623 e-Letters

  • Numbers from flow-chart, text and tables do not match

    Dear Sir, First let me congratulate you for the phenomenal work that you have done at Safdarjung Hospital.

    On reading your paper, I found discrepancies in numbers in the flow chart (Fig 1) and Table 2: viz. out of 1599 abnormal babies on pulse oximetry, Echo confirmed 18 major and 15 critical CHDs. However, further in the text and in table 2, the corresponding numbers are cited as 39 major and 22 critical CHDs...

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  • Measurements from preterm infants to guide face mask size
    Veronica Mardegan

    We read with interest the article by O'Shea et al., recently published in the Archives of Disease in Childhood Fetal and Neonatal Edition.1 Faces of preterm infants were photographed and analyzed by using a software; they then were compared with the size of the most commonly available face masks (Laerdal 0/0 and Fisher & Paykel Infant Resuscitation Masks "small" and "extra small"). Authors concluded that the smallest...

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  • Re: Effectivity of ventilation by measuring expired CO2 and RIP during stabilisation of preterm infants at birth.[1]
    Anne Greenough

    We were pleased that our findings [2] and those of Tunell's group [3] have been confirmed in the recent paper by van Vonderen et al [1], that is the inspiratory efforts of prematurely born infants coinciding with inflations during resuscitation at birth are critical in increasing the expired carbon dioxide levels. In addition, we have previously published the relationship between expired tidal volume and expired carbon dio...

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  • Povidone-iodine pleurodesis for congenital chylothorax of the newborn (Resch et al.)
    Roland Hentschel

    To the editor: We read with interest the case report on the use of polividon-iodine (PVI) to perform chemical pleurodesis in newborns and the short literature review on further 12 cases in 5 publications by Resch et al.[1]. We found another most recent publication from 2015 on a series of 5 young infants with a success rate of 80%[2]. We agree with Resch et al., who conclude that "the risk-benefit assessment of PVI pleur...

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  • Herpes virus must be considered as one of the causes for late onset sepsis
    Dushyant Batra

    Dear Editor, Archives of Disease of childhood: Foetal and Neonatal edition

    We read the review article by Dong et al(1) with interest. We wanted to congratulate the authors on a very balanced and clinically relevant review; highlighting the epidemiological, therapeutic and preventative aspects of late onset sepsis caused by bacteria and fungi. We believe that the review would have been even more clinically releva...

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  • Re: Impact of the NICE early onset neonatal sepsis guideline in our neonatal unit: Length of stay and number of lumbar punctures performed are not increased.
    Arindam Mukherjee

    Mukherjee et al. were interested by the response to their paper indicating that not all units may have seen an increase in antibiotic use and length of stay following introduction of NICE guidance CG149. The important difference for our unit was the introduction of a second CRP at 18-24 hours to inform further investigations (lumbar puncture) and length of antibiotic course. It is not surprising that units that already u...

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  • Management of infantile haemangiomas of the eyelid
    Natalia V Cartledge

    In this review (Eye disorders in newborn infants (excluding retinopathy of prematurity), Wan MJ, VanderVeen DK, Arch Dis Child Fetal Neonatal Ed. 2015 May;100(3):F264-9. doi: 10.1136/archdischild-2014- 306215. Epub 2014 Nov 13, PMID:25395469) the authors describe clinical presentation, natural history and treatment of infantile haemangiomas (IH). These vascular tumors are common and if left untreated will result in visua...

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  • Re: I know you don't like our American brand of English, but......
    Alison Bedford Russell

    We thank Dr Perlin for his response which specifically refers to the prevention of early onset Group B streptococcus (GBS) infection.

    Similar declines in GBS EONS have been seen in many other countries that have introduced screening for GBS and IAP. In contrast, in the UK the RCOG recommendation for a risk based approach has not been associated with a fall in the incidence of GBS EONS. If the incidence fell by 75%,...

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  • Symptoms of breastfeeding difficulties are the main indication for lingual frenotomy
    Shaul Dollberg

    To the Editors: We have read with interest the article by Ingram et al (1) entitled "The development of a tongue assessment tool to assist with tongue-tie identification". The authors should be commended for simplifying and validating the ATLAF assessment. However, using their tool to decide upon whether or not to carry out lingual frenotomy has neither been proven nor is it justified. Unfortunately, this study, similar...

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  • I know you don't like our American brand of English, but......
    Barry M Perlin

    Dear Sir:

    I have read the most excellent review of early onset neonatal sepsis (EONS) published recently in these Archives by Dr's Bedford Russell and Kumar. We, in America, have witnessed the gradual evolution from a risk factor approach initially advocated by the American College of Obstetricians and Gynecologists, (as opposed to universal screening during gestation, as recommended by the American Academy of P...

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