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Master Thesis

Pertinence des venues aux urgences médico-chirurgicales pédiatriques des nouveau-nés de moins de 30 jours à l'HCE du CHU de Grenoble sur une période de six mois

Abstract : The Newborns' consultations in the pediatric emergency department have steadily increased during the last years, despite the known risk of nosocomial infection. The main objective of this study is to assess the relevance of the visits for newborns less than one month of age in the pediatric emergency department. This study was carried out in the pediatric emergency department of Grenoble from the 2nd of May 2012 to the 2nd of November 2012, using a questionnaire given to the parents, and a medical questionnaire. The visits relevance was studied according to De Angelis' criteria, and according to the hospitalization criterion. 266 infants have been included. The most common diagnoses which have been found are childcare problems such as infant colic, regurgitation, feeding difficulties and rhinopharyngitis. The examination was normal for 25 newborns. Visits were considered relevant for 105 newborns. The factors which were associated with inappropriate visits are: primiparity, age of the mother less than 25 years old, unemployed mothers, travel time less than 40 minutes, and not addressed newborns. Prevention and information should be made in the early sessions of preparation for childbirth. Other preventive measures would be to promote a medical examination by a primary care physician a few days after having left the maternity. Finally, information leaflets for parents were created by associations. The increase of the consultations in the pediatric emergency departments could be related to a limitation of the primary care supply. A further study would be interesting to know the supply and the availability of the health professionals in the city.
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Master Thesis
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Submitted on : Monday, January 20, 2014 - 12:06:11 PM
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Julien Prunier-Duparge. Pertinence des venues aux urgences médico-chirurgicales pédiatriques des nouveau-nés de moins de 30 jours à l'HCE du CHU de Grenoble sur une période de six mois. Médecine humaine et pathologie. 2014. ⟨dumas-00933289⟩

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