Blood culture is one of the most important diagnostic tests in medicine, considering the significant morbidity and mortality associated with bloodstream infection (BSI). However, it is an often misused and misinterpreted test in everyday paediatric practice. In this article, we explore the evidence related to paediatric blood cultures, with the aim of providing clear and clinically-relevant recommendations for its judicious use.

ConclusionWe have really enjoyed these meals and they have really helped us get through a set of nights feeling as healthy as possible. We have had really good feedback from trainees that these meals seem healthier and more homely than previous microwave meals they have had, as well as a positive reaction to the sustainable ethos of the project. We look forward to gathering and sharing more feedback from doctors and Food Works.We believe this initiative can be rolled out to the wider hospital, improving the wellbeing of other staff groups, and eventually improving the wellbeing of the families we look after.

between attitudes towards sexual minorities and gender minorities.Results n = 16 after responses were collected, a ~50% response rate from the department's staff of physicians.Respondents universally were aware of common terminology around sexuality ('gay', 'lesbian' etc.) and used it in conversation. Their attitudes to LGB (lesbian, gay or bisexual) people were universally positive.Attitudes towards gender minorities were also overwhelmingly positive. Further, 94% agreed they knew about using the correct names/pronouns for patients as well as misgendering. 69% said that they were aware of what 'intersex' means.Respodents almost universally agreed that they would be comfortable to take a history or perform a physical examination of an LGB or transgender patient.13% felt that taking a history would be harder for LGB patients when none thought that a physical examination would be more challenging. Contrast this to 19% and 31% respectively for transgender patients.Respondents were less confident with health issues that could specifically affect LGB patients, only 63% agreeing, and transgender/intersex patients, with only 44% agreeing. Only 19% agreed they were aware of the potential interactions of transition therapy.30% agreed that they had undertaken training for treating the needs of LGBTQ patients specifically. No respondents disagreed with the statement that they would like to learn about more resources for LGBTQ patients. Conclusion This demonstrates that clinician attitudes were exemplary.Problems identified were perceived ability and knowledge to properly care for LGBTQ patients, particularly gender minorities, with the potential for training to reinforce physicians' ability.

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