WHO response to BMJ queries

BMJ 2014; 348 doi: (Published 14 January 2014) Cite this as: BMJ 2014;348:f7271

WHO’s response is below:

The BMJ invited the World Health Organization to respond to the following questions raised by the article by Kiguli and colleagues on WHO’s guidelines for resuscitation of children with shock:

  • To what extent did WHO use the grading of recommendations assessment, development, and evaluations process (GRADE) when drawing up your 2013 guidelines?

  • To what extent did WHO use the findings of the FEAST study when revising the 2013 guidelines for the management of common childhood illnesses with respect to shock?

  • Can you clarify according to the 2013 guidelines how fluid for children with severe shock (WHO definition) should be given (choice of fluid, rate, and volume)?

  • Why did WHO choose to recommend fluid administration contrary to the findings of FEAST in children meeting the WHO …

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