MADRID, 9 (EUROPA PRESS)
Measures of respiratory virus infection prophylaxis syncytial (RSV) are themselves necessary, but when it comes to children with congenital heart diseases are vital, because in these patients the condition tends to be more serious to the commit directly the patient’s cardiopulmonary system, explains Constantius Medrano, head of unit Cardiology non invasive Pediatric Hospital General Universitario Gregorio Marañón in Madrid.
“Have managed to show that these children should take care of them more and comply with the recommendation of the antibody prophylaxis exists is the palivizumab because its benefits have been proven,” emphasizes this expert in statements to Europe Press.
Respiratory syncytial virus infection is the main virus that causes broquiolitis in hospitals and in young children. In the case of children with heart disease this situation interferes with the possible and necessary operations. The problem, he explains, is that “even taking prophylaxis measures not all children meet this recommendation”.
“There are special children, as well as those who have some heart disease, such as children with Down’s syndrome or with asthma, which affects to a greater extent”, as they show the results of the CIVIC survey carried out on a sample of more than 2,000 children of 53 Spanish hospitals, where “becomes a good portrait of the infection” and has become an international reference.
Study showed that more than 7 percent of revenue in children is due to this virus, and in the same way, until 1 of every 5 had a serious respiratory pattern with income in the UVI or mechanical ventilation. Also noted that children with Down syndrome had double the risk of income and hospital stay.
RSV infection can cause the development of edema, by its effect of decrease in the Elimination of lung fluid. By RSV bronchiolitis, for example, may alter in a direct way the activity of sodium channels, which are essential to eliminate excess fluid.
During an infection of the lower respiratory tract edema can create a blockage of the airway already alone are empequeñecidas in the lung with hipocirculación of patients with congestive heart failure (CHF), for example.
Consequences of RSV infection in children with congenital heart diseases hospital admissions would be prolonged, instability hemodynamics, malnutrition and growth delays, delays in interventions, increase of mechanical ventilation and stays in the ICU.
This situation, this expert, which belongs to the Spanish society of Cardiology pediatric and congenital heart disease (SECPCC), reiterates the need to have an impact on measures of prophylaxis in all children, and, especially, children with special needs.
“The health costs of treating the virus in these children are very high and can be avoided because we have the tools and we have learned to use them.” “And prophylaxis is cost-effectiveness very beneficial”, has been added.
Update of Cardiology Pediatric
this has been one of the treated theme both in the 18th update course in pediatric cardiology as the 19th meeting of Pediatric Cardiology for nursing, which these days is being held in the Gregorio Maranon Hospital in Madrid. Although these meetings are serving to perform an update a day of broad themes and topical, both from the cardiac side as paediatric.
With this intention, until this Saturday, more than 200 national and international professionals are giving appointment to discuss recent advances and clinical practice in this paediatric specialty. This year the meeting is marked by the memory to Dr. Carlos Maroto, doctor who specializes in Cardiovascular Surgery, pioneer in this area and died this year.
“The idea is to encourage interaction between professionals and exhibit innovations in techniques in terms of therapeutic options that we do not offer and try to keep the degree of training in cardiology at the professionals who do not have access to advances but which are so important for these patients”, said doctor Jose Luis Zunzumegui, head of unit of Cardiology invasive hemodynamic child in the Hospital General Universitario Gregorio Marañón in Madrid.
In the meeting highlighted from the role of interventionism in ca Coarctation of the aorta of the Neonato and the elective use of Angioplasty; also the role of the nursing care of the patient and the family has been treated or practical nursing guide is presenting at a plant of Pediatric Cardiology. In addition, during its development is ongoing panels, such as those dedicated to not cyanotic heart disease, and workshops focused on topics such as music therapy and nursing venous access.
