Screening Summary

The Gigante Paediatric Brigade screened a total of 23 children.

The graph at the bottom of the blog shows that almost every child was screened through every station.

The nutrition survey took the longest amount of time (about 15 minutes) and when several children arrived at the same time, some mothers did not stay for the survey.

Precise age data is fundamental to interpretation of all the data, but was not obtained on every child because at the start we failed to confirm the birth date in the first four children, and the families left before we discovered this error.

Growth data was not assessed completely in three children, for unknown reasons.

Only one child who should have had a blood pressure measurement escaped without this screening procedure.

We obtained vision tests and urine tests on all children old enough to cooperate.
Six abnormal results were identified. One blood pressure was elevated and five urine tests were abnormal. Each of these children was assessed today at a special follow up clinic. The abnormal blood pressure was normal at follow up. Two of the children with an abnormal urine test had a normal test at follow up and the abnormalities were considered likely due to collection technique problems.

All of the children who returned for follow-up had a focused history and a complete physical examination. Nutrition counselling was offered to those who participated in the nutrition survey. 

Three of the abnormal urine tests were still abnormal at follow up and each was determined by history, examination, and repeat urine tests to have either cystitis (bladder infection) or vulvitis (inflammation and discharge) or both, and these children were treated with an antibiotic. One of the children also had blood in the urine and an ultrasound of her kidneys will be arranged for further follow-up.

All told, a very successful effort, especially for a team new to each other and to the procedures. 

Congratulations to the Gigante Paediatric Brigade. Well done!!!