ABSTRACT
Knowledge about hepatotropic viruses is crucial for pediatricians because of the high prevalence of viral hepatitis during childhood. The multiplicity of hepatotropic viruses, the spectrum of acute and chronic infections, and the sequels of viral hepatitis result in a need for physicians to better understand the clinical and epidemiological context of patients with viral hepatitis, as well as the importance of prevention measures for hepatitis. A descriptive cross-sectional study was made of pediatrician's knowledge about viral hepatitis, through questionnaires to 574 pediatricians, with no obligation of identification. The pediatricians were recruited among those who attended a national Congress of Pediatrics in Brasília, Brazil. Among these pediatricians, 50.1 percent frequently treated cases of hepatitis, and 74.7 percent indicated that they had knowledge of the existence of five hepatotropic viruses; 14.5 percent knew about at least four types of hepatitis complications, while only 7.7 percent and 4.3 percent were able to correctly diagnose viral hepatitis A and B, respectively. Many (28.4 percent) did not know how to treat the patients adequately. Only 37.5 percent had already recommended vaccination against hepatitis B. Only 50.2 percent of the pediatricians had been vaccinated against hepatitis B. We concluded that it is crucial to make pediatricians more knowledgeable about viral hepatitis, through continued education programs, especially emphasizing prevention procedures.
Subject(s)
Humans , Health Knowledge, Attitudes, Practice , Hepatitis, Viral, Human , Pediatrics , Professional Practice , Acute Disease , Brazil , Cross-Sectional Studies , Surveys and QuestionnairesABSTRACT
A intolerância hereditária à frutose é uma doença metabólica infrequente que apresenta sintomas gastrointestinais acompanhados de hipoglicemia, devendo ser considerada na investigação de vomitos recorrentes de etiologia desconhecida em crianças e adultos jovens. Entretanto, por ser pouco comum, essa possibilidade é frequentemente esquecida na elaboração do diagnostico diferencial, o que pode fazer casos passarem despercebidos, pretelando o tratamento o aumentando o custo do diagnóstico. Com o objetivo de resaltar a importância de considerar a intolerância à frutose na elaboração do diagnóstico diferencial, relata-se um caso dessa doença diagnosticado em uma menina de nove anos de idade que aprentava vômitos recorrentes desde o período do desmame. Após o diagnóstico de intolerância hereditária à frutose, surgiram queixas ósseas que possivelmente estão ligadas a essa doença. A fisiopatologia e as medidas diagnósticas e terapêuticas são discutidas