- Child and Adolescent Health
- Childhood Cancer Survivors' Quality of Life
- Adolescent and Pediatric Healthcare
- Healthcare Systems and Challenges
- Antibiotic Use and Resistance
- Nosocomial Infections in ICU
- Healthcare professionals’ stress and burnout
- Sepsis Diagnosis and Treatment
- Nursing education and management
- Neonatal Health and Biochemistry
- Clostridium difficile and Clostridium perfringens research
- Neonatal and Maternal Infections
- Global Health Workforce Issues
- HIV/AIDS Research and Interventions
- Primary Care and Health Outcomes
- Antimicrobial Resistance in Staphylococcus
- HIV Research and Treatment
Lancaster University
2023-2025
Blackpool Council
2024-2025
Manchester University NHS Foundation Trust
2023-2024
Royal Manchester Children's Hospital
2024
North Manchester General Hospital
2021
Imperial College Healthcare NHS Trust
2020
While there have been studies in adults reporting discordant empiric antibiotic treatment associated with poor outcomes, this area is relatively unexplored children and neonates despite evidence of increasing resistance to recommended first-line regimens.Patient characteristics, treatment, microbiology, 30-day all-cause outcome from <18 years blood-culture-confirmed bacterial bloodstream infections (BSI) were collected anonymously using REDCap™ through the Global Antibiotic Prescribing...
To identify burnout constructs from descriptions of staff experiences health inequalities operating across paediatric specialist hospitals and to categorise the according Leiter Maslach's six Areas Worklife (AWL) model burnout. A secondary data analysis a qualitative study using semi-structured interviews focus groups. The groups were conducted within nine children's in England. dataset included responses 217 individual members occupying various roles: leadership, clinical, professional...
Objectives This study aimed to understand how staff in children’s hospitals view their responsibility reduce health inequalities for the children and young people who access services. Design We conducted an exploratory qualitative study. Setting The took place at nine England. Participants 217 members of contributed via interviews focus groups January–June 2023. Staff were represented all levels organisations, volunteered contribute included Analysis Data analysed using Rapid Research...
<h3>Objectives</h3> The NHS Long Term Plan<sup>1</sup> and RCPCH<sup>2</sup> recommend training for a paediatric workforce that is familiar with population health, focussed on reducing health inequalities. Greater Manchester one of the most deprived regions in country poor outcomes,<sup>3</sup> however not incorporated into our regional (STEP) training. We piloted two days to support educational needs this area. <h3>Methods</h3> were designed led by trainees experience health. They held as...
Background In view of the new IDSA clinical practice guidelines, we investigated C. difficile infection (CDI) rates and performance against key standards in our infants immunosuppressed paediatric patients. Methods Using electronic patient notes microbiology systems, collected data on every positive PCR result between June 2016 March 2018 population. Information included risk factors, markers severity medical management. Results 48 samples were sent for testing, from which 22 patients had...
Objectives HIV‐exposed uninfected (HEU) infants are tested for loss of maternal antibody (sero‐reversion) at 18 months age. Highly sensitive fourth‐generation antigen/antibody assays can detect very low levels antibody, leading to retesting. We audited serological screening outcomes in HEU two National Health Service (NHS) Trusts. Methods born between January 2013 and August 2016 were identified via case records. Data collected included gestation; age testing; test results assay type....