Abstract: Infection is the most important clinical complication associated with the use of central
venous catheters, both in terms of incidence and gravity. This study aims to assess the incidence
of these infections in children receiving parenteral nutrition in a tertiary children’s hospital
and at home. A prospective cohort survey was carried out in a consecutive series of 671 children
during 8,689 catheter days over a period of 3 years. Only 4 central venous catheter-related infections
occurred in the observation period, with a rate of 0.46 per 1,000 catheter days. In order to
prevent central venous catheter-related infections it is important to follow certain standards both
during positioning of the catheter and in the subsequent assistance to the patient, also at home.
The very low incidence of catheter-related sepsis in our experience was achieved by strict adherence to established protocols of catheter management.
Abstract: Infection is the most important clinical complication associated with the use of CVC, both in terms of incidence and gravity. This prospective and cohort study, aims to assess the incidence of these infections in children admitted in a tertiary children hospital and on home parenteral nutrition, during last three years. In a consecutive pediatric series of 672 cases, during 8793 catheter/days ,we observed only 4 CVC related infections, with a rate of 0,44 per 1000 catheter/days. No consensus exists on the best methods for diagnosis of CVC related infections, but methods studied show acceptable sensitivity and specificity, in clinical practice.In order to prevent the CVC related infections it’s important to follow some behavioural norms,both during the positioning of the catheters and in the subsequent assistance to the patient, also on home.According to the international guidelines and author’s experience, major points of emphasis, include 1) using maximal sterile barrier precautions during central venous catheters introduction, 2)admixing all parenteral fluids in the pharmacy 3) educating and training health –care providers who insert and maintain catheters.This very low incidence of catheter-related sepsis was achieved, in our experience,by strict adherence to established protocols of catheter management.
Abstract: Child abuse involve Female Genital Mutilations,and in Europe, and in particular in Italy, this phenomenon is of recent and hidden evidence,connected to the increase of the migratory flows.
In 1998, the American Academy of Pediatrics, recommended thats its members decline to perform any medically unnecessary procedure that alters the genitalia of female infants,girls,and adolescents, and in the 2004 ,Health Service of Tuscany has launched a project directed to a first appraisal of a worrisome and unknown phenomenon,in the submergeed world of the child abuse.
Abstract: Nel territorio fiorentino i delitti contro la persona sono intorno a 50-80 ogni 1000 abitanti e i casi di abuso su minori variano stabilmente fra 20 e 35 ogni anno, da circa 20 anni. I casi segnalati dal Pronto Soccorso Pediatrico dell'Ospedale Meyer, sempre in riferimento alla cosiddetta area
degli abusi,cioè segnalazioni di reati contro minori e contro la famiglia, sono variabili fra 19 e 35 l'anno, da ormai venti anni.La quota femminile rappresenta stabilmente la maggioranza del totale fra le vittime di abusi, dal 68% all'84% nel 2003.(dati ISTAT su statistiche giudiziarie penali,e dati Questura di Firenze).
