Protocol of care for foreign-body ingestion in children: a qualitative study

SUMMARY OBJECTIVE: This study aimed to suggest a care protocol for foreign-body ingestion, address the clinical aspects, and identify the ingested object, severity, and professional conduct. METHODS: This is a qualitative study. We used books and original articles published in national and international journals (BIREME, SCIELO, LILACS, and MEDLINE/PubMed) in Portuguese, Spanish, and English. RESULTS: The ingestion of a radiolucent object should be evaluated radiographically and with endoscopy for cases with symptoms of impaction and radiolucent objects. Coins are the most commonly involved foreign bodies. In asymptomatic patients, it often requires only a conservative form of management. Ingestion of batteries, magnets, and sharp objects carries a high risk of serious clinical complications and should have an endoscopic or surgical approach. In view of this, each pediatric emergency service, based on these recommendations, has the possibility to develop an individual protocol to identify and remove the ingested foreign body. CONCLUSIONS: Protocol of care for foreign-body ingestion in children depends on the object ingested, time of ingestion, symptoms, and local epidemiological context. This study provides some suggestions for decision-making in the conduct of health professionals.

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Bibliographic Details
Main Authors: Silva Júnior,Dario Silva da, Markus,Jandrei Rogério, Lopes,Aline Barbosa, Sousa,Lucas da Silva, Maciel,Erika da Silva, Nascimento,Ladislau Ribeiro do, Silva Neto,Luiz Sinésio, Barasuol,Aldair Martins, Pontes-Silva,André, Quaresma,Fernando Rodrigues Peixoto
Format: Digital revista
Language:English
Published: Associação Médica Brasileira 2022
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302022000901270
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