title: [Rickets prophylaxis under current recommendations].
abstract: OBJECTIVE
  We analysed the compliance of current recommendations concerning rickets prevention in Poland.
  
  
  METHODS
  The study group consisted of 65 infants hospitalised because of emergency problems. In each case, the medical history included prophylaxis of rickets and feeding pattern. In most cases (80%) we measured calcium, phosphate, and alkaline phosphatase in the serum.
  
  
  RESULTS
  Vitamin D3 was overdosed in 70% of infants. 14% of children were diagnosed as rachitic in outpatient department before hospitalisation, but neither the clinical symptoms nor the laboratory test confirmed the diagnosis. This confirms the observation, that rickets is diagnosed too often, usually on the basis of isolated craniotabes in young infants.
  
  
  CONCLUSIONS
  In the context of changing recommendations for prophylaxis of rickets, we recommend more careful prescribing of vitamin D3 preparations.
authors.affiliation: Klinika Pediatrii, Gastroenterologii i Onkologii, Dziecieca Akademia Medyczna, 80-803 Gdańsk, Poland.
authors.forename: Anna
authors.initials: A
authors.lastname: Borkowska
authors.forename: Joanna
authors.initials: J
authors.lastname: Tyl
authors.forename: Katarzyna
authors.initials: K
authors.lastname: Plata-Nazar
mesh_terms: D062787:Drug Overdose; D004636:Emergency Service, Hospital; D005260:Female; D006801:Humans; D007223:Infant; D007228:Infant Nutrition Disorders / Q000139:chemically induced / Q000188:drug therapy*; D007227:Infant Nutritional Physiological Phenomena; D007229:Infant Welfare; D007231:Infant, Newborn; D008297:Male; D012279:Rickets / Q000517:prevention & control*; D014807:Vitamin D / Q000008:administration & dosage* / Q000009:adverse effects*
chemical_list: D014807:Vitamin D