Título:
Glucocorticoterapia sistémica a dosis suprafisiológicas en niños: prácticas clínicas frente al tratamiento prolongado. Centro Hospitalario Pereira Rossell, 2019
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Autor:
Formento, Gabriel
García, Sofía
García, Erika
Gómez, Lucia
Guerra, Martina
Kalemkerian, Sofía
García, Sofía
García, Erika
Gómez, Lucia
Guerra, Martina
Kalemkerian, Sofía
Tutor:
Simon, Sophie
Zunino, Carlos
Giachetto, Gustavo
Zunino, Carlos
Giachetto, Gustavo
Tipo de documento:
Monografía
Editor:
Palabras clave:
Glucocorticoterapia prolongada
Pediatría
Monitorización
Efectos adversos
Long term glucocorticoid therapy
Pediatrics
Monitoring
Adverse effects
Pediatría
Monitorización
Efectos adversos
Long term glucocorticoid therapy
Pediatrics
Monitoring
Adverse effects
Descriptores:
Año de publicación:
2019
Contenido:
Resumen:
El tratamiento prolongado con corticoides a dosis suprafisiológicas ha aumentado en los últimos años. El objetivo del trabajo fue conocer las prácticas de pediatras y subespecialistas pediátricos del Centro Hospitalario Pereira Rossell (CHPR) respecto a la monitorización del tratamiento prolongado con glucocorticoides sistémicos en niños y adolescentes con enfermedades crónicas. Se realizó un estudio observacional, descriptivo, transversal, mediante entrevistas semiestructuradas. Se utilizó
metodología cuali-cuantitativa. Se incluyeron pediatras y subespecialistas en gastroenterología, reumatología, endocrinología, nefrología, neuropediatría y hematooncología. Se analizó el perfil del profesional entrevistado, la monitorización de efectos adversos y las estrategias para minimizar riesgos, la monitorización de adherencia al tratamiento, los criterios de suspensión de la glucocorticoterapia, y el rol de los pediatras en el seguimiento de estos pacientes.
Se entrevistaron 37 profesionales, 20 pediatras y 17 subespecialistas. Se encontró variedad en lo que respecta a prácticas clínicas de monitorización, prevención de efectos adversos y suspensión del tratamiento prolongado con glucocorticoides. Existen pocas recomendaciones basadas en evidencias locales y una insuficiente formación continua de los pediatras sobre estos temas, lo cual puede significar un problema. Establecer el rol del pediatra y del subespecialista es fundamental para el correcto seguimiento de estos niños.
In the last years the prescription of long term treatments with glucocorticoids at supraphysiological doses have increased. The aim of this study was to identify the practices among pediatricians and pediatric subspecialists of Centro Hospitalario Pereira Rossell (CHPR) regarding the monitoring of long term treatments with systemic glucocorticoids in children and teenagers with chronic diseases. An observational, descriptive, transverse study was carried out by conducting semi structured interviews. A qualitative-quantitative methodology was applied. There were included pediatricians and subspecialists: gastroenterology, rheumatology, endocrinology, nephrology, neuropediatrics and hemato oncology. The variables analyzed were: the profile of the interviewed professional, the monitoring of adverse effects, the strategies to minimize risks, the monitoring of the treatment adherence, the criteria used for the suspension of the treatment, and the role that plays the pediatrician in the follow up of these patients. Thirty seven professionals were interviewed, from which twenty were pediatricians and seventeen were subspecialists. Variability was found regarding clinical practices of monitoring, prevention of adverse effects and suspension of the long term treatment with glucocorticoids.There are only a few national recommendations based on evidence available, and there is an insufficient continuous professional formation among pediatricians regarding these topics, which could be a problem. Defining the role pediatricians and pediatric subspecialists play in the follow up of these children is essential.
In the last years the prescription of long term treatments with glucocorticoids at supraphysiological doses have increased. The aim of this study was to identify the practices among pediatricians and pediatric subspecialists of Centro Hospitalario Pereira Rossell (CHPR) regarding the monitoring of long term treatments with systemic glucocorticoids in children and teenagers with chronic diseases. An observational, descriptive, transverse study was carried out by conducting semi structured interviews. A qualitative-quantitative methodology was applied. There were included pediatricians and subspecialists: gastroenterology, rheumatology, endocrinology, nephrology, neuropediatrics and hemato oncology. The variables analyzed were: the profile of the interviewed professional, the monitoring of adverse effects, the strategies to minimize risks, the monitoring of the treatment adherence, the criteria used for the suspension of the treatment, and the role that plays the pediatrician in the follow up of these patients. Thirty seven professionals were interviewed, from which twenty were pediatricians and seventeen were subspecialists. Variability was found regarding clinical practices of monitoring, prevention of adverse effects and suspension of the long term treatment with glucocorticoids.There are only a few national recommendations based on evidence available, and there is an insufficient continuous professional formation among pediatricians regarding these topics, which could be a problem. Defining the role pediatricians and pediatric subspecialists play in the follow up of these children is essential.
Descripción:
Editorial:
Udelar. FM
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Financiadores:
Citación:
Formento G, García S, García E y otros. Glucocorticoterapia sistémica a dosis suprafisiológicas en niños: prácticas clínicas frente al tratamiento prolongado. Centro Hospitalario Pereira Rossell, 2019 [en línea]. Monografía de Pre Grado. Montevideo: Udelar. FM, 2019. 25 p.
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https://hdl.handle.net/20.500.12008/33866
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Licencia:
Licencia Creative Commons Atribución - No Comercial - Sin Derivadas (CC - By-NC-ND 4.0)
Cobertura geográfica:
URUGUAY
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| Ficheros | Descripción | Tamaño | Formato | ||
|---|---|---|---|---|---|
| MCII_2019_G74.pdf | Glucocorticoterapia sistémica a dosis suprafisiológicas en niños: prácticas clínicas frente al tratamiento prolongado. Centro Hospitalario Pereira Rossell, 2019. | 427.32 KB | Adobe PDF |