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[Pathologies of the immigrant child in the Intensive Care Unit. Update]
Pamela Carrasco T1, Fernando Bracho M1, Soledad Montes F1
1Unidad de Paciente Crítico Pediátrico, Hospital Dra. Eloísa Díaz I., La Florida, Santiago, Chile.
Insights
Healthcare teams in Chile
Area of Science:
- Pediatric critical care
- Global health
- Genetics
Background:
- Increasing number of immigrant children and adolescents requiring Intensive Care Unit (ICU) care in Chile.
- Healthcare providers face unfamiliar pathologies and diagnostic challenges due to genetic conditions in this population.
- Need for updated knowledge on rare diseases in pediatric critical care.
Purpose of the Study:
- To review key hematological, infectious, parasitic, respiratory, and cardiovascular pathologies relevant to immigrant children in Chilean ICUs.
- To highlight the importance of understanding genetic conditions affecting this patient group.
- To emphasize the need for continuous education for healthcare teams.
Main Methods:
- Literature review of relevant pathologies in pediatric critical care.
- Focus on conditions prevalent in immigrant populations and those with genetic underpinnings.
- Synthesis of information for clinical application in the Chilean public health system.
Main Results:
- Identified specific hematological, infectious, parasitic, respiratory, and cardiovascular conditions requiring attention.
- Highlighted diagnostic challenges stemming from limited knowledge of genetic predispositions.
- Underscored the growing presence of these pathologies in Chilean ICUs.
Conclusions:
- Healthcare teams must be updated on rare and emerging pathologies in pediatric critical care.
- Understanding the genetic landscape of immigrant populations is crucial for accurate diagnosis and treatment.
- Proactive education and knowledge dissemination are essential for managing diverse patient needs in the ICU.
Abstract:
It is increasingly common to provide medical care in the Intensive Care Unit (ICU) for immigrant children and adolescents as well as those born in Chile with parents in such condition. Currently, this has caused that the health team has to face diverse infrequent pathologies in our country and/ or diagnostic problems derive from the poor knowledge of genetic conditions of this population, some resulting from their health conditions. This review addresses several aspects of hematological, infectious, parasitic, respiratory, and cardiovascular pathologies, all relevant topics to know during their stay in the ICU. It is a duty of the health team to be updated on pathologies of low prevalence in our country, some of them very little known until a decade ago, but which are currently increasingly present in the ICUs of the Chilean public health system.
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