No abstract

The highest incidence of burns during the summer of 2020 was in the 6-11 years olds which may reflect increased BBQ usage in the summer weather and potentially reduced supervision. Conclusions Gloucestershire ED and PAU has seen upwards trends in burns and dog bites during the pandemic indicative of the burden and stressors placed on households. However, these injuries suggest a lack of supervision and safety in the home and are a safe-guarding concern. Injuries are a preventable cause of morbidity in the paediatric population.This data collection highlights the needs not only in strengthening our public health measures but also in strengthening the services responsible for investigating judiciously safeguarding concerns, detecting vulnerable families, protect children from maltreatment and promoting their overall welfare.

Cerebrospinal fluid Culture -no growth, WCC 23, RBC <3, negative meningococcal/pneumococcal PCR, negative virology Urine culture No growth Urine amino acids Imidopeptiduria Rapid trio exome sequencing Homozygous pathogenic PEPD variant {c.978G>A, p.