by BSPGHAN | Nov 1, 2020 | News
BSPGHAN Council are delighted to announce that we have consolidated an affiliation with Frontline Gastroenterology.
This arrangement offers an exciting opportunity for BSPGHAN members to receive:-
- Free access to the online publication as a benefit of membership.
Access will be via the secure member area on the BSPGHAN website.
- The opportunity for publication of poster abstracts from the BSPGHAN Annual meeting in the journal.
Look out for a dedicated session introducing Frontline Gastroenterology at the 2021 virtual BSPGHAN Annual Meeting in January.
The journal
You will be aware that FG is an official publication of the British Society of Gastroenterology and is a companion journal to Gut and BMJ Open Gastroenterology. Frontline Gastroenterology publishes articles that accelerate adoption of innovative and best practice in the fields of gastroenterology, hepatology and clinical nutrition. Frontline Gastroenterology is especially interested in articles on multidisciplinary research and care, focusing on both retrospective assessments of novel models of care as well as putative future directions of best practice. The journal also publishes articles in the domains of clinical quality, patient experience, service provision and medical education.
Frontline Gastroenterology is seeking new trainee editors
Editor-in-Chief, Professor Mark Beattie, University of Southampton, would like to highlight to BSPGHAN members that FG is seeking applications for trainee editors to work with the editorial team to produce regular blogs, podcasts and other multimedia content as well as reviewing submissions and working with the editorial team to commission content.
Find out more about the role and application process.
Please see a recent article in FG from the BSPGHAN NIFWG
Exit strategies from the COVID-19 lockdown for children and young people receiving home parenteral nutrition (HPN): lessons from the BSPGHAN Intestinal Failure Working Group experience 27 October 2020
by BSPGHAN | Nov 1, 2020 | News
Clinically extremely vulnerable (CEV) children are those who are considered to be at the highest risk of severe disease due to SARS-CoV-2 infection.
Currently , the government and public health agencies have not issued guidance that people who are CEV are advised by to ‘shield’.
The evidence base around the impact of SARS-CoV-2 infection on children and young people with comorbidities has been developing over time. RCPCH is working with paediatric specialties to review this evidence and advise on which children and young people are at the highest risk of severe disease due to SARS-CoV-2 infection because they are ‘clinically extremely vulnerable’ (CEV). This includes the following:
- Research evidence summaries
- Service evaluation and audit on the care needs of children admitted to hospital (England)
- Systematic review of evidence about milder outcomes in children
- CEV children will be determined on individual basis, in discussions between the clinician, the child and their family. Of note, the majority of children shielded before, are not CEV.
CEV Young people’s transition to adult services Government advice on who is clinically extremely vulnerable is differs for adults and children. Risk of complications from SARS-CoV-2 infection is increasingly recognised as being primarily age related. As some patient’s transition, they may have new discussions with their adult clinicians around their clinical vulnerability. Paediatricians who are treating young people who are CEV and transitioning to adult care should discuss the risk of SARS-CoV-2 infection as a patient moves between services, using the specialty guidance which will be updated.
Children who are CEV to SARS-CoV-2 infection and attending school
While there may be other clinical reasons that prevent a child with underlying health conditions from attending school, while coronavirus shielding advice is paused, the small group of children who are considered to be CEV can attend school.
Governments may reintroduce shielding advice at a local or national level. If this happens, CYP who are advised to shield because they are CEV will receive a letter from the government. This may include advice not to attend school. Parents should contact their child’s specialist or GP if their child receives a letter telling them they are clinically extremely vulnerable, and they should shield that they did not expect.
Families are understandably worried. The College will continue to update current evidence on COVID-19 and children, and members are encouraged to use this when advising families.
The full guidance from the RCPCH will be released soon.
Also see https://www.gov.uk/government/publications/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19
