OBJECTIVE: to relate the variables from a surveillance form for intravenous devices in high risk newborn infants with peripherally inserted central catheter related infection. METHODOLOGY: approximately 15 variables were studied, being associated with peripherally inserted central catheter related infection, this being defined by blood culture results. The variables analyzed were obtained from the surveillance forms used with intravenous devices, attached to the medical records of newborn infants weighing between 500 and 1,499 g. The statistical association was defined using the Chi-squared and Student t tests. The study was approved by the Research Ethics Committee of the Instituto Fernandes Figueira under process N. 140.703/12. RESULTS: 63 medical records were analyzed. The infection rate observed was 25.4%. Of the variables analyzed, only three had a statistically-significant relationship with the blood culture - the use of drugs capable of inhibiting acid secretion, post-natal steroid use, and undertaking more than one invasive procedure (p-value of 0.0141, 0.0472 and 0.0277, respectively). CONCLUSION: the absence of significance of the variables of the form may be related to the quality of the records and to the absence of standardization. It is recommended that the teams be encouraged to adhere to the protocol and fill out the form.
Organizações Não Governamentais na área da Saúde da Criança -revisão da literaturaNon-Governmental Organizations in the area of Child Healthcare -review of the literature Resumo A segunda metade do século vinte assistiu ao crescimento de entidades que refletiam a mobilização da sociedade civil para uma participação mais efetiva nas questões de interesse pú-blico e de cunho social. Desta forma surgiram as organizações não governamentais (ONG) que ganharam espaço como parceiros dos setores públi-cos e privados para a atuação em diferentes áreas, entre elas a saúde. Baseado em uma revisão da literatura, este trabalho teve como objetivo conhecer o status do conhecimento científico sobre a participação das ONG na saúde da criança e a partir da identificação e classificação de suas atividades, observar se esta atuação tem se compatibilizado com a agenda desse campo. A análise das publicações considerou a procedência dos autores, o periódico, os objetivos, a origem e o local de atuação das ONG e a procedência dos recursos aplicados nos projetos desenvolvidos. A natureza das atividades variou de acordo com o grau de desenvolvimento da região onde as ONG atuavam e os temas, parceria entre órgãos de governo e terceiro setor, sustentabilidade e impacto das ações nas comunidades beneficiárias foram os principais tópicos destacados pelos autores. Concluiu-se que as questões estão apenas se esboçando e que o impacto das intervenções das ONG na área da saúde da criança é um campo de conhecimento a ser explorado. Palavras-chave ONG, Saúde, Criança Abstract The second half of the twentieth century saw the emergence of organizations that reflected the mobilization of civil society for more effective participation in questions in the public interest and of a social nature. These became known as non-governmental organizations (NGOs) and they assumed their place as partners with public and private sectors to develop actions in different areas, including healthcare. Based on a review of the literature, the scope of this paper was to assess the status of scientific knowledge on the participation of NGOs in child healthcare and, by identifying and classifying their activities, establish if they are in line with the agenda of the field. Analysis of the publications took into consideration where the authors were from, the journal in question, the origins and area of activity of the NGOs and the source of the funds applied to the projects implemented. The nature of activities varied with the degree of development of the region where the NGOs operated and the themes, partnership between government and private sector agencies, sustainability and impact of actions on the favored communities were the main topics highlighted by the authors. The conclusion reached was that the performance of NGOs in child health is in the early stages and is a knowledge field to be explored.
BackgroundThis study evaluated the influence of continuing education of family health strategy teams by the Ronald McDonald Institute program on the early diagnosis of cancer in children and adolescents.MethodsThe study applied Habicht’s model to evaluate the adequacy and plausibility of continuing education by using as outcome the number of children with suspected cancer who were referred to the hospital of references in the 1 year before and 1 year after intervention and the number of patients referred by intervention group and control group family health strategy teams. Medical records from each hospital of reference were used to collect information of suspect cases of cancer. Descriptive analyses were performed using frequencies and mean values. Chi-square tests were used to assess statistically significant differences between the groups and periods by using p-values < 0.05.ResultsThe results showed a 30.6% increase in the number of children referred to the hospital of reference for suspected cancer in the post-intervention period; in addition, the family health strategy teams that underwent the intervention referred 3.6 times more number of children to hospital of references than did the control group. Only the intervention group showed an increase in the number of confirmed cases.ConclusionsThis evaluation of a continuing education program for early identification of pediatric cancer showed that the program was adequate in achieving the established goals and that the results could be attributed to the program.
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