Guidelines endorsed by RCPCH - General paediatrics. On this page: Endorsed guidelines. The following have been endorsed by the College. Abusive Head Trauma and the Eye in Infancy (RCOphth- RCPCH)Alcohol- Use Disorders: Diagnosis, Assessment and Management of Harmful Drinking and Alcohol Dependence (NICE)Alcohol- Use Disorders: Diagnosis and Clinical Management of Alcohol- Related Physical Complications (NICE)Allergy Care Pathways (RCPCH)Anaphylaxis (NICE)Antibiotics for Early Onset of Neonatal Infection (NICE NCC- WCH)Antimicrobial stewardship (NICE)Atopic Eczema in Children and Young Children (NICE QS)Atopic Eczema in Children and Young People (NICE CG)Attention Deficit Hyperactivity Disorder (NICE QS)Attention Deficit Hyperactivity Disorder (NICE CG)Bacterial Meningitis and Meningococcal Septicaemia in Children (NICE QS)Bacterial Meningitis and Meningococcal Septicaemia in Children (NICE CG)Blood transfusion (NICE)Bronchiolitis in Children (NICE QS)Bronchiolitis in Children (NICE CG)Chronic Fatigue Syndrome/Myalgic Encephalomyelitis (NICE)Chronic Fatigue Syndrome/Myalgic Encephalopathy in Children and Young People (RCPCH)Coeliac disease - recognition, assessment and management (2. NICE)Constipation in Children and Young People (NICE QS)Constipation in Children and Young People (NICE/RCo. G)Diabetes (type 1 and type 2) in children and young people: diagnosis and management (NICE)Diabetes in Children and Young People (NICE)Diabetic foot problems - prevention and management (NICE)Diarrhoea and Vomiting in Children Under 5 (NICE)Depression in Children and Young People (NICE)Donor Breast Milk Banks (NICE)Drug allergy: diagnosis and management (NICE)Early years: promoting health and wellbeing (NICE)Epilepsies in Children and Young People (NICE)Feverish illness in children (NICE QS)Fractures (complex): assessment and management (NICE)Fractures (non- complex): assessment and management (NICE)Gastro- oesophageal reflux disease (GORD) in children and young people (NICE QS)Gastro- oesophageal reflux disease (GORD) in children and young people (NICE CG)Haematological cancers (NICE QS)Head injury (NICE)Headaches in Young People and Adults (NICE)Heavy Menstrual Bleeding (NICE)Intravenous fluid therapy in children and young people in hospital (NICE QS)Intravenous fluid therapy in children and young people in hospital (NICE CG)Investigations in Hypernatraemia (RCPCH)Jaundice in newborn babies under 2. NICE)Major trauma: assessment and initial management (NICE)Major trauma: service delivery (NICE)Management of Children and Young People with an Acute Decrease in Conscious Level (RCPCH)Management of Invasive Meningococcal Disease in Children and Young People (SIGN)Management of Obesity (2. Update) (SIGN)Management of Palliative Care on Neonatal Units. Management of Sore Throat and Indications for Tonsillectomy (SIGN)Melanoma: Assessment and Management (NICE)Nocturnal Enuresis in Children (NICE QS)Nocturnal Enuresis in Children (NICE CG)Paediatric Continence Commissioning Guide (PCF)Paediatrics Allergy Action Care Plans (BSAC)Performance of the Sweat Test for the Investigation of Cystic Fibrosis in the UK (ACB)Physical Signs of Child Sexual Abuse (RCPCH)Postnatal Care (NICE)Pressure Ulcers (NICE QS)Pressure Ulcers: Prevention and Management (NICE CG)Preventing unintentional injury in under 1. NICE)Obesity: Identification, Assessment and Management of Overweight and Obesity in Cildren, Young People and Adults (NICE)Obesity: Prevention and Lifestyle Weight Management in children and young people (NICE)Obesity: prevention, identification, assessment and management of overweight and obesity in adults and children (NICE)Recognition and Assessment of Acute Pain in Children (RCN)Respiratory Tract Infections (NICE)Spinal injury: assessment and initial management (NICE)Surgical Management of Otitis Media with Effusion (NICE)Transition from children’s to adults' services for young people using health or social care services (NICE)Tuberculosis: Prevention, diagnosis, management and service organisation (NICE)Urinary Tract Infection in Children (NICE)Urinary Tract Infection in Febrile Infants and Young Children (AAP)Urinary Tract Infection in Infants, Children and Young People Under 1. NICE)Vaccine uptake in under 1. By Gregory S. Hageman, Karen Gaehrs, Lincoln V. Johnson and Don Anderson. Introduction. Age-related macular degeneration (AMD), the leading cause of worldwide.NICE)When to Suspect Child Maltreatment (NICE)Abusive Head Trauma and the Eye in Infancy (RCOPhth- RCPCH). This guidance update is a joint venture between the Royal College of Ophthalmologists (RCOphth) and the Royal College of Paediatricians and Child Health (RCPCH). The update is restricted to a target population of children under 3 years of age suspected of being subject to abusive head trauma (AHT). This guidance also identifies areas of good practice in the management of cases referred with suspected AHT and encourage evidence based standardized assessment of such children. The guidance includes a standardised proforma for documenting retinal findings. Date of Publication: June 2. Date of Endorsement: June 2. Full guidance (PDF, 1. MB, 1. 06 Pages)Standardised proforma (PDF, 7. KB, 2 Pages)Alcohol- Use Disorders: Diagnosis, Assessment and Management of Harmful Drinking and Alcohol Dependence (NICE). This clinical guideline offers evidence- based advice on the diagnosis, assessment and management of harmful drinking and alcohol dependence in adults and in young people aged 1. Date of publication: February 2. Date of endorsement: August 2. Full guideline (PDF, 2. KB, 5. 1 Pages)NICE pathways. Alcohol- Use Disorders: Diagnosis and Clinical Management of Alcohol- Related Physical Complications (NICE). This guideline covers the management of acute alcohol withdrawal, lack of thiamine, liver disease and inflammation of the pancreas in adults and young people over the age of 1. The patient groups covered by the guideline are adults, young people and children who receive emergency treatment for suspected anaphylaxis. RCPCH notes: The College asks members to note that: The scope of the guideline covers confirmation of an anaphylactic reaction in an emergency setting and subsequent referral. As such the scope is quite narrow and excludes longer- term management of children who have experienced an anaphylactic episode (e. Management of associated co- morbidities with anaphylaxis, such as asthma are also not included in the scope of the guideline. NICE however do refer readers to their related Food Allergy in Children and Young People guideline for information on allergy diagnosis and assessment. Date of Publication: December 2. Date of Endorsement: March 2. NICE guideline (PDF, 1. KB, 2. 5 Pages)Antibiotics for Early Onset of Neonatal Infection (NICE NCC- WCH). This clinical guideline offers evidence- based advice on the use of antibiotics to prevent and treat early- onset neonatal infection (infection with onset within 7. The College reviews high quality guidelines and standards produced and published by other organisations against the RCPCH Standards for Endorsement. It includes a review of the risk factors for infection, clinical indicators of possible infections and investigation before starting antibiotics. The guideline covers recommendations about choice of antibiotics, duration of course and therapeutic monitoring. The guideline presents recommendations for practice within the limit of current evidence. Much of the guideline is consistent with current practice and many elements of good practice are highlighted. ![]() Search the history of over 299 billion web pages on the Internet. Number: 0622. Aetna considers the ocular blood flow tonometer, which has been used in the screening, diagnosis, and monitoring of glaucoma, experimental and. List of information about Population screening programmes. NHS abdominal aortic aneurysm (AAA) programme; NHS bowel cancer screening (BCSP) programme. However, There is a lack of evidence for some of the recommendations which have therefore been reached by consensus expert opinion. Date of Publication: August 2. Date of Endorsement: August 2. September 2. 01. 4)Antimicrobial stewardship (NICE). This quality standard covers the effective use of antimicrobials (antibacterial, antiviral, antifungal and antiparasitic medicines) to reduce the emergence of antimicrobial resistance (loss of effectiveness of antimicrobials). The option of offering back- up (delayed) prescribing in Primary care would have been preferred to be suggested as a last resort and only in situations where the doctor has a clear opinion as to a likely bacterial cause of an illness that may not be self- limiting. Date of Publication: April 2. Endorsed on: August 2. Full Quality Standard (PDF, 1. KB, 3. 9 Pages)Atopic Eczema in Children and Young Children (NICE). This quality standard covers children from birth up to the age of 1. The areas of care considered were diagnosis and assessment, management and treatment, treatment of infected eczema and referral in primary and secondary care. Date of Publication: September 2. Date of Endorsement: October 2. Full quality standards (PDF, 1. KB, 4. 0 Pages)Atopic Eczema in Children (NICE CG). The guideline covers the assessment, diagnosis and management of atopic eczema in children from birth until 1. It is particularly relevant to all healthcare professionals who are involved in the care of children who have atopic eczema, those responsible for commissioning and planning healthcare services; and, children with atopic eczema and their families. It includes audit criteria and key priorities for implementation. Date of Publication: December 2. Date of Endorsement: April 2. Full guideline (PDF, 2. MB, 2. 20 Pages)NICE guideline (PDF, 1. KB, 3. 9 Pages)Attention Deficit Hyperactivity Disorder (NICE QS). This quality standard covers the diagnosis and management of attention deficit hyperactivity disorder (ADHD) in children aged 3 years and older, young people and adults. Date of Publication: July 2. Date of Endorsement: November 2. Full quality standards (PDF, 1. KB, 4. 6 Pages) Attention Deficit Hyperactivity Disorder (NICE CG). The guideline covers the treatment and management of attention deficit and hyperactivity disorder (ADHD) in children over 3 years, young people and adults in primary, secondary and community care. It is particularly relevant to primary, secondary and community healthcare professionals and educational services that have direct contact with, or make decisions concerning the care of children, young people and adults with ADHD. Suositus - K. Ilmaantuvuus vuodessa on 5. Burr JM, Mowatt G, Hern. The clinical effectiveness and cost- effectiveness of screening for open angle glaucoma: a systematic review and economic evaluation. Health Technol Assess 2. Glaukooman esiintyvyys yli 5. The clinical effectiveness and cost- effectiveness of screening for open angle glaucoma: a systematic review and economic evaluation. Health Technol Assess 2. Yli 7. 5- vuotiailla se on jopa yli 5 %. Kehittyneiss. The clinical effectiveness and cost- effectiveness of screening for open angle glaucoma: a systematic review and economic evaluation. Health Technol Assess 2. Mukesh BN, Mc. Carty CA, Rait JL ym. Five- year incidence of open- angle glaucoma: the visual impairment project. Ophthalmology 2. 00. Sommer A, Tielsch JM, Katz J ym. Relationship between intraocular pressure and primary open angle glaucoma among white and black Americans. The Baltimore Eye Survey. Arch Ophthalmol 1. Klein BE, Klein R, Sponsel WE ym. Prevalence of glaucoma. The Beaver Dam Eye Study. Ophthalmology 1. 99. Dielemans I, Vingerling JR, Wolfs RC ym. The prevalence of primary open- angle glaucoma in a population- based study in The Netherlands. The Rotterdam Study. Ophthalmology 1. 99. Weih LM, Nanjan M, Mc. Carty CA ym. Prevalence and predictors of open- angle glaucoma: results from the visual impairment project. Ophthalmology 2. 00. Avokulmaglaukooma on i. Terveyden ja hyvinvoinnin laitos ja N. Fimea ja Kansanel. Globaaleja lukuja k. Euroopassa arvioidaan olevan 5. Fimea ja Kansanel. Fimea ja Kansanel. Jos glaukoomapotilaiden m. Diagnostisten testien arviointia vaikeuttaa kultaisen standardin puuttuminen ja julkaistujen tutkimusten suuri harhan riski.»D. Kultaiseksi standardiksi m. The clinical effectiveness and cost- effectiveness of screening for open angle glaucoma: a systematic review and economic evaluation. Health Technol Assess 2. Silm. Prevalence of open- angle glaucoma in central Sweden. The Tierp Glaucoma Survey. Acta Ophthalmol Scand 1. Quigley HA, Enger C, Katz J ym. Risk factors for the development of glaucomatous visual field loss in ocular hypertension. Arch Ophthalmol 1. Paczka JA, Friedman DS, Quigley HA ym. Diagnostic capabilities of frequency- doubling technology, scanning laser polarimetry, and nerve fiber layer photographs to distinguish glaucomatous damage. Am J »1. 2, «Jonas JB, Gr. Correlation between mean visual field loss and morphometric optic disk variables in the open- angle glaucomas. Am J Ophthalmol 1. Seurantaikkunan alku ja pituuden vaihtelu eri tutkimuksissa ja kliinisess. Esimerkiksi yli 8. From clinical examination of the optic disc to clinical assessment of the optic nerve head: a paradigm change. Am J Ophthalmol 2. Optic disc, cup and neuroretinal rim size, configuration and correlations in normal eyes. Invest Ophthalmol Vis Sci 1. Are large optic nerve heads susceptible to glaucomatous damage at normal intraocular pressure? A three- dimensional study by laser scanning tomography. Graefes Arc»1. 6, «Jonas JB, Budde WM, Panda- Jonas S. Ophthalmoscopic evaluation of the optic nerve head. Surv Ophthalmol 1. Pieni papilla on puolestaan salakavalampi, koska alkuvaiheen vaurio saattaa siin. Glaucomatous optic nerve atrophy in small discs with low cup- to- disc ratios. Ophthalmology 1. 99. Heijl A, M. Optic disc diameter influences the ability to detect glaucomatous disc damage. Acta Ophthalmol (Copenh) 1. Glaukoomapotilaiden n. Comparative optic disc analysis in normal pressure glaucoma, primary open- angle glaucoma, and ocular hypertension. Ophthalmology 1. 99. Healey PR, Mitchell P, Smith W ym. Optic disc hemorrhages in a population with and without signs of glaucoma. Ophthalmology 1. 99. Rasker MT, van den Enden A, Bakker D ym. Deterioration of visual fields in patients with glaucoma with and without optic disc hemorrhages. Arch Ophthalmol 1. Silm. Cumulative incidence of patients with disc hemorrhages in glaucoma and the effect of therapy. Ophthalmology 1. 99. Peripapillaarista atrofiaa esiintyy glaukoomapotilailla enemm. Diagnostisten testien arviointia vaikeuttaa kultaisen standardin puuttuminen ja julkaistujen tutkimusten suuri harhan riski.»D. Vaikka n. Diagnostisten testien arviointia vaikeuttaa kultaisen standardin puuttuminen ja julkaistujen tutkimusten suuri harhan riski.»D (Optical Coherence Tomography, Scanning Laser Polarimeter ja Confocal Scanning Laser Ophthalmoscope). Kuvantamistutkimuksen etuja n. Glaukooma ei ole . Toisin sanottuna diagnoosia ei tule tehd. Glaucoma versus red disease: imaging and glaucoma diagnosis. Curr Opin Ophthalmol 2. Digitaalisten kuvantamislaitteiden normaaliaineistot eiv. Sen takia tavanmukainen kuvantaminen on edelleen tarpeen«Chauhan BC, Burgoyne CF. From clinical examination of the optic disc to clinical assessment of the optic nerve head: a paradigm change. Am J Ophthalmol 2. N. Tutkimusasetelmiin liittyikin huomattava harhan riski «N. Tutkimusasetelmiin liittyi huomattava harhan riski.»C. Eniten tieteellisi. EMGT, OHTS, CIGTS) on k. Early Manifest Glaucoma Trial: design and baseline data. Ophthalmology 1. 99. Gordon MO, Kass MA. The Ocular Hypertension Treatment Study: design and baseline description of the participants. Arch Ophthalmol 1. Musch DC, Lichter PR, Guire KE ym. The Collaborative Initial Glaucoma Treatment Study: study design, methods, and baseline characteristics of enrolled patients. Ophthalmology 1. 99. Lyhentyneen testausajan vaikutuksista etenemisen varmistukseen tarvittavien n. Duodecim 2. 00. 0; 1. V. Koulutuksen tai hoitosuositusten ei ole osoitettu parantavan glaukoomien diagnostiikkaa.»D. My. Economic considerations of the diagnosis and management for glaucoma in the developed world. Curr Opin Ophthalmol 2. Koulutuksen tai hoitosuositusten avulla saattaa olla mahdollista kehitt. Koulutuksen tai hoitosuositusten ei ole osoitettu parantavan glaukoomien diagnostiikkaa.»D. Yleisen v. Valtakunnallisen joukkoseulonnan vaikuttavuudesta ja kustannusvaikuttavuudesta julkisella sektorilla ei ole riitt. Koulutuksen tai hoitosuositusten ei ole osoitettu parantavan glaukoomien diagnostiikkaa.»DSilm. Eri hoitomuotojen keskin. External validation of the OHTS- EGPS model for predicting the 5- year risk of open- angle glaucoma in ocular hypertensives. Br J Ophthalmol 2. Satunnaistetuissa tutkimuksissa sek. Economic considerations of the diagnosis and management for glaucoma in the developed world. Curr Opin Ophthalmol 2. Lis. Toisin sanoen toisen silm. Economic considerations of the diagnosis and management for glaucoma in the developed world. Curr Opin Ophthalmol 2. Koska tiedot sek. Economic considerations of the diagnosis and management for glaucoma in the developed world. Curr Opin Ophthalmol 2. My. Economic considerations of the diagnosis and management for glaucoma in the developed world. Curr Opin Ophthalmol 2. N. Resource use and costs of patients with glaucoma or ocular hypertension: a one- year study based on retrospective chart review in the Nether»6. Joissakin rekisteritietoihin perustuvissa ja retrospektiivisiss. Eteneminen on kuitenkin useimmiten hidasta, jolloin yksil. Collaborative Normal- Tension Glaucoma St»3. The effectiveness of intraocular pressure reduction in the treatment of normal- tension glaucoma. Collaborative Normal- Tension Glaucoma Study Group. Am J Ophthalmol 1. Anderson DR, Drance SM, Schulzer M ym. Natural history of normal- tension glaucoma. Ophthalmology 2. 00. Pohjanpelto P. Long- term prognosis of visual field in glaucoma simplex and glaucoma capsular. Acta Ophthalmol (Copenh) 1. Rasker MT, van den Enden A, Bakker D ym. Rate of visual field loss in progressive glaucoma. Arch Ophthalmol 2. Odberg T, Riise D. Early diagnosis of glaucoma. The value of successive stereophotography of the optic disc. Acta Ophthalmol (Copenh) 1. Jos hoito aloitetaan, paineen tulisi alentua v. Collaborative Normal- Tension Glaucoma Study Group. Am J Ophthalmol 1. The Advanced Glaucoma Intervention Study (AGIS): 7. The relationship between control of intraocular pressure and visual field deterioration. The AGIS Investigators. Am J Ophthalmol 2. Migdal C, Gregory W, Hitchings R. Long- term functional outcome after early surgery compared with laser and medicine in open- angle glaucoma. Ophthalmology 1. 99. Tavoitepainetaso voi olla matalampikin, jos potilaalla on pitk. Comparative effectiveness of treatments for open- angle glaucoma: a systematic review for the U. S. Preventive Services Task Force. Ann Intern Med 2. L. Brimonidiini ilmeisesti alentaa 1. Prostaglandiinianalogin ja timololin yhdistelm. Long- term follow- up of laser trabeculoplasty. Doc Ophthalmol 1. Chung PY, Schuman JS, Netland PA ym. Five- year results of a randomized, prospective, clinical trial of diode vs argon laser trabeculoplasty for open- angle glaucoma. Am J Ophthalmol 1. Glaucoma Laser Trial Research Group. Am J Ophthalmol 1. L. Glaucoma Laser Trial Research Group. Am J Ophthalmol 1. Argon- , diodi- ja selektiivinen lasertrabekuloplastia ilmeisesti laskevat silm. Se voi esimerkiksi 5 vuoden kuluttua leikkauksesta olla 2. The Advanced Glaucoma Intervention Study (AGIS): 7. The relationship between control of intraocular pressure and visual field deterioration. The AGIS Investigators. Am J Ophthalmol 2. Migdal C, Gregory W, Hitchings R. Long- term functional outcome after early surgery compared with laser and medicine in open- angle glaucoma. Ophthalmology 1. 99. Watson PG, Jakeman C, Ozturk M ym. The complications of trabeculectomy (a 2. Eye (Lond) 1. 99. Pt 3): 4. 25- 3. 8 »4. Watson PG, Grierson I. The place of trabeculectomy in the treatment of glaucoma. Ophthalmology 1. 98. Bayer AU, Erb C, Ferrari F ym. Glaucoma filtering surgery- -a retrospective long- term follow- up of 2. Ger J Ophthalmol 1. Nouri- Mahdavi K, Brigatti L, Weitzman M ym. Outcomes of trabeculectomy for primary open- angle glaucoma. Ophthalmology 1. 99. Chen TC, Wilensky JT, Viana MA. Long- term follow- up of initially successful trabeculectomy. Ophthalmology 1. 99. Molteno AC, Bosma NJ, Kittelson JM. Otago glaucoma surgery outcome study: long- term results of trabeculectomy- -1. Ophthalmology 1. 99.
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