Jornal de pediatria
-
Jornal de pediatria · Mar 2005
[Nasopharyngeal colonization by Streptococcus pneumoniae in children with sickle cell disease receiving prophylactic penicillin].
To determine the prevalence of nasopharyngeal pneumococcus colonization in children with sickle cell disease undergoing penicillin prophylaxis, to identify risk factors for colonization and to serotype and determine antibiotic resistance in pneumococci obtained from those children. ⋯ Penicillin prophylaxis reduced pneumococcal nasopharyngeal colonization and did not increase the prevalence of penicillin-resistant pneumococci in children with sickle cell disease. Penicillin can be used not only for prophylaxis, but also in the acute management of febrile states with these children.
-
Jornal de pediatria · Mar 2005
Review[Growth and developmental outcomes of the extremely preterm infant].
To provide information for pediatricians and neonatologists to create realistic outcome expectations and thus help plan their actions. ⋯ The growth and neurodevelopment of all ELBW infants must be carefully monitored after discharge, to ensure that children and their families receive adequate support and intervention to optimize prognoses.
-
Jornal de pediatria · Mar 2005
Review[Controversies about the resuscitation of extremely preterm infants in the delivery room].
To describe the main controversies about resuscitation procedures performed in extremely low birth weight infants in the delivery room. ⋯ In the future, guidelines may be modified based on the results of randomized and controlled clinical trials, as well as neurodevelopmental follow-up studies, involving extremely low birth weight infants submitted to resuscitation procedures in the delivery room.
-
Jornal de pediatria · Mar 2005
Multicenter Study[Life support limitation at three pediatric intensive care units in southern Brazil].
To describe causes of death and factors involved in the decision-making process related to life support limitation at three university-affiliated pediatric intensive care units in the south of Brazil. ⋯ Cardiopulmonary resuscitation is offered more frequently than is observed in northern countries. In contrast, life support limitation is offered through do-not-resuscitate orders. These findings and the low participation of the families in the decision-making process reflect the difficulties to be overcome by those professionals who are responsible for handling critically ill children in southern Brazil.
-
Jornal de pediatria · Mar 2005
[Prevalence of systemic inflammatory syndromes at a tertiary pediatric intensive care unit].
To assess the prevalence of systemic inflammatory syndromes on admission to a tertiary-care university pediatric intensive care unit (ICU), and relate this to length of hospital stay, risk of death and mortality rate. ⋯ The prevalence rate of patients with systemic inflammatory response syndrome upon admission to HCPA pediatric intensive care unit was elevated, with a predominance of infectious syndromes, responsible for longer stays, increased risk of mortality and increased mortality of patients during the period evaluated.