PCCU) length of stay (LOS), and PCCU admission rates in paediatric tertiary centres in Canada...
July 2021: Paediatrics & Child Health
Susan Kimani, Aimann Surak, Michael Miller, Soume Bhattacharya
Objective: To compare effectiveness and safety of combination therapy (acetaminophen and ibuprofen) to monotherapy (ibuprofen, indomethacin, or acetaminophen alone) in treatment of the patent ductus arteriosus (PDA) in premature neonates. Methods: This was a retrospective cohort study of neonates admitted to a tertiary-level neonatal intensive care unit. Included neonates were born at <32 weeks gestation and received pharmacotherapy for PDA closure. Based on the primary therapy received, our cohort was divided into the following four groups: indomethacin alone, ibuprofen alone, acetaminophen alone, and ibuprofen and acetaminophen (in combination)...
July 2021: Paediatrics & Child Health
Ashley Martin, Daniel Albrechtsons, Noni MacDonald, Nadia Aumeerally, Tania Wong
Background: A growing number of Canadian children live in the care of their grandparents, called skip-generation families. Reasons for this include teen pregnancy, death of a parent, mental/physical illnesses, and addictions. These grandparents and grandchildren are at increased risk of physical and mental illness, yet have few resources available to them. Objective: Our study aims to describe the lived experiences of skip-generation families to better identify their needs...
July 2021: Paediatrics & Child Health
(no author information available yet)
[This corrects the article DOI: 10.1093/pch/pxaa033.][This corrects the article DOI: 10.1093/pch/pxaa030.][This corrects the article DOI: 10.1093/pch/pxaa033.][This corrects the article DOI: 10.1093/pch/pxaa030.].
July 2021: Paediatrics & Child Health
Colleen Pawliuk, Briana Chau, S Rod Rassekh, Terri McKellar, Harold Hal Siden
Introduction: The use of medicinal cannabis in the paediatric age group is increasing despite the lack of evidence for its efficacy or safety. Objective: To map the available evidence on the efficacy and safety of medicinal cannabis in children and adolescents. Methods: We conducted a scoping review and searched six electronic databases and grey literature. A study was eligible for inclusion when it investigated the efficacy or safety of medicinal cannabis for any condition, more than half of the participants were 0 to 18 years old, and had any study design except single case reports...
July 2021: Paediatrics & Child Health
Sorcha A Collins, Gertrude Elizabeth Hildes-Ripstein, James Robert Thompson, Sharon Edmunds, Amber Miners, Cheryl Rockman-Greenberg, Laura Arbour
Introduction: Neonatal hypoglycemia (NH) in the first days of life can largely be prevented by recognizing those at risk and managing accordingly. The CPT1A P479L variant is prevalent in northern Indigenous populations and is a possible risk factor for hypoglycemia. We report on NH incidence in the Kivalliq region of Nunavut, where all Inuit newborns are screened for NH. Methods: We reviewed clinical charts of 728 Inuit newborns from Kivalliq (January 1, 2010 to December 31, 2013) for blood glucose (BG) levels and infant/maternal characteristics, linking to CPT1A genotype; 616 newborns had BG data from 2 to 48 hours of life...
July 2021: Paediatrics & Child Health
Ali Markland, Ben Tan, Darryl Adamko, Tania Diener, Paul N Levett, Sheldon Wiebe, Hui Wang, Mark Podberezin, Krysztof Saczek, Kris Milbrandt, Abdulhafid Essalah, William Quan, Harry Deneer
Mycobacterium avium complex (MAC) is usually considered an opportunistic organism, which infects immunocompromised children or those with structural airway abnormalities. We present two cases of MAC infection affecting immune competent children, likely from hot tubs with primary involvement of pulmonary and urinary systems. These cases highlight the importance of asking about hot tub use in immune competent children with suspected or confirmed MAC infections.
July 2021: Paediatrics & Child Health
Funmbi Babalola, Andrea Ens
No abstract text is available yet for this article.
July 2021: Paediatrics & Child Health
Michael Prodanuk, Hassan Jamal, Janaki Vallipuram
No abstract text is available yet for this article.
July 2021: Paediatrics & Child Health
Kam Lun Hon, Chung Mo Chow, David C K Luk, Alexander K C Leung
No abstract text is available yet for this article.
July 2021: Paediatrics & Child Health
Sarah E Fletcher, Vivian W L Tsang
In response to COVID-19, paediatric providers have shifted to providing outpatient health care appointments through telehealth. Youth perspectives on changes to health care access during the pandemic are important to consider when optimizing care for paediatric patients. Youth who contributed to this commentary reported that major benefits of virtual care included time savings, ease of access, continuity of care, and ability to participate in health appointments from the comfort of one's own home without a risk of COVID-19 exposure...
July 2021: Paediatrics & Child Health
Elizabeth A C Sellers, Danièle Pacaud
Type 1 diabetes is a common chronic illness in childhood. Diabetic ketoacidosis (DKA) is the leading cause of morbidity and mortality in children with type 1 diabetes. Early recognition of symptoms of diabetes and immediate initiation of treatment are important factors in preventing DKA at first presentation. We describe the numbers of children presenting with DKA at initial diagnosis across eight Canadian paediatric centres during the COVID-19 pandemic (March 15, 2020 to July 31, 2020) and compare this to the same time period in 2019...
July 2021: Paediatrics & Child Health
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