INTRODUÇÃO: A Faringotonsilite é doença comum nos consultórios e prontosocorros de pediatria. OBJETIVOS: Avaliar o impacto da realização rotineira da prova rápida para pesquisa de estreptococo do grupo A (PRE) no diagnóstico e tratamento da faringotonsilite aguda em crianças e adolescentes atendidos em um Hospital Geral. MÉTODOS: Trata-se de um estudo prospectivo, observacional, de protocolo de atendimento, instituído no Pronto-Socorro do Hospital Universitário da Universidade de São Paulo para o atendimento de crianças e adolescentes com diagnóstico de faringotonsilite aguda. RESULTADOS: Foram estudadas 1039 crianças e adolescentes. Com base no quadro clínico, antibiótico seria prescrito em 530 pacientes (51%), e com o uso da PRE e/ou cultura de orofaringe foi prescrito em 268 (25,8%) pacientes. Das 509 crianças que não receberiam antibiótico pelo quadro clínico, 157 tiveram PRE e/ou cultura de orofaringe positiva. O diagnóstico baseado no quadro clínico apresentou sensibilidade de 63,06% (IC-95%:62,95-63,17%); especificidade de 57,33% (IC-95%:57,25-57,41%); valor preditivo positivo de 50,57% (IC-95%:50,47-50,66%) e valor preditivo negativo de 69,16% (IC-95%: 50,47-50,66%). CONCLUSÕES: Neste estudo o diagnóstico clínico da faringotonsilite estreptocócica mostrou baixa sensibilidade e especificidade. O uso rotineiro da prova rápida para pesquisa de estreptococo permitiu uma redução do uso de antibiótico e a identificação de crianças e adolescentes com faringotonsilite estreptocócicas que não receberiam antibiótico e estariam sob o risco das complicações da infecção estreptocócica / BACKGROUND: Sore throat is a common disease in the pediatric emergency room. OBJECTIVES: The objective of this study was to evaluate the impact of routine performance of rapid antigen detection test (RADT) in the diagnosis and treatment of acute pharyngitis in children treated at an academic hospital. METHODS: This is a prospective, observational, protocol compliance, established at the Emergency of Hospital Universitário - Universidade de São Paulo for the care of children and adolescents diagnosed with acute pharyngitis. RESULTS: We studied 1039 children and adolescents. Based on clinical findings, antibiotic would be prescribed in 530 patients (51%) and using the RADT or sore throat culture was prescribed in 268 patients. Of the 509 children who did not receive antibiotics for the clinical, 157 had positive RADT or sore throat culture. The diagnosis based on clinical sensitivity was 63,06% (IC 95% 62,95- 63,17%), specificity 57,3% (IC 95% 57,25-57,41%), positive predictive value of 50,57% (IC 95% 50,47-50,66%) and negative predictive value of 69,16% (IC 95% 50,47-50,66%). CONCLUSIONS: In this study the clinical diagnosis of streptococcal pharyngitis had low sensitivity and specificity. The routine use of rapid test for streptococcal research led to a reduction of antibiotic use and the identification of a risk group for complication of streptococcal infection

Introduktion: Cerebral pares är en obotlig sjukdom som kan medföra en del begränsningar iett barns liv. Sjukdomens svårighetsgrad kan påverka familjen och barnets liv som kanmedföra utmaningar både i vardagen och i mötet med vården. Genom att studera föräldrarsupplevelse kan sjuksköterskan skapa förståelse för dessa familjers situation och erbjuda hjälputifrån barnets behov. Syfte: Att beskriva föräldrars upplevelser av möten med vården när de söker vård för barnoch ungdomar mellan 11–17 år, med en cerebral pares skada. Metod: En kvalitativ litteraturstudie genomfördes för att besvara studiens syfte.Vetenskapliga artiklar söktes och inkluderades från databaserna PubMed och CINAHL. Sexartiklar med kvalitativ ansats valdes ut och sammanställdes. Resultat: Föräldrars upplevelser av mötet med vården var kopplade till tidigare erfarenheterav bemötande och graden av delaktighet inom vården, vilket kunde leda till positiva ellernegativa upplevelser. Föräldrars roll och närvaro i barnets liv visade sig vara betydelsefull.Föräldrarna hade en stöttande och skyddande roll när det kom till barnets behov ochrättigheter. Slutsats: Föräldrarna upplevde brist på förståelse för deras erfarenheter kring sina barnssjukdom. Barnsjuksköterskor bör utifrån barnets behov och önskemål arbeta för enfamiljcentrerad vård och inkludera hela familjen i barnets vård / Introduction: Cerebral palsy is an incurable disease that can entail certain limitations in a child's life. The severity of the disease can impact both the family and the child's life, leading to challenges in daily life and encounters with healthcare. By studying parents' experiences, nurses can gain an understanding of these families' situations and offer assistance based on the child's needs. Aim: To describe parents' experiences of encounters with healthcare when seeking care for children and adolescents aged 11–17 with cerebral palsy. Method: A literature study was conducted to address the study's objective. Scientific articles were searched and included from the PubMed and CINAHL databases. Six articles with a qualitative approach were selected and compiled. Results: Parents' experiences of encounters with healthcare were linked to past experiences of treatment and the level of involvement in healthcare, which could result in positive or negative experiences. Parents' role and presence in the child's life were found to be importance. Parents had a supportive and protective role when it came to the child's needs and rights. Conclusion: Parents felt a lack of understanding regarding their experiences concerning their children's illness. Pediatric nurses should work towards family-centered care based on the child's needs and preferences, involving the entire family in the child's care