ABSTRACT
The healthcare ethics committee of the Regional Hospital of Talca, shares with the hospital community, ethical considerations in medical-clinical decisions, in the context of the COVID 19 pandemic. Focus attention on the person, with dignified treatment, with the center in quality and proportional to the individual condition, within the framework of protected teamwork, and that everyone is responsible for mutual care. The considerations of admission to critical units of complicated patients, with principles of caring over healing, without abandoning those who require assistance. Resources are scarce and must be protected, people must not be discriminated against, age is a precedent that must be considered, given the chances of survival, without going beyond the limitations to the therapeutic effort, which must be shared with the treating medical team and of the hospital ethics committee if required. A dignified death is an element to be considered with respect for the person, their families and the community.
Subject(s)
Pandemics , COVID-19 , Catchment Area, Health , Ethics Committees, Clinical , Hospitals/standardsABSTRACT
Abstract Urinary tract infection (UTI) is a frequent pathology in the pediatric age, about 5-8% of children under 2 years of age with fever without defined focus have a UTI, it is a frequent infection, and although most cases have good prognoses, it will always be necessary to identify those patients at risk of permanent and progressive kidney damage. UTI has a high incidence during childhood, appearing in about 7% of febrile children under one year of age and is an indicator of anatomical and functional anomalies. Clinical suspicion will always be important to reach a rapid diagnosis, in order to perform timely treatments and thus reduce kidney damage and complications. In this article we make a particular emphasis on the clinical approach and the follow-up that should be done to a patient with this pathology.
Resumen La infección del tracto urinario urinario (ITU) es una patología frecuente en la edad pediátrica, alrededor del 5-8% de niños menores de 2 años con fiebre sin foco definido tienen una ITU, es una infección frecuente, y aunque la mayoría tienen un buen pronostico, siempre será necesario identificar aquellos pacientes con riesgo de daño renal permanente y progresivo. La ITU tiene una alta incidencia durante la infancia apareciendo en cerca de 7% de los niños febriles menores de un año y es un indicador de anomalías anatómicas y funcionales. Siempre será importante la sospecha clínica para llegar a un diagnostico rápido; con el fin de realizar tratamientos oportunos y de esta manera reducir el daño renal y las complicaciones. En este artículo hacemos un particular énfasis en el enfoque clínico y el seguimiento que se le debe realizar a un paciente con esta patología.