RESUMO
Hematopoietic stem cell transplant (HSCT) recipients are at -increased risk for severe COVID-19. The aim of this study was to evaluate the burden of COVID-19 in a cohort of HSCT recipients. This retrospective study evaluated a cohort of adult hospitalized HSCT recipients diagnosed with COVID-19 in two large hospitals in São Paulo, Brazil post-HSCT, from January 2020 to June 2022. The primary outcome was all-cause mortality. Of 49 cases, 63.2% were male with a median age of 47 years. Allogeneic-HSCT (51.2%) and autologous-HSCT (48.9%) patients were included. The median time from HSCT to COVID-19 diagnosis was 398 days (IQR: 1211-134), with 22 (44.8%) cases occurring within 12 months of transplantation. Most cases occurred during the first year of the pandemic, in non-vaccinated patients (n=35; 71.4%). Most patients developed severe (24.4%) or critical (40.8%) disease; 67.3% received some medication for COVID-19, primarily corticosteroids (53.0%). The probable invasive aspergillosis prevalence was 10.2%. All-cause mortality was 40.8%, 51.4% in non-vaccinated patients and 14.2% in patients who received at least one dose of the vaccine. In the multiple regression analyses, the variables mechanical ventilation (OR: 101.01; 95% CI: 8.205 - 1,242.93; p = 0.003) and chest CT involvement at diagnosis ≥50% (OR: 26.61; 95% CI: 1.06 - 664.26; p = 0.04) remained associated with all-cause mortality. Thus, HSCT recipients with COVID-19 experienced high mortality, highlighting the need for full vaccination and infection prevention measures.
Assuntos
COVID-19 , Transplante de Células-Tronco Hematopoéticas , Adulto , Humanos , Masculino , Pessoa de Meia-Idade , Feminino , Estudos Retrospectivos , Pandemias , Brasil/epidemiologia , Teste para COVID-19 , Fatores de Risco , COVID-19/epidemiologia , Transplante de Células-Tronco Hematopoéticas/efeitos adversosRESUMO
Severe combined immunodeficiency (SCID) is a rare and life-threatening genetic disorder that severely impairs the immune system's ability to defend the body against infections. Often referred to as the "bubble boy" disease, SCID gained widespread recognition due to the case of David Vetter, a young boy who lived in a sterile plastic bubble to protect him from germs. SCID is typically present at birth, and it results from genetic mutations that affect the development and function of immune cells, particularly T cells and B cells. These immune cells are essential for identifying and fighting off infections caused by viruses, bacteria, and fungi. In SCID patients, the immune system is virtually non-existent, leaving them highly susceptible to recurrent, severe infections. There are several forms of SCID, with varying degrees of severity, but all share common features. Newborns with SCID often exhibit symptoms such as chronic diarrhea, thrush, skin rashes, and persistent infections that do not respond to standard treatments. Without prompt diagnosis and intervention, SCID can lead to life-threatening complications and a high risk of mortality. There are over 20 possible affected genes. Treatment options for SCID primarily involve immune reconstitution, with the most well-known approach being hematopoietic stem cell transplantation (HSCT). Alternatively, gene therapy is also available for some forms of SCID. Once treated successfully, SCID patients can lead relatively normal lives, but they may still require vigilant infection control measures and lifelong medical follow-up to manage potential complications. In conclusion, severe combined immunodeficiency is a rare but life-threatening genetic disorder that severely compromises the immune system's function, rendering affected individuals highly vulnerable to infections. Early diagnosis and appropriate treatment are fundamental. With this respect, newborn screening is progressively and dramatically improving the prognosis of SCID.
Assuntos
Agamaglobulinemia , Transplante de Células-Tronco Hematopoéticas , Imunodeficiência Combinada Severa , Masculino , Recém-Nascido , Humanos , Imunodeficiência Combinada Severa/diagnóstico , Imunodeficiência Combinada Severa/genética , Imunodeficiência Combinada Severa/terapia , Linfócitos T , Diagnóstico Precoce , Mutação , Transplante de Células-Tronco Hematopoéticas/métodosRESUMO
ABSTRACT Hematopoietic stem cell transplant (HSCT) recipients are at -increased risk for severe COVID-19. The aim of this study was to evaluate the burden of COVID-19 in a cohort of HSCT recipients. This retrospective study evaluated a cohort of adult hospitalized HSCT recipients diagnosed with COVID-19 in two large hospitals in São Paulo, Brazil post-HSCT, from January 2020 to June 2022. The primary outcome was all-cause mortality. Of 49 cases, 63.2% were male with a median age of 47 years. Allogeneic-HSCT (51.2%) and autologous-HSCT (48.9%) patients were included. The median time from HSCT to COVID-19 diagnosis was 398 days (IQR: 1211-134), with 22 (44.8%) cases occurring within 12 months of transplantation. Most cases occurred during the first year of the pandemic, in non-vaccinated patients (n=35; 71.4%). Most patients developed severe (24.4%) or critical (40.8%) disease; 67.3% received some medication for COVID-19, primarily corticosteroids (53.0%). The probable invasive aspergillosis prevalence was 10.2%. All-cause mortality was 40.8%, 51.4% in non-vaccinated patients and 14.2% in patients who received at least one dose of the vaccine. In the multiple regression analyses, the variables mechanical ventilation (OR: 101.01; 95% CI: 8.205 - 1,242.93; p = 0.003) and chest CT involvement at diagnosis ≥50% (OR: 26.61; 95% CI: 1.06 - 664.26; p = 0.04) remained associated with all-cause mortality. Thus, HSCT recipients with COVID-19 experienced high mortality, highlighting the need for full vaccination and infection prevention measures.
RESUMO
Resumo: Introdução: A Covid-19 trouxe uma série de desafios para o Sistema Único de Saúde. Na atenção primária à saúde (APS), tais desafios se somam aos já existentes. Objetivo: Este estudo teve como objetivo analisar a vivência de enfrentamento da pandemia de Covid-19 entre médicos do Programa Mais Médicos Brasil, mestrandos em Saúde da Família e atuantes na APS. Método: Trata-se de estudo qualitativo envolvendo oito médicos da APS de Alagoas que cursam o Mestrado Profissional em Saúde da Família (PROFSAÚDE). Foram elaboradas cinco questões, cujas respostas foram analisadas com base na teoria de Análise de Conteúdo. Resultado: Observaram-se três categorias e quatro subcategorias: categoria 1 - "Processo de estudo e de trabalho" (subcategoria 1.1 - "Características do PROFSAÚDE" - e subcategoria 1.2 - "Estratégias pessoais desenvolvidas"), categoria 2 - "Desafios no gerenciamento da vida" (subcategoria 2.1 - "Mudanças no cotidiano" - e subcategoria 2.2 - "Impacto nas emoções") e categoria 3 - "Crescimento pessoal e profissional". Conclusão: Em tempos de pandemia, os profissionais médicos vivenciam situações complexas e dinâmicas em razão de um duplo e acumulativo processo - o trabalho na APS e a condição de mestrando. Apesar de todas as dificuldades enfrentadas, o mestrado possibilitou o aprimoramento das habilidades em lidar com situações críticas.
Abstract: Introduction: COVID-19 has brought numerous challenges for the Health System in Brazil. In Primary Health Care, these challenges add to those that already exist. Objective: To analyze the experience of facing the COVID-19 pandemic among doctors of the Mais Médicos Brasil Program and master's degree students in Family Health and those working in Primary Health Care. Methods: Qualitative study involving eight doctors from Primary Health Care in Alagoas who are also studying the professional master's degree in Family Health (PROFSAÚDE). Five questions were developed, the answers to which were analyzed based on Content Analysis theory. Results: Three categories and four subcategories were observed: Category 1 - Study and work process (Subcategory 1.1- Characteristics of PROFSAÚDE; Subcategory 1.2 - Personal strategies developed); Category 2 - Challenges in Life Management (Subcategory 2.1 - Changes in daily life; Subcategory 2.2 - Impact on emotions) and Category 3 - Personal and Professional Growth. Conclusion: During the pandemic, medical professionals experience complex and dynamic situations due to a dual and cumulative process - working in PHC and studying for their master's degree. Despite all the difficulties faced, the master's degree allowed them to improve skills in dealing with critical situations.
Assuntos
Humanos , Masculino , Feminino , Adulto , Atenção Primária à Saúde , Educação de Pós-Graduação em Medicina , Médicos de Atenção Primária , COVID-19/terapia , Inquéritos e Questionários , Consórcios de SaúdeRESUMO
The Numb Chin Syndrome (NCS) is defined as facial and oral numbness restricted to the mental nerve's distribution involving the lower lip, skin of the chin, or gingiva of the lower anterior teeth. Hypoesthesia can occur unilaterally or bilaterally. Although this syndrome is rare, its importance is related to the fact that it represents the clinical manifestations of malignant diseases. Breast cancer and non-Hodgkin lymphoma are the most common cause of NCS. The patient, a 58-year-old woman, treated for a Burkitt Lymphoma (BL) nine years ago, described a two-week history of change in sensitivity and pain in the chin region, without relief with the use of analgesics. She had no headache, speech disturbance, dysphagia, visual disturbance, or other neurological symptoms. No surgical intervention has been performed recently. The intraoral examination revealed a healthy oral mucosa and a small area adjacent to the right mental nerve region that was uncomfortable to palpation. No changes were found in the bone trabeculae at cone-beam computed tomography. The contrasted magnetic resonance features made it possible to identify a change in the mandibular body extending to the entire right side, coinciding with the patient's complaint, indicating a probable mandibular medullary invasion. The patient was submitted to a biopsy to rule out a possible recurrence of BL. The microscopic findings were consistent with the diagnosis of BL. The present report described a very unusual presentation of late recurrent BL nine years after the first treatment, which manifested as an NCS.
Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Neoplasias Mandibulares/patologia , Linfoma de Burkitt/patologia , Recidiva , Linfócitos B , HipestesiaRESUMO
SUMMARY: The supracondylar process is a hook shaped projection of the humerus. It is located superior to its medial epicondyle. This anatomic variation is often presented together with the Struther's ligament, a fibrous arcade that connects the supracondylar process to the medial epicondyle. Both structures have been associated with neurovascular bundle compression on the distal third of the arm, as the median and ulnar nerves and the brachial and ulnar arteries may pass through the osteofibrous canal that these variants create. The SciElo, Pubmed, Scopus, TRIP, MEDLINE, COCHRANE and ScienceDirect databases were searched with the term "supracondylar process" or "supracondyloid process" with the purpose of performing a meta-analysis of this bony spur. Heterogeneity between studies was evaluated using I2 estimation and the Cochran Q statistic test. A random effect model was used for all analysis. A total of twenty articles (26.415 humeri) were included in this meta-analysis. The pooled prevalence of the supracondylar process was 0.68 % (95 % Confidence Interval: 0.47 % to 0.92 %). This variant was more commonly found in women than in men (statistically significant difference) and more commonly found on the left side than the right. The presence of the supracondylar process alone may induce neurovascular bundle compression. It can also be injured in traumatic or stress fractures. Knowledge of this variation and its prevalence may reduce misdiagnosis in radiographic images.
RESUMEN: El proceso supracondíleo es una proyección en forma de gancho del húmero. Se encuentra superior a su epicóndilo medial. Esta variación anatómica a menudo se presenta junto con el ligamento de Struther, una arcada fibrosa que conecta el proceso supracondíleo con el epicóndilo medial. Ambas estructuras se han asociado con la compresión del paquete neurovascular en el tercio distal del brazo, ya que los nervios mediano y ulnar y las arterias braquial y ulnar pueden pasar a través del canal osteofibroso que crean estas variantes. Se realizaron búsquedas en las bases de datos SciElo, Pubmed, Scopus, TRIP, MEDLINE, COCHRANE y ScienceDirect con el término "proceso supracondíleo" o "proceso supracondiloide" con el objetivo de realizar un metanálisis de este espolón óseo. La heterogeneidad entre los estudios se evaluó mediante la estimación I2 y la prueba estadística Cochran Q. Se utilizó un modelo de efectos aleatorios para todos los análisis. Un total de veinte artículos (26.415 húmeros) se incluyeron en este metanálisis. La prevalencia combinada del proceso supracondíleo fue del 0,68 % (intervalo de confianza del 95 %: 0,47 % a 0,92 %). Esta variante se encontró más comúnmente en mujeres que en hombres (diferencia estadísticamente significativa) y se encuentra más comúnmente en el lado izquierdo que en el derecho. La presencia del proceso supracondíleo solo puede inducir la compresión del paquete neurovascular. También puede lesionarse en fracturas traumáticas o por estrés. El conocimiento de esta variación y su prevalencia puede reducir el diagnóstico erróneo en imágenes radiográficas.
Assuntos
Humanos , Variação Anatômica , Úmero/anatomia & histologiaRESUMO
ABSTRACT Smoking is the leading cause of respiratory disease (RD). The harmful effects of smoking on the respiratory system begin in utero and influence immune responses throughout childhood and adult life. In comparison with "healthy" smokers, smokers with RD have peculiarities that can impede smoking cessation, such as a higher level of nicotine dependence; nicotine withdrawal; higher levels of exhaled carbon monoxide; low motivation and low self-efficacy; greater concern about weight gain; and a high prevalence of anxiety and depression. In addition, they require more intensive, prolonged treatment. It is always necessary to educate such individuals about the fact that quitting smoking is the only measure that will reduce the progression of RD and improve their quality of life, regardless of the duration and severity of the disease. Physicians should always offer smoking cessation treatment. Outpatient or inpatient smoking cessation treatment should be multidisciplinary, based on behavioral interventions and pharmacotherapy. It will thus be more effective and cost-effective, doubling the chances of success.
RESUMO O tabagismo é o maior responsável pelas doenças respiratórias (DR). Os efeitos nocivos do tabaco sobre o aparelho respiratório se iniciam ainda intraútero e influenciam as respostas imunológicas ao longo da infância e vida adulta. Os tabagistas com DR possuem peculiaridades que podem dificultar a cessação tabágica, tais como maior grau de dependência e de abstinência de nicotina; níveis mais elevados de monóxido de carbono exalado; motivação e autoeficácia baixas; maior preocupação com ganho ponderal; e elevada prevalência de ansiedade e depressão. Além disso, requerem tratamento mais intensivo e prolongado. É necessário esclarecer sempre o paciente sobre o fato de que parar de fumar será a única medida que irá reduzir a progressão das DR e melhorar sua qualidade de vida, independentemente do tempo e da gravidade da doença. Os médicos devem sempre oferecer o tratamento de cessação tabágica. O tratamento ambulatorial ou hospitalar deve ser multidisciplinar, baseado em intervenções comportamentais e farmacoterapia, sendo eficaz e custo-efetivo, dobrando as chances de sucesso.
Assuntos
Humanos , Doenças Respiratórias/etiologia , Doenças Respiratórias/terapia , Tabagismo/complicações , Fumar/efeitos adversos , Abandono do Hábito de Fumar , Tabagismo/terapia , Tuberculose Pulmonar/etiologia , Tuberculose Pulmonar/terapia , Fatores de Risco , Doença Pulmonar Obstrutiva Crônica/etiologia , Doença Pulmonar Obstrutiva Crônica/terapia , Neoplasias Pulmonares/etiologia , Neoplasias Pulmonares/terapiaRESUMO
O presente texto pretende refletir sobre o dispositivo do Centro de Convivência como uma ferramenta de empoderamento, de auxílio na construção de maior autonomia e promoção da cidadania da pessoa em sofrimento mental. Procura-se pensar a contribuição desse serviço para a efetivação da dimensão sociocultural da Reforma Psiquiátrica brasileira, auxiliando na inserção social do louco, a partir do fomento de atividades laborativas e artísticas e da articulação com diversos setores da sociedade. Assim, por meio da revisão de literatura de legislações sobre o tema, artigos científicos e textos de Conferências e Fóruns da Saúde Mental, busca-se analisar os desafios postos a esse serviço da Rede de Atenção Psicossocial frente a discursos e práticas homogeneizantes em nossa sociedade. Desse modo, verifica-se que, mesmo após grandes avanços da luta antimanicomial para a sensibilização da sociedade sobre a loucura, ainda persiste um imaginário social intolerante à diferença, ao louco. (AU)
The present article intends to reflect how the health mechanism of the Center of Coexistence can be a tool of empowerment, of help in the construction of greater autonomy and promotion of citizenship of the people in mental suffering. It is sought to think about the contribution of this service to the effectiveness at the socio-cultural dimension of the Brazilian Psychiatric Reform, contributing to the social insertion of the people in mental suffering, through the promotion of work and artistic activities and the articulation with various sectors of society. Thus, through the literature review of scientific articles and texts of Mental Health Conferences and Forums we seek to analyze the challenges imposed to this service of Primary Health Care, which works as an open and community space, face to speeches and practices homogenizers in our society. In this way, it is verified that even after great advances of the antimanicomial fight for the awareness of the society on the madness, still persists a social imaginary which is intolerant to the difference, to the madman. (AU)
El presente trabajo se propone reflexionar sobre el dispositivo del Centro de Convivencia como una herramienta de empoderamiento, de ayuda en la construcción de mayor autonomía y promoción de la ciudadanía de la persona en sufrimiento mental. Así, se busca pensar la contribución de ese servicio para la efectividad de la dimensión sociocultural de la Reforma Psiquiátrica brasileña, ayudando en la inserción social del loco, a partir del fomento de actividades laborativas y artísticas y de la articulación con diversos sectores de la sociedad. Por lo tanto, por medio de la revisión de literatura de legislaciones sobre el tema, artículos científicos y textos de Conferencias y Foros de la Salud Mental, se busca analizar los desafíos puestos a ese servicio de la Red de Atención Psicosocial frente a discursos y prácticas homogeneizantes en nuestra sociedad. De ese modo, se verifica que, incluso después de grandes avances de la lucha antimanicomial para la sensibilización de la sociedad sobre la locura, todavía persiste un imaginario social intolerante a la diferencia, al loco. (AU)
Assuntos
Centros Comunitários de Saúde Mental , Participação da Comunidade , Autonomia Pessoal , Pessoas Mentalmente Doentes/psicologia , Serviços de Saúde Mental , Estresse Psicológico/reabilitação , Brasil , Reforma dos Serviços de SaúdeRESUMO
Relata-se nesse trabalho um caso de osteíte condensante de clavícula em uma mulher de 28 anos, com historia de estresse articular constante e intenso pela pratica esportiva de treinamento de força, sem referência a traumas nessa topografia. Os exames laboratoriais e de imagem não confirmam outros diagnósticos diferenciais.
This paper reports a case of condensing osteitis of the clavicle in a woman of 28 years, with constant articular stress and intense practice of sports, without reference to trauma in this topography. Laboratory and imaging tests do not confirm other differential diagnoses.
RESUMO
ABSTRACT This article reports the use of elastic suture as an adjuvant in surgical wound closure caused by decompressive fasciotomy after compartment syndrome associated with a compound fracture of the tibia. Widely used in other medico-surgical specialties, this technique is unusual in orthopedics surgery, but the simplicity of the procedure and the successful outcome observed in this case allows for its consideration as indicated for situations similar to that presented in this study.
RESUMO Relata-se neste trabalho o uso da sutura elástica como adjuvante no fechamento de ferida cirúrgica provocada por fasciotomia descompressiva após síndrome do compartimento associada a fratura exposta de tíbia. Muito usada em outras especialidades médico-cirúrgicas, a técnica não é habitual em ortopedia; entretanto, a simplicidade do procedimento e o resultado satisfatório observado neste caso permite reputá-la como indicada para situações similares à apresentada neste trabalho.
Assuntos
Humanos , Masculino , Adulto , Radiografia , Ombro , Luxação do Ombro , Articulação do OmbroRESUMO
Este artigo apresenta algumas reflexões sobre as relações entre universidade e Reforma Psiquiátrica dentro do enquadramento da Psicologia brasileira. Para tanto, evocaremos alguns dados relativos à atualidade e história da assistência/atenção em saúde mental e da formação em psicologia e algumas conclusões da pesquisa "As instituições universitárias e a construção da reforma psiquiátrica mineira nas décadas de 60, 70 e 80" (Goulart, 2007), finalizada em 2007. Seus resultados se pautaram em fontes documentais e orais mineiras. Assim, serão enfocadas as tensões e conexões possíveis entre os projetos de formação emergentes nos centros de formação em psicologia e a gestão da Reforma Psiquiátrica, procurando apontar para as possibilidades - já ocorridas e as atuais - de constituição de uma cultura profissional crítica que respalde a Reforma Psiquiátrica.
This article presents some reflections on the relationship between university and Psychiatric Reform within the framework of Brazilian Psychology. To this end, we will evoke some data pertaining to the current status and the history of assistance/care in mental health care and of the education in psychology and some conclusion of the research "The university institutions and the construction of the psychiatric reform in the state of Minas Gerais in the 60's, 70's, and 80's" (Goulart, 2007), completed in 2007. Its results were based on documentary and oral sources in the state of Minas Gerais. Therefore, the tensions and possible connections between the education projects emerging from the educational centers in psychology and the management of the Psychiatric Reform will be emphasized, with an attempt to point out the possibilities - which have already occurred and the current ones - of constitution of a critical professional culture which supports the Psychiatric Reform.
Este artículo presenta algunas reflexiones sobre la relación entre la universidad y la reforma psiquiátrica en el marco de Psicología de Brasil. Con este fin, evocar algunos datos relativos a la presente y la historia de la atención / cuidado de la salud mental y la formación en psicología y algunos resultados de la investigación "Las universidades y la construcción de la minería de la reforma psiquiátrica en los años 60, 70 y 80 años" (Goulart, 2007), finalizó en el año 2007. Sus resultados se basan en fuentes documentales y la minería oral. Por lo tanto, se centran en las tensiones y las posibles conexiones entre los proyectos de educación en los centros emergentes de la educación en la psicología y la gestión de la reforma psiquiátrica, tratando de señalar las posibilidades-que ya han ocurrido y la corriente - el establecimiento de una cultura profesional que apoya la reforma fundamental Psiquiatría.
Assuntos
Psicologia , Saúde Mental , Psiquiatria/tendências , Psicologia Social , Universidades , Assistência à Saúde MentalRESUMO
Introdução: A secagem do canal radicular após o preparo químico-cirúrgico com cones de papel absorvente é importante, pois, é imprescindível a obtenção de uma superfície sem umidade. O objetivo desta pesquisa é comparar os pesos de dentes humanos extraídos, considerando dentes úmidos, secos com papel absorvente e estufa. Método: Utilizaram-se 30 dentes humanos extraídos nos quais se executaram o acesso à câmara pulpar, à odontometria e o preparo químico-cirúrgico e, em seguida, foram mergulhados em frascos individuais contendo água destilada, por uma semana. Após isso os dentes foram pesados em balança analítica digital com os dentes umedecidos (Pu), a segunda os dentes secos com cones de papel absorvente (Pa) e depois secagem dos dentes na estufa durante 12 horas a 500C (Pe) e pesagem. Resultados e conclusões: Ao fazer a comparação entre dentes secos com papel absorvente e secos na estufa, o teste ?t? de Student mostrou que os pesos em grama dos dentes secos na estufa são menores do que os secos com papel absorvente (?t? = 6,3992) com P=0,0001. Concluiu-se que os dentes apresentaram ordem decrescente de peso: dentes umedecidos, dentes secos com cones de papel absorvente e dentes secos em estufa e, portanto, a secagem dos dentes em estufa mostra-se como de suma importância para a remoção maior de líquidos do sistema de canais radiculares
Introduction: The drying of the root canal after chemical-surgical preparation with absorbent paper cones is important because it is essential to obtain a surface free of moisture. The aim of this study is to compare the weights of extracted human teeth, whereas teeth wet, dry on paper towels and oven. Method: Were used thirty extracted human teeth which were carried out access to the pulp chamber odontometry and chemical-surgical preparation, and then were immersed in individual bottles containing distilled water for one week. After that teeth were weighed on an analytical balance with digital teeth moistened (Pu), the second teeth dry with absorbent paper cones (Pa) and then drying the teeth in the oven for 12 hours at 500C (Pe) and weighing. Results and conclusion: In making the comparison between teeth dry with absorbent paper and dried in the oven, the ?t? Student test showed that the weights in grams of dry teeth in emissions are lower than those dried with absorbent paper (?t? = 6.3992 ) with P = 0.0001.It was concluded that the teeth, in descending order of weight of wet teeth, teeth dried with absorbent paper cones teeth and dried in an oven, and therefore the drying kiln of the teeth of the utmost importance to remove most of the root canal fluid system
Assuntos
Preparo de Canal Radicular , Endodontia , AbsorçãoRESUMO
O objetivo deste trabalho é apresentar um protocolo para orientação na prescrição de exames radiográficos para pacientes odontopediátricos. Para a realização de exames radiográficos em pacientes pediátricos, sugere-se o uso de um fluxograma com duas categorias: paciente novo ou retorno e paciente com suspeita de anomalias. Para pacientes novos ou retornos, considera- se a faixa etária menores de 6 anos e dos 6 aos 12 anos, respectivamente. O fluxograma proposto na prescrição de exames radiográficos para pacientes odontopediátricos reduzirá custos, dose de radiação recebida pelo paciente, além de auxiliar o profissional na realização e/ou prescrição de exames radiográficos.
This work presents a guideline for orientation in the prescribing of radiographic examinations for pediatricpatients. To radiographic examination, a flowchart with categories is proposed: new or returning patient, and patient with suspected abnormalities. Newpatients or returns, are considered the age group younger than 6 years and 6 to 12 years, respectively. This flowchart in the prescribing of radiographic examinations for pediatric patients will reduce costs, dose of radiation received for the patient, beyond assisting the professional in the accomplishment and/or prescribing of radiographic examinations.