%0 Journal Article
%T Impacto de un programa de prevenci¨®n de infecciones respiratorias en lactantes prematuros de alto riesgo: estudio prospectivo y multic¨¦ntrico
%A Bauer
%A Gabriela
%A Bossi
%A Lucrecia
%A Santoalla
%A Marisa
%A Rodr¨ªguez
%A Susana
%A Fari£¿a
%A Diana
%A Speranza
%A Ana M.
%J Archivos argentinos de pediatr£¿-a
%D 2009
%I Sociedad Argentina de Pediatria
%X respiratory tract infections (rti), specially those caused by respiratory syncytial virus (rsv) are of central concern in high-risk preterm infant care. prevention programs including new and costly interventions should be evaluated in terms of efectivity and impact. objectives. to evaluate feasibility and results of a national health ministry pilot program for severe rti prevention in high-risk infants. methods. seven high-risk follow-up clinics from the public healthcare system were selected for a prospective, multicentric study. between may and september 2007, a pilot program comprising healthcare team training, parental education, rsv pasive immunoprophylaxis, rti patient care end results evaluation was implemented. indicators were used to evaluate feasibility; efectivity was estimated comparing study results with two historical controls. results. 183 infants were incorporated, 5 were lost and 1 died from cardiac disease. a rti management guideline was elaborated among participating centers; parents assisted to educational workshops; palivizumab was given to participating infants up to three doses. rti hospital admission rate for the study group was 20% (7% rsv-related), compared to 42% (26% rsv-related) and 37% (29% rsv-related) in control groups (p< 0.0001 and p= 0.02, respectively). conclusions. program implementation was feasible and readily accepted by healthcare teams. rti hospital admissions rates, in general and rsv-related, were significatively lower than local previous studies.
%K premature infants
%K respiratory tract infections
%K prevention and control
%K effectiveness program.
%U http://www.scielo.org.ar/scielo.php?script=sci_abstract&pid=S0325-00752009000200003&lng=en&nrm=iso&tlng=en