Abstracts by keywords: paediatrics
Small children's clinics in Mecklenburg-Western Pomerania are affected or threatened by closures, even though the number of chronically ill children, for example with diabetes, asthma and obesity, is increasing. One in six children now suffers from a chronic health disorder [1]. Both economic factors, such as problematic remuneration via the DRG system, as well as personnel factors influence the clinical operations of small children's hospitals. On a personnel level, the clinics compete with each other for assistants and specialists - but also in competition with a branch for specialists. In this competition, small departments, regardless of specialty, have a disadvantage in their attractiveness in that a much higher frequency of service by doctors is necessary to maintain care. In order to maintain a 24-hour service system, a high level of personnel is required. In the case of smaller departments, these maintenance costs are largely independent of how many planned beds they hold, as a base of qualified staff is necessary. If the number of cases increases while personnel costs remain the same, a better profit situation can be assumed [2]. Minimum staffing limits for medical staff equivalent to the minimum nursing staff limits only exist in the form of the “specialist standards” and in perinatal centers, the “cash cows” of inpatient pediatric and adolescent medicine, which are only available at large clinics.
22.07.2022
Pollen-related allergic rhinitis (hay fever) is one of the most common allergic diseases in children and adolescents (Schmitz et al. 2017). In Germany, the 12-month prevalence of medically diagnosed hay fever among 3 to 17 year olds is 9.9% (Poethko-Müller et al. 2018). This results in an allergic reaction of the nasal mucosa and the conjunctiva to certain pollen, for example that of birch, which leads, among other things, to increased secretion, sneezing, restrictions in nasal breathing and itching. Although the symptoms of a pollen allergy can be very stressful and severely limit the quality of life and academic success, they are often trivialized (Greiner et al. 2011). In addition, high direct and indirect economic costs are attributed to allergic rhinitis and its secondary diseases, for example bronchial asthma and later COPD (Pfaar et al. 2014).
04.06.2018
As part of the 1st Northeast Children's Report of the Northeast Health Sciences Institute of the AOK Nordost, the development of antibiotic use in the pediatric setting was also examined (Witte et al. 2017). In general usage and also in the clinical context, antibiotics refer to active ingredients that inhibit the growth of bacteria or kill them. Due to decades of excessive and untargeted use of antibiotics, the increase in insensitivity of bacterial pathogens has developed into a significant public health problem worldwide. Patients and doctors are increasingly confronted with bacterial strains that are resistant to many common antibiotic agents (WHO 2011). As a result of the increase in so-called multi-resistant pathogens, the duration of treatment, the severity of the disease and the risk of death from serious infections are increasing. The same applies to the resulting costs of appropriate medical care (Aloush et al. 2006; Maragakis et al. 2008; Song et al. 2003; Qavi et al. 2005).