Patients should be monitored closely for signs of treatment failure despite ATT. Monitoring response to treatment is done through regular history taking, physical examination, chest radiograph and laboratory monitoring. Any patient not clinically responding to therapy after several weeks should be considered at risk for failure. Let's understand what went wrong in our treatment protocol when there is no response to standard treatment regimen. 

No response to standard treatment regimen - What went wrong?

Nearly a third of the children with TB globally are from India, despite an estimated detection gap of about 56%. Children up to the age of 14 years constitute 35% of the population in our country and are estimated to contribute approximately 10% of the caseload. However, reported numbers may be low as many children are treated outside the National TB programme. Pulmonary TB is the most common form of TB in children. Although the principles of diagnosis and treatment remain similar in children and adults, the differences in the type of disease and specific host characteristics bring up some challenging variations. Rapid molecular diagnostic methods like newer generation cartridge-based nucleic acid amplification tests (Xpert-RifTM /TruenatTM) and Line Probe Assays (LPA) have been approved and employed by the National TB elimination Program (NTEP). Join us live with Dr. Prajapati to understand RNTCP guidelines for effective management of TB in children. 

RNTCP: Pediatric TB Guidelines

When ‘type’ of injection is mentioned, ‘type’ usually refers to the body tissue or path by which a medication is injected. The ‘type’ of injection describes its route of administration. An IV injection is the fastest way to inject a medication and involves using a syringe to inject a medication directly into a vein. IV infusions allow a set amount of medication to be administered in a controlled manner over a period of time. SC injections are injected into the innermost layer of the skin called the subcutis or hypodermis, which is made up of a network of fat and collagen cells. SC injections are also known as ‘subcut’ or ‘SQ’ injections. IM injections are given deep into a muscle where the medication is then absorbed quickly by surrounding blood vessels. ID injections are given directly into the middle layer of the skin called the dermis. This type of injection is absorbed more slowly again than IV, IM or SC injections. Join us live with Dr. Prajapati to understand best injection techniques for different medications.

Best Injection Techniques

The enlargement of lymph nodes, either localized or generalized, can be the consequence of several different pathologic mechanisms. A methodological approach to Lymphadenopathy(LAP) can disclose the accurate diagnosis with minimal discomfort to the patient and in a short time. The following five characteristics are always crucial - size, tenderness, location, consistency & matting. The workup that follows may include blood tests, imaging, and biopsy depending on clinical presentation. The optimal diagnostic approach to LAP & management, to be discussed LIVE on Medflix, with Dr. Baldev Prajapati. 

Clinical approach in a case of lymphadenopathy

For many years, there has been concern on a global scale about the growing concerns posed by antimicrobial resistance as a result of the improper use of antimicrobial agents in the health care system, including the paediatric population. Numerous studies have shown how the proper use of antibiotics in paediatrics reduces the need for antimicrobials, reduces drug resistance and treatment failure, minimises negative clinical outcomes, and improves diagnostic methods. Join us as renowned paediatrician Dr. Baldev Prajapati, who has over 40 years of experience, discusses what not to prescribe.

Antimicrobial Prescription - What Not to do?

The difficulties faced by paediatric laboratory investigations range from different reference ranges to the collection of specimens and the requirement to use extremely small amounts of serum or plasma. Prematurity, hyaline membrane disease, sepsis, pneumonia, meconium aspiration, and congenital heart disease are the main problems encountered. Even though they are less frequent, genetic and metabolic illnesses present a challenge to neonatologists. Join us LIVE as renowned and accomplished paediatrician Dr. Baldev Prajapati speaks in-depth about these diagnostic procedures and their importance.

Interpretation of Common Laboratory Investigations

Patients with fever and rash often pose an urgent diagnostic and therapeutic dilemma for the clinician. The nonspecificity of many fever and rash syndromes mandates a systemic approach to diagnosis. Although laboratory studies can be useful in confirming the diagnosis, test results often are not available immediately. Because the severity of these illnesses can vary from minor to life-threatening, the physician must make prompt management decisions regarding empiric therapy. Watch this super intriguing session LIVE on MEDFLIX where Dr. Baldev Prajapati throws light on various aspects of managing a patient with fever and rash!

Fever with Rash

Pyrexia of unknown origin (PUO) is a syndrome that has long put doctors to the test in terms of diagnosing patients. Patients with this illness are more difficult to diagnose by definition since they have already defied classification during baseline testing. Furthermore, investigating PUO necessitates a broad understanding of a variety of disorders from a variety of clinical specialties, as well as familiarity with less frequently used investigative methodologies. Join us as Dr. Baldev Prajapati, a pediatrician with more than three decades of expertise, discusses the aetiology of PUO, diagnostic tools for investigating it, and management.

Pyrexia of Unknown Origin in Children

Consultant Pediatrician | Aakanksha Children Hospital and Post Graduate Institute, Ahmedabad.

Dr. Baldev Prajapati

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