Theme: Infectious Diseases
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Theme: Infectious Diseases SARS-CoV-2 Infection among community health workers in India before and after use of face shields (JAMA. Published online August 17, 2020) As the SARS-CoV-2 pandemic progresses relentlessly, it is believed that close proximity with airborne respiratory droplets from infected persons is responsible for disease transmission. This study attempted to look at the difference in transmission if any, before and after the use of face shields. The study was commenced on May 3, 2020 on the community health care workers of a research network at Chennai, India. They were assigned for counselling of asymptomatic family contacts of patients who had tested positive for SARS-CoV-2 at their residence. They maintained social distancing at all times and wore 3-layered surgical masks, gloves and shoe covers, and used hand rub. Two workers became symptomatic 2 weeks later. The remaining 60 workers were tested for SARS-CoV-2 by RT-PCR. After this, the workers were provided with face shields of 250 µm thickness made of polyethylene terephthalate which were decontaminated at the end of the day. The workers were screened weekly for symptoms and RT-PCR. Comparison between the positive test results before and after the introduction of face shields was done. After the introduction of the face shields, 50 previously uninfected workers continued to provide counselling and no worker developed symptomatic or asymptomatic infection. The face shields may have helped to decrease the ocular exposure, contamination of masks or hands and diversion of air movement from around the face. Some limitation of this study include the before- after design. Further investigation of face shields in community settings is warranted. Height of fever and invasive bacterial infection (Arch Dis Child. Published Online August 20, 2020) This study aimed at correlating the height of fever with the occurrence of invasive bacterial infection (IBI) in infants below 60 days of age. This case-control study included infants who appeared well. The maximum temperature of these infants was measured either at home or in the ER. The cohort included infants with and without invasive bacterial infection. Interval likelihood ratios for the diagnosis of invasive bacterial infection IBI was computed at intervals of half-degree Celsius. Results showed that temperatures between 39-39.9 pC was associated with a higher likelihood of IBI. However, 30.4% of infants with IBI had lower maximal temperatures at 38.5pC. This study proved that height of temperature alone cannot be used as a risk stratification tool for IBI. Parents’ knowledge and attitudes towards the use of antibiotics in patients within the paediatric age range (Pediatr Oncall J. 2020;17) Antibiotics play a major role in the medical practice, accounting for an increasing number of prescriptions. Antibiotic resistance is a growing menace that poses a threat to the existing drugs and prompts a need to discover newer molecules. This study has
INDIAN PEDIATRICS
attempted to analyze the knowledge and attitud
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