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Cleocin (Clindamycin)

As with adults, the differentiation between mild snoring and OSA (Obstructive Sleep Apnoea) in children ultimately depends on the results of overnight studies in hospital. However, a clue to the need for further investigation is provided by the observation of certain behavioural changes. Snoring accompanied by laboured breathing and frequent arousals is suggestive of OSA. Sleep disruption then manifests itself as lethargy, sleepiness, irritability and possible learning difficulties and behavioural problems at home and at school. The weight and stature of these children often falls behind that of their peers, commonly referred to as a “failure to thrive”.
Hospital or sleep unit admission screens for the same physiological changes seen in adults with OSA, with blood oxygen saturation being the most important measure of airway obstruction. The options available for treatment of heavy snoring or OSA in children are not as diverse as those available for adults. Middle-aged, overweight adults with the problem show considerable improvement with weight loss and alcohol avoidance, conditions which may be difficult to enforce or which simply do not apply to young children. Continuous Positive Airway Pressure (CRAP) applied through a nose mask has been used successfully on infants and older children, but in general cooperation by younger people who are unaware of its benefits remains a problem.
In summary, snoring in children is fairly common. Parents should not be alarmed by mild snoring but should consult their doctor if sleep disruption or difficult breathing becomes a regular feature at night.

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