دانلود کتاب دستورالعمل های اطفال 2022-2024

This book has been compiled as an aide-memoire for all staff concerned with the management of general medical paediatric patients, especially those who present as emergencies.

Guidelines on the management of common medical conditions

No guideline will apply to every patient, even where the diagnosis is clear-cut; there will always be exceptions. These guidelines are not intended as a substitute for logical thought and must be tempered by clinical judgement in the individual patient.

The guidelines are advisory, NOT mandatory

Prescribing regimens and nomograms

The administration of certain drugs, especially those given intravenously, requires great care if hazardous errors are to be avoided. These guidelines do not include all guidance on the indications, contraindications, dosage and administration for all drugs. Please refer to the British

National Formulary for Children (BNFc).

Antibiotics

Recommendations are based on national guidance reflecting a balance between common antibiotic sensitivities and the narrowest appropriate spectrum to avoid resistance but local policies may reflect frequently encountered sensitivity patterns in individual local patient groups.

Antimicrobials

Recommendations are generic. Please check your local microbiology advice.

Practical procedures

DO NOT attempt to carry out any of these practical procedures unless you have been trained to do so and have demonstrated your competence.

National guidelines

Where there are different recommendations the following order of prioritisation is followed:

NICE > NPSA > SIGN > RCPCH > National specialist society > BNFc > Cochrane > Metaanalysis> systematic review > RCT > other peer review research > review > local practice.

Evidence base

These have been written with reference to published medical literature and amended after extensive consultation. Wherever possible, the recommendations made are evidence based.

Where no clear evidence has been identified from published literature the advice given represents a consensus of the expert authors and their peers and is based on their practical experience.

Supporting information

Where supporting evidence has been identified it is graded 1 to 5 according to standard criteria of validity and methodological quality as detailed in the table below. A summary of the evidence supporting each statement is available, with the original sources referenced. The evidence summaries are being developed on a rolling programme which will be updated as each guideline is reviewed.