Egg allergy fell after guidelines moved egg into the first six months

The edition in brief

Two population samples of 12-month-old infants in Melbourne, tested with skin prick and oral food challenge, showed egg allergy prevalence falling from 9.2% in 2007–2011 to 7.6% in 2018–2019 after guidelines recommended earlier egg introduction, with median age at introduction dropping from 8 to 6 months. In infants with early eczema, prevalence fell from 34.6% to 21.9%. A Welsh audit of 168 children under two investigated for suspected non-accidental injury found additional fractures on the follow-up skeletal survey in 7.1%, and one child's only fracture appeared on the second survey, supporting the two-survey protocol. A national US study of 36,552 paediatric sepsis episodes in publicly insured children found 3.9% 30-day mortality, with wide regional variation and lower mortality in regions with a children's hospital. The five-year FIREFISH extension found 90% of infants with type 1 spinal muscular atrophy alive on risdiplam, 80% without permanent ventilation, and 59% sitting unsupported. And a statewide paediatric network kept 88.5% of skin and soft-tissue infections on seven days or less of antibiotics for two years using a point-of-care alert.