Navegando por Palavras-chave "Sulfato ferroso"

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    Prophylaxis for iron deficiency anemia using ferrous sulfate among infants followed up at a primary healthcare unit in the municipality of Embu-SP (2003/2004)
    (Associação Paulista de Medicina - APM, 2008-03-01) Shibukawa, André Fernando [UNIFESP]; Silva, Edina Mariko Koga da [UNIFESP]; Ichiki, Wilson André [UNIFESP]; Strufaldi, Maria Wany Louzada [UNIFESP]; Puccini, Rosana Fiorini [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    CONTEXT AND OBJECTIVE: Iron deficiency anemia is an important public health problem in Brazil. In the municipality of Embu, a population study in 1996 found anemia prevalence of 68.5% among children aged one to two years. From these data, prescription of prophylactic ferrous sulfate was instituted in 1998 for children under two years old followed up within the children's healthcare program. After five years of intervention, the prevalence of anemia and associated factors were investigated among children aged 12 to 18 months to whom guidance for prophylactic ferrous sulfate use had been given. DESIGN AND SETTING: Cross-sectional study covering October 2003 to June 2004 at a primary healthcare unit in Embu. METHODS: A randomized sample of children aged 12 to 18 months to whom guidance for prophylactic ferrous sulfate use had been given was obtained. Hemoglobin was measured in capillary blood, using HemoCue® apparatus. Hemoglobin < 11 g/100 dl was taken to indicate anemia. RESULTS: The sample comprised 118 children and anemia was found in 41.5%. There was no statistically significant association between anemia presence and the variables of sex, birth weight, neonatal intercurrences, chronic diseases, breastfeeding or iron supplementation use. There was a statistically significant association (p = 0.03) between anemia presence and per capita income, such that the higher the income was, the lower the prevalence of anemia was. CONCLUSION: The prophylaxis program against iron deficiency anemia did not achieve the expected results. New strategies must be considered in the light of the magnitude of the problem.
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    Terapêutica com doses profiláticas de sulfato ferroso como medida de intervenção no combate à carência de ferro em crianças atendidas em unidades básicas de saúde
    (Faculdade de Saúde Pública da Universidade de São Paulo, 1994-12-01) Torres, Marco Antonio A.; Sato, Kasue [UNIFESP]; Juliano, Yara [UNIFESP]; Queiroz, Suzana de Souza [UNIFESP]; Secretaria de Estado da Saúde de São Paulo Núcleo de Nutrição do Centro de Referência de Saúde da Mulher, Nutrição, Alimentação e Desenvolvimento Infantil Centro de Apoio ao Desenvolvimento da Atenção Integral à Saúde; Universidade Federal de São Paulo (UNIFESP); Universidade Estadual Paulista (UNESP)
    The efficacy of medical prophylaxis in the fight against iron deficiency anemia in 620 children aged from four to thirty-six months, attended in two health units of the municipality of S. Paulo, Brazil, was tested. First, the children's blood was tested for hemoglobin level and eletrophoresis. Then they received daily doses of iron sulphate in the form of drops, corresponding to 12 mg/ day of elementary iron, over a 30-day period. Afterwaeds, they were asked to return for re-evaluation. Twenty-five percent of children under 6 months presented hemoglobin levels under 11.0 g/dl. The highest occurrences of anemia were detected among children aged 9 to 11 months (49.5%) and in the age bracket between 12 and 23 months (50.4%). After the established period, only 37.4% of the children with anemia and 52.4% of children who did not present anaemia returned for further evaluation. Of the 299 evaluated, ony 157 (52.5%) had taken the medication correctly. Frequency of hemoglobin inferior to 9.5 g/dl dropped from 17.1% at the beginning to 8.1% at the end of the intervention. On the other hand, the percentage of children with hemoglobin above 12.0 g/ dl increased from 13.4% to 33.4%. Those chidren who took their iron supplements correctly registered a siginificantly higher drop in the number of cases of anemia than that observed in those who had not taken the supplement correctly. The great majority (80.3%) did not present any side effects of medication. It was concluded that medical prophylaxis, instead of proving to be efficient in the recovery of hemoglobin levels, presents serious hazards from the operation point of view including a low level of participation in the project on the part of mothers, resulting from the daily obligation to administer a medication to their chidren over a long period of time which can consequence generate saturation and forgetfulness.