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HIV infection in children
The editor's choice this month is a paper about HIV infection in children in Malawi, a country with a population HIV prevalence of 14%, 90 000 being children. Although this horrible statistic has little clinical impact for most of us working in the developed world, it will resonate strongly for readers in all other countries in sub-Saharan Africa, including the region's wealthiest member, South Africa. The authors conducted a 6 month prospective study of all children presenting with life threatening critical illness to their local hospital resuscitation room. The results and the following discussion are both fascinating and sobering, to this editor at least (see page 746).
Paediatric bladder scanners
Continuing the paediatric theme, Enright and his colleagues in Edinburgh report their study of using a bladder scanner as an adjunct to the management of dehydration. After studying 45 children with varying degrees of dehydration they conclude that the scanner is a convenient and objective tool to use. Although readers may think ‘so what?’, the point of their paper is that they believe this if the first report of such usage in an emergency department. It is important to note that they also report the limitations …
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