CHILD HEALTH CENTER ADOPTED AND PEDIATRIC INFECTIOUS INFECTIOUS ENVIRONMENT

It is a center of excellence at national level thanks also to the collaboration of the Laboratory of Tropical Diseases of the same Hospital and to the consultancy of experts in parasitology of both national and international reputation. The Center for the Health of the Child Adopted abroad (thus the exact denomination) arose in 2002 and since then it is the reference center for hundreds of families for the treatment of intestinal parasites and the various pathologies of the country of origin. He also deals with research and training of medical and paramedical staff and annually organizes conferences for pediatricians and the various socio-educational figures of the area.

Name of the Service: Pediatric Service for assistance to the adopted child
Specialists in charge of the Service: dott. Giorgio Zavarise, Dr. Gianmario De Stefano

Services provided: all those provided by the diagnostic-assistance protocol for children adopted abroad ( “Palermo 2014” ).

Service phone: 045 60 13 786; Fax: 045 75 00 480 Email: saluteadozioni@sacrocuore.it

Days and times when the service is open to the public : every day from 9.30 to 15.30.

Dedicated clinic : Mon 09: 00-12: 00

Booking ai Polyclinics : 045 60 13 257

Other information: the Service is part of a Specialized Center for tropical diseases where specific serology is diagnosed, with the most modern techniques, of tropical diseases such as malaria, cysticercosis, amoebiasis, schistosomiasis, filariasis, strongyloidiasis and toxocariasis. Furthermore, new and sophisticated diagnostic techniques of molecular biology have been developed, exploiting the DNA of parasites.

How to request samples for the coproparasitological examination:

exclusively via the internet: by filling in the following form .

Collection instructions: http: //www.tropicalmed .eu / name / Examination + Coproparassitologico.html

Contact mode for information on reports:
1) sending the report by fax to 045 60 13 294 and specifying an e-mail for the reply;
2) by writing an email to the following address: saluteadozioni@sacrocuore.it

PEDIATRIC NEFROLOGY SERVICE

Dr. Benini – Dr. De Stefano – Dr. Pizzini

The service includes outpatient activities, planned hospitalizations, admissions under the Day Hospital regime. The Pediatric Nephrology outpatient clinic takes place on Wednesday mornings at the Poliambulatori (Casa Nogarè), the outpatient activity allows the classification of the main problems (malformative uropathy, recurrent urinary tract infections, calculosis, renal glomerular diseases, enuresis, urinary disorders). , etc.) and the possible need for further investigations to be carried out under hospitalization or Day Hospital.

The visits are booked at the reception of the outpatient clinics and take place in a divisional regime (with the duty of the Curante). The Pediatric Nephrology outpatient clinic includes a further ambulatory activity on Tuesday mornings for performing uroflowmetries.

The planned hospitalizations take place at the Pediatric Department (Sacred Heart Hospital) and are generally reserved for patients who need complex laboratory-instrumental examinations for a complete diagnostic framework.

Day hospitals are always held at the Department of Pediatrics, they provide daily hospitalization and are generally aimed at patients who need instrumental examinations where sedation is required. Admissions both in ordinary and Day Hospital must be planned and / or agreed with the nephrologist specialist. For over a year, it has also been possible to take advantage of the collaboration and decades of experience of Dr. Rigamonti, a pediatric urologist at the University of Padua, for surgical nephro-urological consultations.

Divisional Surgery of Pediatric Nephrourology
Location: Casa Nogarè room n ° -4
Contact
• tel: 045.6013741 – Outpatient clinic from 09:00 to 12:00 Thursday
Booking of visits: 045/6013257
Day of performance: Thursday morning (with binding for a pediatric nephrourological visit)
Treated pathologies
• Congenital malformations of the urinary genital tract and follow-up of patients with prenatal diagnosis of urinary tract abnormalities (vesico-ureteral reflux, hydronephrosis, pyelo-ureteral duplicity, posterior urethral valves, megaureter, hypodysplasia / renal agenesis, hypospadias, cryptorchidism) , phimosis)
• Follow up of patients with nephrourological interventions
• Framework for micturition dysfunctions (nocturnal enuresis and daytime urinary incontinence) in order to exclude related organic causes. The continuation of any follow-up takes place at the clinics dedicated to enuresis or uroflowmetry.
• Nephrological disorders and their follow up (hematuria, proteinuria, renal failure, urinary infections, nephrolithiasis)

Divisional Surgery for night-time enuresis
Location: Casa Nogarè room n ° -4
Contact
• tel: 045.6013741 – Outpatient clinic from 09:00 to 12:00 on the first Wednesday of the month
Booking of visits: 045/6013257
Day of performance: first Wednesday of the month (with binding for enuresis)
Clinic dedicated to patients sent by the Caregiver over the age of 5 because they have ONLY nocturnal urinary incontinence at an age when sphincter control should already be achieved.

Uroflowmetry Divisional Surgery
Location: Casa Nogarè room n ° -4
Contact
• tel: 045.6013741 – Outpatient clinic from 09:00 to 12:00 on the second and fourth Wednesday of the month
Booking of visits: 045/6013257
Day of performance: Wednesday morning (with binding for a pediatric nephrourological check-up visit + pediatric uroflowmetry + perineal plane EMG)
Outpatient clinic dedicated to patients already evaluated in the enuresis or pediatric nephrology outpatient department who have problems with urinary incontinence (day / night). Uroflowmetry is a simple, repeatable investigation (it allows to evaluate the effectiveness of any medical-surgical treatments undertaken), which is non-invasive and allows urinary flow to be measured during urination. It consists in urinating in a normal water and reproduces graphically the voiding flow by applying electrodes (adhesive plasters) on the skin of the perineum. The examination is performed with a full bladder when the patient feels a normal urge to urinate. The examination is completed with the ultrasound evaluation of the post-residual residue.

Divisional Rehabilitation Surgery of the perineal plane through bio-feedback
Location: Casa Nogarè room n ° -4
Contact
• tel: 045.6013741 – Outpatient clinic from 09:00 to 14:00 on the third Wednesday of the month
Booking of visits: direct communication by the nephrologist specialist
Day of performance: Wednesday morning (with appointment of the specialist nephrologist)
Clinic dedicated to patients already evaluated at the pediatric uroflowmetry clinic who have problems with bladder dysfunction. The re-education of the perineal plane is a method,non-invasive (uses adhesive plasters) which aims to teach the child how to recover a good synergy between emptying the bladder and relaxing the muscles of the perineum using video games.

PEDIATRIC ALLERGY AND PNEUMOLOGY SERVICE

Dott. Cesare Zanotto

Diagnosis and treatment of allergic diseases (asthma, rhinitis, conjunctivitis, food allergy) with prick test and patch test.

Respiratory function study in collaborating children (5-6 years with spirometry) and in non-collaborative children (3-5 years with RINT interruption technique or FOT forced oscillations).

Stress test.

Measurement of nasal and bronchial Nitric Oxide.

Oral Provocation Test with food in a protected environment for the diagnosis of food allergy.

Trial test with drugs in a protected environment for the diagnosis of drug allergy.

Specific Immunotherapy Administration.

Exams and visits can be booked at the outpatient clinics.

PEDIATRIC GASTROENTEROLOGY SERVICE

Dr. A. Deganello – Dr. S. Provera

The Service includes outpatient activities, scheduled and urgent hospitalizations, admissions to day hospital.

  • The divisional outpatient activity takes place one morning a week (Thursday mornings) at the outpatient clinics: visits must be booked on 045 6013257 and require a commitment.
  • Scheduled hospitalizations and day hospitals are held at the Pediatric Department (Sacro Cuore Hospital); the former provide for a stay of a few days during which specific laboratory and instrumental tests are carried out, while day hospitals provide only daytime hospitalization and are aimed at patients who need to perform instrumental examinations for which sedation is required (esophagogastroduodenoscopy , rectosigmoidoscopy, colonoscopy). In both cases hospitalization is scheduled and / or agreed with the Pediatric Gastroenterologist except for urgent hospital admissions.

The specialist diagnostics includes:

  • Laboratory tests for the diagnosis and monitoring of celiac disease, inflammatory bowel diseases, intestinal parasitology, liver diseases
  • Esophageal pHmetry
  • anorectal manometry in collaboration with the Gastroenterology Center
  • breath test (urea labeled for Helicobacter pylori infection and H2 for carbohydrate intolerance) in collaboration with the Gastroenterology Center
  • image diagnostics (traditional,ultrasound, CT, Magnetic Resonance, EnteroRM) performed by the Image Diagnostics Unit
  • diagnostic and operative digestive endoscopy (esophagogastroduodenoscopy, rectosigmoidoscopy, ileus colonoscopy, gastrostomy management) performed by the Digestive Endoscopy Unit in the presence of the Pediatric Gastroenterologist.

The clinical activity concerns the gastrointestinal pathology of the child with reference to:
recurrent abdominal pain, constipation and fecal incontinence, chronic diarrhea, celiac disease, gastro-oesophageal reflux disease, eosinophilic esophagitis, irritable colon, liver disease, obesity, gallbladder stones.

The Service pays particular attention to the diagnosis and treatment of chronic intestinal inflammatory diseases (IBD) such as Crohn’s disease andulcerative rectocolitis.

With DGR 329/2015 it was recognized as an Authorized Center for the Prescription of Biological Drugs for the treatment of the aforementioned diseases.

The Pediatric Operating Unit is the Reference Center for the Diagnosis of Celiac Disease recognized with the Resolution of the Veneto Regional Council No. 788/2003.

PEDIATRIC RHEUMATOLOGY SURGERY

Dr. Snezana Ilic

It is a medical examination carried out by a pediatric expert in rheumatology (a branch of medicine that deals with the diagnosis, treatment and rehabilitation of rheumatic diseases).

Rheumatic (or rheumatological) diseases include diseases of the connective tissue (the tissue present between one cell and another with a supporting function) and the musculoskeletal system (bones and muscles). The locomotor apparatus is interested above all in the joints, which are the junctions between two bones, which allow the movements.

The most common rheumatic diseases of pediatric interest are juvenile idiopathic arthritis and acute rheumatism or rheumatic fever. The expression juvenile idiopathic arthritis indicates all inflammatory forms of the joints with unknown cause, which arise before the age of 16 and have a duration of more than 6 weeks. Acute rheumatism is a very frequent inflammatory disease in young age, which can affect the heart, joints, skin or nervous system. Represents the consequence of an exaggerated response of the immune system to an infection by the bacillus Group A beta-hemolytic streptococcus.

The service includes outpatient activities, scheduled hospitalizations and admissions under the Day Hospital regime. Visits are booked at the Outpatients clinics and are held in a divisional regime (with the duty of the Curante) every Thursday afternoon.
The outpatient activity allows the classification of the main problems and the monitoring of the clinical progress over time.
Diagnostic laboratory-instrumental tests for complete diagnostic classification are performed under DH or hospitalization in the Pediatric ward

SERVICE DEDICATED TO DOWN SINDROME PERSONS

With Down syndrome we identify a clinical situation characterized by a chromosomal anomaly (trisomy 21, due to the presence of a supernumerary chromosome in the pair 21) associated with a variety of organic and non-organic pathological factors. Of these, the delay of psychomotor and intellectual development is the most important, both because it is always present, in different degrees from person to person, and because of the commitment and the active involvement of those who are affected by it and those who are affected by it. takes charge in the helping relationship.

Down syndrome is today recognized as a “rare disease” that is “little known, lacking adequate therapy, such as to require specialized and continuous assistance and an important public intervention … because of the significant social and health impact”. For this reason, since 2002 it has been inserted with DM n. 279/2001 in a National Register of Rare Diseases of the Istituto Superiore di Sanità in relation to the “Regulation for the establishment of the national network of rare diseases and exemption from participation in the cost of the relative health services” (DM pursuant to article 5, paragraph 1, letter b, of DL April 29, 1998, No. 124).

The “Dedicated Service” arises within the activity of the U.O. of Pediatrics and Neonatal Pathology of the Sacred Heart Hospital – Don Calabria, in line with the spirit that distinguishes it according to the thought and practice of its Founder San Giovanni Calabria, which consists of a “special attention and care for the less fortunate” according to the gospel principles of love and service.

It aims to offer diagnostic, therapeutic and preventive pathways, updated according to international guidelines; moreover, clinical-training meetings are proposed for those who, parents (especially for new parents of children with trisomy 21) or family members or educators or community assistants, are interested or involved in their care.

The integration with high technology instrumental diagnostic services and the continuous availability of specialized multi-disciplinary consultancy, together with the commitment to welcoming and serving people, are its strengths in the pursuit of health and the improvement of quality of life of the person with Down syndrome.

This activity also opens up to the collaboration with the Doctors (MMG, PLS) and with the socio-health associations of the territory (AGBD) and the ASLs within which a large part of the therapeutic-assistance-administrative process is developed ( rehabilitative interventions, neuropsychiatric support, social integration, overcoming ghettoisation, prevention of pathologies, assistance for the elderly …); also for this reason the booklet “Pathways of Health – Down Syndrome. Prevention Health Protocol” has been published (author D. Viviani, Don Calabria – Verona).

The activity is followed by people of all ages (newborns, infants, adolescents, adults, the elderly).

Due to its peculiarity, this Service is a reference not only for the neighboring territory, but also for Families and Healthcare Structures and Associations, which take care of people with Down syndrome, from other regions in Italy.

Visits are carried out at the Outpatients clinics , by appointment and with binding SSN, every Wednesday from 09.00 to 13.00.

CONTACT
Dr. DARIO VIVIANI
Simple Structure Direction – S. Down
Tel. Dir. int. 045.6013963
Tel. 045.6013296
Fax. Centr. 045.7500480

dario.viviani@sacrocuore.it

NEONATOLOGY SURGERY

Contact person Dr. Ermanna Fattori
Tel. 045.6013296-4729
ermanna.fattori@sacrocuore.it Location: Casa Nogarè Poliambulatori. Floor -1 room 4 or 5
Contact Information 045.6013741-3735

Neonatal clinic on Monday and Thursday from 2 pm

The visits carried out in this Outpatient clinic regard newborns discharged from the Neonatal Assistance Service (Nido) or, in some cases, from neonatal pathology for clinical control and growth on the instructions of the Doctor at discharge, pending acceptance by the Pediatrician of family. For the control of growth and breastfeeding support there is the possibility of a shortly agreed inspection with the staff of the Nest upon discharge or by telephone (tel.045 / 6013395) A Dedicated clinic “is in operation Mom’s space “ Free of charge for the care of the puerperium and breastfeeding during the 1st month of life, managed by a Midwife.
Surgery on Monday-Wednesday-Friday morning at the Obstetrics Psychoprophylaxis Outpatient Clinic, by appointment given to discharge from the Neonatal Section (Nido) or from Neonatal Pathology.
To contact the clinic tel: 045.6013893.

Neonatal clinic on Tuesday from 9am to 12pm

This clinic is aimed at newborns requiring post-discharge control of neonatal pathology and possible follow-up (premature, low weight, congenital infections, etc.). The activity of this outpatient clinic is integrated with the visit activities of the specialists involved in the follow-up (child neuropsychiatrist, ophthalmologist, ENT etc).

CONSULENZA NEUROPSICHIATRIA INFANTILE

La neuropsichiatria infantile è caratterizzata al suo interno da due distinte branche: la neurologia pediatrica e la psichiatria dell’infanzia e dell’adolescenza. Per tale motivo il lavoro di consulenza che viene svolto all’interno dell’Ospedale risulta articolato e complesso nel suo insieme, abbracciando numerose patologie di tale periodo di vita. Inoltre, le patologie neurologiche, di natura organica, e le manifestazioni psicopatologiche, talvolta evidenziabili attraverso disturbi somatici, possono essere embricate tra loro nello stesso paziente, soprattutto in tale epoca di vita. Esse necessitano pertanto di essere riconosciute e distinte richiedendo spesso una diagnosi differenziale.

La visita NPI è una visita medica effettuata da uno specialista in neuropsichiatria infantile; la consulente NPI è presente in questo Ospedale per tre giorni alla settimana: Lunedi dalle 12 alle 19 circa ; Martedi dalle 10 alle 17 circa; Venerdi dalle 10 alle 17 circa.

L’attività ambulatoriale è così suddivisa: vengono effettuate visite NPI ai poliambulatori il lunedì dalle 14 alle 16.30; il martedì ai poliambulatori dalle 10 alle 13 ed il Venerdì visite NPI ed EEG in veglia ed in corso di siesta presso il servizio di neurologia ed elettroencefalografia presso il reparto di neurologia dalle 10 alle 15 .

Le visite e gli EEG vengono prenotati presso l’accettazione dei Poliambulatori con impegnativa del Medico Curante o della sottoscritta nel caso di puntualizzazione o dubbio diagnostico, di monitoraggio della situazione clinica, e nel caso di colloquio con i genitori relativo agli aspetti clinici del proprio figlio.

Le visite con impegnativa sono rivolte ai pazienti in età pediatrica-adolescenziale inviati dai Medici Curanti per un inquadramento diagnostico relativo a problematiche di ordine neurologico, per patologie specifiche come cefalea, epilessia, disordini dello sviluppo e del comportamento, problematiche di ordine psicologico-psichiatrico e psico-pedagogico, come follow up dello sviluppo psicomotorio dalla nascita ai primi anni di vita in pazienti nati prematuri o con altre problematiche insorte nell’epoca pre-perinatale, come follow up della cefalea con relativa presa in carico, come follow up dell’epilessia con relativa presa in carico (monitoraggio con EEG e cura farmacologica).

Non vengono effettuati in ambito ospedaliero test dello sviluppo cognitivo né valutazioni o certificazioni ai fini scolastici, né prese in carico psicoterapeutiche in acuto o continuative, per le quali si rimanda al Servizio NPI di competenza ASL territoriale.

La consulente NPI effettua inoltre un’attività di reparto offrendo un servizio di consulenza per i pazienti ricoverati nel Reparto di Pediatria, eccezionalmente presso altri Reparti previo accordo specifico con la consulente stessa, nel caso di giovane età del paziente e di sospette problematiche di ordine neurologico-psichiatrico insorte acutamente o accidentalmente presso il ricovero in un altro reparto.

In ambito del Reparto di Pediatria le consulenze NPI associate o meno ad esecuzione di EEG vengono dedicate ai ricoveri programmati o urgenti per puntualizzazione e/o inquadramento diagnostico: epilessia con differenziazione tra idiopatica e sintomatica, cefalea con differenziazione tra primaria e secondaria e specificazione del tipo, monitoraggio e cura della medesima, ritardo dello sviluppo psicomotorio e/o del linguaggio, sospette malattie neurologiche e/o patologie acute e croniche del S.N.C., manifestazioni parossistiche di incerta origine e di dubbia interpretazione clinica nel neonato, lattante, bambino ed adolescente, quadri clinici per i quali si debba escludere un disturbo funzionale o somatoformi con componente psicopatologica: vertigini, cefalea, sintomatologia gastrointestinale/urogenitale, manifestazioni motorie anomale a tipo di tic/mioclonia, assistenza al bambino adottato nel caso di patologie specifiche o di inquadramento diagnostico, disturbo della condotta alimentare, malattia cronica con implicazioni psicologiche (ad esempio malattia celiaca).