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THE LEVEL OF THE QUALITY OF EMERGENCY AND INPATIENT MEDICAL CARE FOR CHILDREN WITH ACUTE ALLERGIC PATHOLOGY


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Abstract

The acute allergic condition may carry life-threatening character and requires the provision of the immediate medical assistance, which is governed by approved standards and clinical guidelines on appropriate forms of pathology. There are presented data concerning the routing of patients with allergic forms of pathology through stages from emergency medical assistance, evacuation of the patient till the discharge from the hospital with recommendations for outpatient care, with the purpose of the analysis of correspondence of medical aid in acute allergic pathology to existing algorithms and clinical guidelines at different stages of the management of patients. There was performed an analysis of the data of 1327 children with acute allergic pathology requesting emergency medical assistance. 78% of patients were left in place with recommendations for further referral to specialists, 22% of patients were evacuated to various clinics for specialized medical care (SMC). At the stage of the rendering of SMC 69% of children received corticosteroids in 2014, 66% - in 2015. 60% of children were prescribed first-generation H1-antihistamines in 2014, 63%-in 2015; 25% of children were administered the lytic mixture. Only 4% of children received inhalation therapy. At the stationary stage in 2014, all children with broncho-pulmonary disease and laryngotracheitis received antibiotic therapy, 89% and 59% - in 2015, respectively Conclusion The quality of rendering of medical aid to children with acute allergic pathology at prehospital and hospital stages is not always consistent with clinical recommendations.


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