Anemia in sick children hospitalized and cured with transfusion at the children's ward in Stip

Vitlarova, Jordanka and Kamcev, Nikola (2007) Anemia in sick children hospitalized and cured with transfusion at the children's ward in Stip. In: IV Congress of Macedonian Pediatric Association with International Participation, 18-22 Sept 2007, Ohrid, Macedonia.

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Abstract

GOAL: To show anemia in sick children hospitalized and cured at the Children’s Ward in Stip. MATERIAL AND METHODS: At the Children’s Ward of the General Hospital in Stip, children suffering from anemia are hospitalized every day. Most pediatric transfusions are given to children under the age of three. Especially frequent is the anemia in children who have finished breast feeding, children fed with plain food poor with iron, and in children with hemolytic episodes of various causes etc. At this period of their life, the anemia appears frequently as joined symptom, especially in children who have other acute infections such as enterocolitis, pneumonia etc. RESULTS: Last year, at the Children’s Ward of the General Hospital in Stip, 1,200 sick children were hospitalized from which 357 (29.75%) children with anemia symptoms. METHOD: We divided the causes for the anemia in several basic groups: anemia caused due to decreased production of normal erythrocytes; anemia due to increased destruction of erythrocytes and anemia caused due to increased loss of erythrocytes. But, due to the strict criteria for establishing indication for applying erythrocyte concentrates, regular feeding of mothers during their pregnancy and increased care and regular feeding of newborns, only 17 (4.76%) children of the sick ones had an anemic syndrome and were given transfusion of erythrocyte concentrates. All the other causes were cured with appropriate specific and symptomatic therapy. CONCLUSION: Anemia in childhood is a very frequent appearance. The causes are of different nature. But it has to be decided whether the sick child will be given transfusion not only in accordance with the level of hemoglobin, but also with a careful estimation of the clinical picture, as well as according to appropriate therapy which in many cases can improve the anemic syndrome, rather than apply erythrocyte concentrates. Comparing with the past, when the number of the given transfusions according to the number of hospitalized children was up to 100, in the recent few years, there have been a remarkably smaller number of transfunded children.

Item Type: Conference or Workshop Item (Poster)
Subjects: Medical and Health Sciences > Clinical medicine
Divisions: Faculty of Medical Science
Depositing User: Nikola Kamcev
Date Deposited: 29 Jan 2020 10:23
Last Modified: 29 Jan 2020 10:23
URI: http://eprints.ugd.edu.mk/id/eprint/23310

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