Pediatric Hemolytic Uremic Syndrome in North-Eastern Germany During the STEC O45:H2 Outbreak in 2025: Clinical Features and Short-Term Outcomes.
Authors: Merz LM, Doerry K, Buerger F, Klämbt V, Boeckelmann M, Dittrich K, Marczak E, Pohl M, Heyde M, Paulsen K, Drube J, von Osten H, Staude H, Mellmann A, Holle J, Lang C, Fruth A, Jung-Sendzik T, Thumfart J, Oh J, Schild R, Müller D
Journal: Open forum infectious diseases
mental health
psychology
open access
Abstract
A range of non-cigarette tobacco products are currently used in England, including cigars, cigarillos, pipes, bidis, shisha and chewing tobacco. Comprehensive cigarette smoking cessation support is available in England; however, little is known about the support available, or specific barriers that healthcare professionals face when supporting people to quit non-cigarette tobacco. The frequency with which specialist and non-specialist healthcare professionals encountered non-cigarette tobacco use and their knowledge of these products varied. Specialists often supported cessation with a range of nicotine replacement therapies and behavioural counselling. Key barriers in providing support included identifying use, services not being commissioned to support non-cigarette tobacco and a lack of non-cigarette-specific training and guidance. Screening in healthcare settings should be adapted to ask people about specific types of tobacco rather than just whether they smoke, and specific guidance and treatment protocols should be developed for healthcare professionals to consult when they meet people who use non-cigarette tobacco.