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Medical Neglect as a Contributor to Poorly Controlled Asthma in Childhood
Journal of Child & Adolescent Trauma ( IF 1.7 ) Pub Date : 2019-12-10 , DOI: 10.1007/s40653-019-00290-0
Barbara L Knox 1, 2, 3 , Francois M Luyet 1, 2 , Debra Esernio-Jenssen 4, 5
Affiliation  

Child maltreatment, including medical neglect, is a frequent contributor to the development of asthma as well as a barrier to its proper management. This article aims to review the role of medical neglect as a contributor to poor asthma control. Medical neglect can present as failure of the caretaker to recognize severe asthma symptoms in a child, non-adherence to medical management, failure to prevent chronic exposure to allergens or tobacco smoke, poor child nutrition leading to obesity, and allowing a young child to manage his/her illness without supervision. This article will explore the different factors leading to medical neglect (as illustrated by two cases) and suggest possible interventions aiming to prevent emergency department visits, hospitalizations, and asthma-related deaths.

中文翻译:

医疗疏忽导致儿童哮喘控制不佳

虐待儿童,包括医疗疏忽,是哮喘发展的常见原因,也是其适当管理的障碍。本文旨在回顾医疗疏忽作为导致哮喘控制不佳的因素的作用。医疗疏忽可能表现为看护人未能识别儿童的严重哮喘症状、不遵守医疗管理、未能防止长期接触过敏原或烟草烟雾、儿童营养不良导致肥胖,以及允许幼儿自行管理他/她的疾病没有监督。本文将探讨导致医疗疏忽的不同因素(如两个案例所示),并提出旨在预防急诊就诊、住院和哮喘相关死亡的可能干预措施。
更新日期:2019-12-10
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