Children who soil: guidelines for good practice

Liz Bonner1, Penny Dobson

  • 1Bedfordshire Heartlands Primary Care Trust.

Insights

A national service for children suffering from constipation and soiling is needed. The Enuresis Resource & Information Centre (ERIC) established guidelines for improved child health services.

Area of Science:

  • Pediatric Health
  • Gastroenterology
  • Child Welfare

Background:

  • Recognized need for improved national services for pediatric constipation and soiling.
  • Enuresis Resource & Information Centre (ERIC) identified service gaps through parent and professional feedback.
  • Existing services lacked coherence and integration for children with these conditions.

Purpose of the Study:

  • To address the recognized need for a more integrated national service for children with constipation and soiling.
  • To review existing research and establish minimum standards for service delivery.
  • To guide the development of better healthcare provisions for affected children.

Main Methods:

  • Formation of a multidisciplinary working group by ERIC.
  • Comprehensive review of relevant research on pediatric constipation and soiling.
  • Development and oversight of the publication of national minimum standard guidelines.

Main Results:

  • Publication of the first national minimum standard guidelines for service delivery.
  • Establishment of a framework for a more coherent and integrated service.
  • Provided evidence-based recommendations for healthcare professionals and policymakers.

Conclusions:

  • The developed guidelines represent a significant step towards improving care for children with constipation and soiling.
  • A multidisciplinary approach is crucial for establishing effective national service standards.
  • Further implementation and evaluation of these guidelines are necessary to ensure optimal child health outcomes.

Related Concept Videos

Standard Precaution01:26

Standard Precaution

Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Good Manufacturing Practices01:26

Good Manufacturing Practices

Good Manufacturing Practices (GMP) constitute a foundational set of guidelines that ensure the production of safe, consistent, and high-quality products, particularly in industries such as pharmaceuticals, biotechnology, and food processing. These protocols encompass all aspects of production, from the sourcing of raw materials to the final distribution of the finished product.A core pillar of GMP is stringent hygiene and sanitation across all production environments. This includes routine...
Transmission-based Precautions I: Contact, Enteric, and Droplets01:17

Transmission-based Precautions I: Contact, Enteric, and Droplets

Transmission-based precautions are for patients known to be infected or suspected to be infected or colonized with organisms that pose a significant risk to others. Some transmission-based precautions include contact, enteric, and droplet.
Contact Precautions:
Contact precautions are the measures taken to prevent the transmission of infectious agents, especially epidemiologically important microorganisms such as MRSA or influenza, primarily transmitted through direct or indirect contact with an...
Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Handwashing I: Introduction and Types of Equipment01:18

Handwashing I: Introduction and Types of Equipment

Handwashing is hand hygiene with plain or antimicrobial soap and water to physically remove dirt, organic material, and microorganisms. However, it may not kill all microorganisms. The handwashing procedure requires a hand wash basin, liquid soap, paper towels, a domestic waste bin, and disposable nail cleaner as optional equipment.
Hand wash basins in clinical areas should have faucets that can be turned on and off without using the hands; that is, they should be non-touch or lever-operated.
Handwashing II: Pre-procedure and Initial Procedure Steps01:19

Handwashing II: Pre-procedure and Initial Procedure Steps

The pre-procedure steps of handwashing include removing jewelry and rolling up sleeves. However, many organizations allow staff to wear wedding rings.
The hand washing procedure itself includes the following steps. First, cover cuts, if any, on hands with a waterproof dressing. Cuts and abrasions can become contaminated with bacteria hindering the ability to clean the area thoroughly. In addition, repeated hand washing can worsen an injury.  The nails must be short and clean, without nail paint...