Subject(s)
Blood Coagulation , Hematology/organization & administration , Hematology/standards , Hospitals, District/organization & administration , Hospitals, District/standards , Humans , India , Laboratories, Hospital/organization & administration , Laboratories, Hospital/standards , Program Development/methods , Program Development/standardsABSTRACT
Kernicterus is a preventable but devastating neurologic disorder with life long complications. It is caused by severe and inadequately treated hyperbilirubinemia during the newborn period. In the present paper potential causes and risk factors for the occurrence of kernicterus related to the Thai health system that are responsible for the care of newborn infants before and after discharge are discussed. Potential risk reduction strategies for the Thai health system are purposed Some efforts to improve the quality of Thai newborn care particularly newborns with jaundice that have been made are mentioned. An adherence to the American Academy of Pediatrics clinical guideline for management of hyperbilirubinemia in the newborn infant 35 or more weeks of gestation for those strategies that are feasible to follow will help reduce the prevalence of severe hyperbilirubinemia and bilirubin encephalopathy.
Subject(s)
Bilirubin/blood , Clinical Competence , Hospitals, District/standards , Humans , Hyperbilirubinemia, Neonatal/complications , Infant, Newborn , Kernicterus/etiology , Neonatal Screening , Phototherapy/instrumentation , Practice Guidelines as Topic , Risk Assessment , Risk Factors , ThailandABSTRACT
El sistema de referencia y contrareferencia es una red de servicio es la articulacion entre los servicios de salud y la poblacion la cual sirve ellos para que el flujo de pacientes y de las informaciones pueda ser en forma organizada y oportuno para garantizar una solucion a los problemas de salud de la poblacion. Este trabajo es un estudio cualitativo mediante la recoleccion de informacion de 4 centros de salud y un hospital de referencia identificado como adecuado en base a entrevistas y observacion directa de los mismos la cual permitira una analisis de las fallas del sistema de referencia y contrareferencia en el Distrito de Salud Sara para poder llegar a realizar una serie de estrategia con la finalidad de poder lograr la operativizacion del sistema de referencia y contrareferencia en el Distrito...