RESUMEN
No disponible
Asunto(s)
Humanos , Masculino , Preescolar , Derrame Pericárdico/diagnóstico , Linfohistiocitosis Hemofagocítica/diagnóstico , Leishmaniasis/complicaciones , Derrame Pericárdico/etiología , Linfohistiocitosis Hemofagocítica/complicaciones , Linfohistiocitosis Hemofagocítica/etiología , BiomarcadoresRESUMEN
No disponible
Asunto(s)
Humanos , Femenino , Niño , Tuberculosis Resistente a Múltiples Medicamentos/complicaciones , Tuberculosis Resistente a Múltiples Medicamentos/diagnóstico , Tuberculosis Resistente a Múltiples Medicamentos/terapia , Oxazolidinonas/uso terapéutico , Mycobacterium tuberculosis/aislamiento & purificación , Mycobacterium tuberculosis/patogenicidad , Corticoesteroides/uso terapéutico , Tuberculina/análisis , Tuberculina/inmunología , Prueba de Tuberculina/métodos , Etambutol/administración & dosificación , Etambutol/efectos adversos , Antibióticos Antituberculosos/uso terapéutico , Antituberculosos/uso terapéutico , Quinolonas/uso terapéuticoRESUMEN
BACKGROUND: During the last 10 years the number of publications reporting a rise in the incidence of hypernatremia in children who are exclusively breast-fed has increased. OBJECTIVE: To report the results of a series of cases detected in a district hospital in the last 6 years in order to better delineate the clinical characteristics of infant hypernatremia, its optimal treatment and preventive measures. MATERIAL AND METHODS: The selection criteria for our study included all neonates aged less than 30 days with serum sodium concentrations equal to or greater than 150 mEq/mL who were exclusively breast fed. Cases were identified through the departmental database. RESULTS: Twelve newborns were identified who presented the following characteristics: mean gestational age of 39.5 weeks, mean birth weight of 3440 grams, mean percentage of weight loss from birth 13.7 % and mean serum sodium value 152.75 mEg/mL. Five neonates (42 %) were admitted from the maternity unit and seven (58 %) from the emergency department. The presenting complaints included weight loss in nine infants, irritability in six, fever in six, poor feeding in five and jaundice in two. Most of the neonates had more than one symptom. Ten of the mothers (83.33 %) were primiparous and two (16.67 %) were secundiparous. CONCLUSIONS: Hypernatremia due to breast-feeding is a consequence of inadequate breast-feeding technique in inexperienced mothers. A possible solution would be for health professionals to provide mothers with greater support.
Asunto(s)
Lactancia Materna/efectos adversos , Deshidratación/etiología , Hipernatremia/etiología , Análisis Químico de la Sangre , Deshidratación/sangre , Deshidratación/terapia , Femenino , Edad Gestacional , Humanos , Hipernatremia/sangre , Hipernatremia/terapia , Recién Nacido , MasculinoRESUMEN
Antecedentes: En los últimos 10 años ha habido un incremento de publicaciones que alertan sobre un aumento en la incidencia de la hipernatremia en niños alimentados con lactancia materna exclusiva. Objetivo: Presentar los resultados de una serie de casos detectados en un hospital de área en los últimos 6 años, para ayudar a conocer mejor el perfil clínico de este proceso, su tratamiento idóneo y las medidas preventivas. Material y métodos Se ha definido como caso todo aquel niño de menos de 30 días, con sodio en sangre mayor o igual de 150 mEq/ml y con lactancia materna exclusiva. Se ha realizado la búsqueda de casos en la base de datos de nuestro servicio. Resultados: Se han encontrado 12 niños que cumplían criterios, presentando las siguientes características: edad gestacional media de 39,5 semanas; peso medio al nacimiento, 3.440 g; porcentaje de peso medio perdido, 13,7 por ciento, y valor de sodio medio, 152,75 mEq/ml. Cinco de los neonatos (42 por ciento) ingresaron procedentes de nuestra maternidad y 7 (58 por ciento) desde urgencias. Los motivos de consulta fueron: pérdida de peso (9 casos), irritabilidad (6 casos), fiebre (6 casos), rechazo de la alimentación (5 casos) e ictericia (2 casos); presentando la mayoría más de una causa de consulta. En cuanto a las madres, el 83,33 por ciento (10 de ellas) fueron primíparas, y el 16,67 por ciento (2 casos) secundíparas. Conclusiones: La hipernatremia asociada a lactancia materna es un proceso relacionado con una mala técnica de lactancia en madres inexpertas. Las soluciones hay que buscarlas en un mayor apoyo a la madre lactante por parte de los profesionales sanitarios (AU)
Asunto(s)
Humanos , Masculino , Femenino , Recién Nacido , Hipernatremia , Edad Gestacional , Deshidratación , Lactancia Materna , Análisis Químico de la SangreRESUMEN
OBJECTIVES: Found sociocultural attitude with regard to breast-feeding (BF) between the sanitary (SP) and no sanitary personnel (NSP) of health centers. DESIGN: Descriptive, cross-sectional study. SETTING: 4 health centres and 3 hospitals of Valencia. PARTICIPANTS: 442 workers of these centres. INTERVENTION: Structured questionnaire. MAIN RESULTS: 88% of SP and 76% of NSP (p < 0.05) believed that BF has many advantages comparing with artificial-feeding in a developed country. SP said more advantages of BF than NSP (p < 0.0001). Most renowned advantages were immunological, affective relationship and comfort. Main inconveniences were dependence, work reasons, aesthetic nature and insecurity in the ingested amount. 56% of SP and 86% of NSP (p < 0.0001) believed milk's analysis necessary. 56% women and 38% men (p < 0.001) didn't see correct give BF in public. Men were more concerned than women (p < 0.05) for local problems of chest, aesthetic results, milk's quality and transmission of illnesses. CONCLUSIONS: It's necessary to support knowledge and re-evaluating the trust in the nutritious capacity of maternal milk between the personnel of health centers and hospitals. Generic ambiguity toward functions of feminine breast exists and public'BF isn't acceptable. It's necessary recover socioculturally the image of BF and keep in mind the existent ambiguity upon designing campaigns of promotion.