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Dispensary observation



Clinical supervision is carried out for children from the high-risk group and patients with iron deficiency anemia.

Clinical observation of children with a risk of developing iron deficiency anemia

The risk group for the development of iron deficiency anemia is composed of children:

• with an unfavorable antenatal history (iron deficiency in the body of a pregnant woman, chronic fetoplacental insufficiency);

• premature;

• from multiple pregnancy;

• with body weight at birth more than 4 kg;

• having high rates of weight-growth increases;

• being on artificial feeding by unadapted milk mixes;

• with diseases of the gastrointestinal tract, accompanied by malabsorption syndrome;

The terms for monitoring hematological parameters (hemoglobin, erythrocytes) for term infants at risk are 1, 3, 6, 9, 12 months after 1 year - 2 times a year for 3 years, for premature babies - every month.

Dispensary observation for children with iron deficiency anemia

Dispensary observation of children with IDA is carried out for 1 year.
The terms for monitoring hematological parameters are 7-10 days of therapy (reticulocytes), 1, 3, 4 months (hemoglobin, erythrocytes), 6 months (hemoglobin, erythrocytes, serum iron, serum ferritin, total iron binding capacity of serum).

Premature babies and children from multiple pregnancies at the dispensary are for 2 years.

Particular attention should be paid to adolescents involved in sports, since intense physical activity significantly increases the body's need for iron. Therefore, the identification of hyposiderosis in them is a contraindication for further sports, which can only be resumed after complete restoration of iron stores in the body.

Iron deficiency anemia of mild to moderate severity is not a reason for the rejection of vaccinations. Severe anemia requires clarification of its causes, followed by a decision on the timing of vaccination.

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Dispensary observation

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