ABSTRACT
The authors present the systematization of medical documentation in pediatric practice checked with 5,721 recordings of consultations. General statistics and comparative statistics of 7 pediatric offices are shown. The system serves today as basic documentation for scientific retrieval and is planned to be integrated in an on-line medical information system providing features as patients' follow-up, indications of laboratory values, treatment, and facturation.
Subject(s)
Medical Records , Pediatrics , Adolescent , Adult , Child , Child, Preschool , France , Humans , Infant , Private Practice , Referral and Consultation , SwitzerlandABSTRACT
111 episodes of acute urinary tract infection in children without urinary tract malformations were treated by trimethoprim-sulfamethoxazole, either during 3 days or during 7-10 days. Cure rate attained almost 100%. Recurrence rates of the first infection were similar after short treatment (29.6%) and after conventional treatment (30%). It is concluded that uncomplicated urinary tract infection in ambulatory practice may be treated safely and successfully by only 3 days of an appropriate antimicrobial.
Subject(s)
Sulfamethoxazole/administration & dosage , Trimethoprim/administration & dosage , Urinary Tract Infections/drug therapy , Adolescent , Child , Child, Preschool , Drug Administration Schedule , Drug Combinations , Female , Humans , Infant , Male , Prospective Studies , Recurrence , Sulfamethoxazole/therapeutic use , Trimethoprim/therapeutic useABSTRACT
In a prospective study, during a period of 1 year, 1,116 children over 1 year of age, with acute pharyngitis-tonsillitis, were examined by a group of Swiss pediatricians. Throat swabs were cultured for the presence of group A beta-hemolytic streptococcus, and treatment was withheld pending results in most cases. The throat swab cultures were positive in 29.6% of the cases. There were no incidences of acute glomerulonephritis, acute rheumatic fever or severe purulent local complications. The findings confirm the recommendations in the American literature concerning clinic, diagnosis and management, and they can be applied in Switzerland.
Subject(s)
Pharyngitis/diagnosis , Streptococcal Infections/diagnosis , Tonsillitis/diagnosis , Anti-Bacterial Agents/therapeutic use , Child , Child, Preschool , Humans , Infant , Pharyngitis/drug therapy , Prospective Studies , Streptococcal Infections/drug therapy , Streptococcus pyogenes , Switzerland , Tonsillitis/drug therapyABSTRACT
Home urine culture in dipslide was performed in 297 preschool girls. Results correlated well with those of cultures at the medical office, specially if midstream urine was used. This method proved to be an inexpensive, reliable (100% sensitivity) technique for detecting significant bacteriuria in preschool girls. False-positive tests occurred in 22 cases.
