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BNF for Children June 2022 Update

This update contains 6 significant changes, 3 dose changes, and 2 new monographs.

Significant Changes:

  • Ear: updated guidance for the management of acute otitis media.
  • Human papillomavirus vaccine: updated guidance in-line with UK Health Security Agency recommendations.
  • Immunisation schedule: updated guidance for immunisation against human papillomavirus and influenza.
  • Influenza vaccine: updated guidance in-line with UK Health Security Agency recommendations.
  • Paediatric Steroid Treatment Card to support early recognition and treatment of adrenal crisis in children with adrenal insufficiency [British Society for Paediatric Endocrinology and Diabetes] (advice in alclometasone dipropionate; beclometasone dipropionate; benzyl benzoate with bismuth oxide, bismuth subgallate, hydrocortisone acetate, peru balsam and zinc oxide; betamethasone; budesonide; ciclesonide; cinchocaine hydrochloride with fluocortolone caproate and fluocortolone pivalate; cinchocaine with hydrocortisone; cinchocaine with prednisolone; ciprofloxacin with fluocinolone acetonide; clobetasol propionate; clobetasone butyrate; deflazacort; dexamethasone; diflucortolone valerate; fludrocortisone acetate; fludroxycortide; flumetasone pivalate with clioquinol; fluocinolone acetonide; fluocinonide; fluorometholone; fluticasone; gentamicin with hydrocortisone; hydrocortisone; hydrocortisone butyrate; hydrocortisone with lidocaine; loteprednol etabonate; methylprednisolone; mometasone furoate; prednisolone; triamcinolone acetonide; triamcinolone hexacetonide; see example in  dexamethasone).
  • Pain, chronic: new guidance for management in children.

Dose Changes:

  • Dexamethasone [update to dosing for COVID-19 requiring supplemental oxygen].
  • Erythromycin [amended age range for otitis media and sore throat in children].
  • Human papillomavirus vaccines [update to indications and dosing].

New Monographs:

  • Givlaari® [givosiran].
  • Rinvoq® [upadacitinib].

For further details on changes in the BNFC click on https://www.medicinescomplete.com/#/content/bnfc/PHP107699?hspl=changes