• The emergency room at the Rotunda Hospital: evidence of an improving service over the past 3 years.

      Talukdar, S; Eogan, M; Connolly, G; Coulter-Smith, S; Department of Obstetrics and Gynaecology, Rotunda Hospital, Parnell Street, Dublin, Ireland, drsanchilatalukdar@yahoo.co.in. (2014-12)
      This is a retrospective review of the Rotunda Hospital Emergency Room (ER) documentation with respect to attendances for a 4-month period (August-November) in both 2009 and 2012. The aim was to quantify the workload and assess the quality of care offered to patients attending the ER over the two time periods and to highlight any improvements in care after changes were implemented following the initial 2009 review.
    • Should children with inherited metabolic disorders receive varicella vaccination?

      Varghese, M; Cafferkey, M; O'Regan, M; Monavari, A A; Treacy, E P; National Centre for Inherited Metabolic Disorders, Children's University Hospital, Dublin, Ireland. (2011-01)
      The aim was to determine the rate of varicella infection and complications in children with disorders of intermediary metabolism (IEM) between the ages of 1 and 16 years attending our national metabolic referral centre. Of 126 children identified, a response was received from 122. A history of previous varicella infection was identified in 64 cases (53%) and of varicella vaccination in 5 (4%). Fifty-three (43%) patients apparently did not have a history of clinical varicella infection. Of the 64 children with a history of varicella infection, five required hospitalisation for complications, including life-threatening lactic acidosis in one patient with mitochondrial disease and metabolic decompensation in four patients. In conclusion, varicella infection may cause an increased risk of metabolic decompensation in patients with IEMs. We propose that a trial of varicella vaccination be considered for this cohort of patients with monitoring of its safety and efficacy.